bluuebunny/crossref_metadata_2025_split huggingface dataset:
Time Management Education Influence on Decreasing Exam Anexiety and Conditioned University Students’ Negligence of Tehran Universities
Authors: Ebrahim F. , Kolahi P. , Nabipour E. 
Published: June 2017

IntroductionTest anxiety is a multidimensional phenomenon, including concerns about conflicts lead to negative emotional and behavioral responses in academic scores.AimCurrent study examines the influence of educating time management on decreasing exam Anxiety and educational negligence of conditioned university students on Tehran.MethodsThe method of doing study is of testing in which statistical society includes conditioned university students of Tehran. Of general statistical society, we have selected 20 persons by in access sampling method. Gathering information instrument in this study is Solomon and Roth bloom's educational negligence questionnaire and sarason test anxiety in which has been in access of studied sample after testing its stability and narration.ResultAfter education, the result of t-test dependent and co-variance analysis has shown time management education does have meaningful influence on decreasing test stress and conditioned university students negligence on Tehran universities.ConclusionDropped students compared to other students, provided a significant contingent of students had less time management and procrastination.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Surreptitious Drug Administration: Collective Decision Making Over Riding Personal Autonomy
Authors: Nagpal R. , Jhanwar V.G. 
Published: June 2017

A quaint problem indeed. This is an issue where ethical and practical management issues lock horns. An individual with no insight on a rampage, a threat to self and others cannot be given medicines without consent except in an indoor facility and admitted under a specific provision of the current statute. Contrary to the law, the mental health policy envisages community care of the individual. For a time defined interval, surreptitious medication can be administered providing much needed relief to the caregivers and calms the recipient. Surreptitious medication can of course be an instrument of control and hence would necessitate a system of checks and balances. Surreptitious medication tests legal and ethical boundaries. It offers relief to caregivers but can be an instrument of abuse. The act of administering a drug without the individual's consent is prima facie wrong but if the context is woven in, a whole new dimension arises.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Informed Consent: Pitfalls in a Patriarchal & Poorly Literate Society
Authors: Nagpal R. , Warrier E.M.D. 
Published: June 2017

The judiciary enquiring suomotu into deaths following an oncology trial in central India opened a can of worms. Searching investigation suggested that informed consent was only a cosmetic exercise and the victim was usually illiterate, poor and for a monetary reward and without being informed of the consequences of the intervention, subjected to a drug trial. Further, the process of informed consent was dispensed with and “patient” was asked to sign at the bottom of the document, no questions asked. The ‘patient’ in these trials usually is from the urban poor or deeply patriarchal, poorly literate rural hinterland. This led to a media outcry, a witch-hunt, indictments, penal action and the regulatory body now insisting on a video filmed informed consent. The wheel has truly turned full circle. The regulators while seeking idealistic regulation seem to live in a utopian world. The patriarchal and illiterate populace of rural India is far removed from the rarefied world of videotaped informed consent and presents an ethically quixotic situation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Documenting the decision-making process for initiation of pharmacological VTE prophylaxis in patients admitted to an adult psychiatry ward background
Authors: Sikka G. , Mistry N. 
Published: June 2017

BackgroundVenous thromboembolism (VTE) is a condition that causes a blood clot to form within the venous blood system. If this blood clot forms in the peripheral venous system, it can cause symptoms such as calf pain and swelling. If this clot becomes dislodged, it may travel through the vessels into the pulmonary artery which can have much more severe consequences.ObjectivesThere has been a great deal of effort in recent years to increase the percentage of in-patients receiving a VTE assessment; and for those patients to receive appropriate VTE prophylaxis. VTE is a significant cause of inpatient deaths. This audit aims to compare current working practice to local standards and identify learning points.MethodVTE assessment data were collected from two acute psychiatric in-patient wards within a specified, random date range in 2016. Data was collected by checking paper admission documentation. NICE guidelines also state that all patients should be assessed for VTE on admission, with a standard of 100%.ResultsOverall, 6.25% of general adult psychiatry patients had a VTE assessment done within 24 hours of admission.ConclusionThis audit shows that the necessary standards are not met. Importance of these assessments will be communicated during induction programmes for all staff and the results of this audit communicated to current staff on all in-patient psychiatry wards.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Admission to In-patient Psychiatric Care in the Veneto Region (Italy), Specialisation vs. Personal Continuity of Care Approach. Preliminary Findings from the COFI Study-Italian Sites
Authors: Miglietta E. , Lasalvia A. , Sara P. , Zanatta G. , Zoppei S. , Dimitri G. , Comacchio C. , Cristofalo D. , Bonetto C. , Giacco D. , Priebe S. , Ruggeri M. 
Published: June 2017

IntroductionIn Italy, considerable variations exist in the organisation of out- and in-patient mental health care. One main issue is whether to prioritise specialisation (distinct clinicians for inpatient and outpatient care) or personal continuity of care (same primary clinician for a given patient within the two settings).AimsTo study the use of psychiatric in-patient units in the Veneto region (Italy) and to evaluate differences between personal continuity of care and specialization systems.MethodsStudy conducted in the context of the COFI, multisite naturalistic EU-funded research aiming to compare the two care approaches in 5 European countries. In Italy, baseline data collection was carried out in 14 in-patient units. Data on hospitalisation, diagnosis, severity of the illness (Clinical Global Impression Scale- CGI) and patients’ appraisal of inpatient care (Client Assessment of Treatment Scale- CAT) were collected.ResultsOverall, 1118 patients were assessed. Most frequent diagnostic categories were mood (41.6%) and psychotic (38.3%) disorders, while anxiety disorders were less represented (11.9%). The majority of patients were at least at their second admission (69.4%) and had been voluntary admitted (91.5%). Length of stay and CGI scores were significantly higher for patients with mood and psychotic disorders. No difference in CGI score between the two systems was found. Patients in the continuity of care systems reported higher level of satisfaction with initial treatment and longer hospital stay (P < .001).ConclusionsThese preliminary findings suggest higher service satisfaction for personal continuity system, possibly reflecting a more individualised and comprehensive focus on the patient's needs, rather than on symptoms reduction only.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Dissociative Amnesia with Fugue vs. Shenjing Shuairuo: A Clinical Case Report. Are DSM-5 Distress Cultural Considerations Truly Transcultural Relevant?
Authors: Alberdi-Paramo I. , Tenorio M. , Montero G. , Baena R. , Niell L. , Ibañez J. , Peman J. , Villanueva M. , Gomez J. , Rodriguez J. 
Published: June 2017

IntroductionWe present the case report of a 21-year-old Chinese female, who was brought to the emergency department. We open the debate between the operative criteria stablished by DSM-5 of the clinical entity dissociative amnesia and Shenjing Shuairuo - the Chinese “culture-bound syndrome”.ObjectivesTo expose the relevance of the cultural formulation in the clinical evaluation of patients with a different non-Western culture in Psychiatry.AimsThe Shenjing Shuairuo syndrome (“nervous system weakness”) was originally descripted in China, it has a gradual onset, usually after a stressful event. It involves a minimum 3 of 5 symptoms group: weakness, emotions, excitement, neurological pain and sleep. This complex group of symptoms overlap with dissociative syndrome such as dissociative amnesia.Methods/resultsThe cultural formulation interview (CFI) was used for the diagnostic and subsequent treatment of dissociative amnesia with fugue in a different culture patient who met the clinical criteria of this two divergent clinic entities.ConclusionsIn our clinical practice, we will deal with different culture patients, who could present common clinical entities or with the so-called “culture-bound syndromes”. The cultural formulation of the clinical cases will help the clinicians to diagnose and have better treatment's options in clinical manifestations do not correspond to the conventional entities included in mostly Western-based nomenclatures.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Homelessness and Immigrants: In Front of the Border Between Spain and France
Authors: Calvo F. , Giralt C. , Xavier C. 
Published: June 2017

IntroductionIn 2006, prior to the worldwide economic crisis which especially affected Western countries, Southern Spain was one of the illegal immigrant gateways from Africa into Europe. The aim of this study is to establish the rate of homeless immigrants in a cohort of 2006 and carry out a follow up until 2015 in order to explore the chronicity associated to the territory.MethodsSample: 949 persons experiencing homelessness in Girona, according to official records. Procedure: prospective longitudinal study of the total population of homeless people in Girona. In 2006, a list was made of all the homeless people detected by both specialised and nonspecialised teams, which have been followed until the present day. Instruments: data bases of different official teams. Statistical analysis: measures of central tendency and dispersion and contingency tables were used for the comparison of qualitative variables.ResultsOverall, 64.8% of the population of Girona are immigrants (n = 614), principally from the Maghreb, (χ2 = 36.9, df = 4, P < .001) and 333 (36.3%) are autochthonous. The percentage of homeless immigrants in relation to the total immigrant population was 4.4%. Comparing the homeless autochthonous population with the total of the autochthonous population, homelessness among autochthonous population was 0.4%.ConclusionsThe results suggest that homelessness was more incidental in the immigrant group than in the autochthonous group. The percentage of immigrants who still live in homeless conditions suggests that immigration is a risk factor in the chronicity of the problem.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Differences In Perceived Reasons for and Barriers to, Seeking Help for Depression Between People with and Without Heightened Depressive Symptomatology
Authors: Lienemann B. , Jason S.T. 
Published: June 2017

IntroductionDepression is treatable, but many people with depression do not seek help. When studies are conducted assessing barriers to and reasons for help seeking, it is common to combine responses from people with and without depressive symptomatology.Objectives/aimsThe goal of the current study was to assess if people with and without heightened levels of depressive symptomatology perceive reasons/barriers similarly.MethodsPrior to the main study, two pilot studies were conducted which resulted in sets of 10 reasons and barriers rated as those participants were most aware of as influencing their decision to seek help for depression. Participants (n = 520) rated the importance of these reasons/barriers to their decision regarding help seeking. Two groups were created based on their Beck depression inventory-II score: no to minimal and mild to severe depressive symptomatology.ResultsAlthough, the order across the reasons/barriers varied between the groups, the most important reason for both groups was seeking help to enjoy life again, while the most important barrier for both groups was negative side effects of depression medication. The no to minimal group rated reasons to seek help as significantly more important to their help seeking decision process than the mild to severe group, while the mild to severe group rated barriers to seeking help significantly more important to their help seeking decision process than the no to minimal group.ConclusionsGreater importance of barriers to seeking help could partially explain why help seeking decreases as depressive symptomatology increases. Interventions should increase the importance of reasons to seek help.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Prevalence of Internet Addiction: A Pilot Study in a Group of Italian Students
Authors: Marazziti D. , Mucci F. , Vanelli F. , Renda N. , Baroni S. , Piccinni A. 
Published: June 2017

IntroductionInternet addiction (IA) is considered part of the so-called “new technologies addictions” group, that in turn belongs to a wider, novel group of abnormal behaviors defined “no-drug addictions” or “behavioral addictions”. Similarly to substance abuse, there is the risk either to arouse symptoms like craving, tolerance and habituation either to develop a full-fledged addiction to the Internet.AimThe aim of this study is to examine the current pattern of Internet use and eventually of IA, as well as their main characteristics, in a group of high-school students from Calabria, a Southern Italian region.MethodsFive hundred high-school students (42% boys, 58% girls, mean age SD ± 16.23 years) volunteered for this study. A specific questionnaire of 45 items with 5 possible answers ranging between “never” and “very often” on a Likert scale was developed.ResultsMost of the young subjects interviewed owned a smartphone with Internet, and claimed to spend more time online than at the beginning. Nearly everybody had an active account in a least one social network. A small withdrawal from social relationships and from sport activities emerged in this group.ConclusionsAlthough about 10% of examined students presented IA symptoms, our findings cannot be considered representative of the total high-school population, these results underline the need of further investigation and awareness. In fact, many underestimated, vague, and other unspecific neuropsychiatric symptoms, such as alterations of sleep-wake pattern, chronic fatigue, headache, visual problems, carpal tunnel syndrome and eventually anxiety or depression may be underlying to an unrecognized condition of IA.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Relation Between Parent Personality Traits and Children Psychopathology: A Pilot Study
Authors: Oliveira L.A. , Cartaxo T. , Ferreira J. , Marques M. , Neiva S. , Cardoso D. , Ferreira C. , Gonçalves R. , Laureano M. , Araújo C. , Pereira A.T. , Macedo A. 
Published: June 2017

IntroductionPersonality plays a crucial role in a person's behavior, emotions and cognitive patterns and shows an important relationship with several variables such as marital status, mental disorders or parenting models. However, little is known about the relation between the parental Big Five personality traits (Neuroticism, Extraversion, Openness, Conscientiousness and Agreeableness) and children psychopathology regardless of the diagnostic of their offspring.ObjectivesTo analyze the correlation between parents’ Big Five personality traits and their children categorical diagnosis and psychopathology score.MethodsThe authors recruited 105 children in the outpatient unit of the child and adolescent psychiatry department of the pediatric hospital of Coimbra and their 117 parents. Parents were assessed using the Portuguese version of Neo Five-Factor Inventory and children psychopathology scores were rated by child and adolescent psychiatrists using the Brief Psychiatric Rating Scale for Children.ResultsForty-nine children (46.7%) were male and 56 (53.3%) were female, with a mean age of 12.5 ± 3.2 and 13.6 ± 2.9, respectively. Twenty parents (17.1%) were male and 97 (82.9%) were female, with a mean age of 45.8 ± 4.1 and 41.2 ± 5.4, respectively. After excluding children diagnosed with Schizophrenia, bipolar disorder, autism spectrum disorders and intellectual developmental disorder, Pearson's correlation coefficients were significant between: parents’ neuroticism and children Uncooperativeness (0.211), Manipulativeness (0.238), Hallucinations (0.257), Sleep difficulties (0.296) and Disorientation (0.204); parents’ agreeableness and children hostility (−0.228); and parent's conscientiousness and children disorientation (−0.231), all P < 0.05.ConclusionsThese preliminary results suggest that parental personality traits may influence psychopathological outcomes in their children. Data are still being collected to clarify the nature of this relationship.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Empirical Redundancy of Burnout and Depression: Evidence from Time-standardized Measures
Authors: Bianchi R. , Lichtenthäler A. 
Published: June 2017

IntroductionBurnout and depression are ordinarily assessed within different time frames. Burnout is most frequently assessed on an annual or a monthly basis whereas depression is generally assessed over a one- or two-week period. This state of affairs may have partly obscured the burnout-depression relationship in past research and contributed to an underestimation of burnout-depression overlap.ObjectivesWe investigated burnout-depression overlap using time-standardized measures of the two constructs. We additionally examined whether burnout and depression were differently associated with work-related effort and reward, occupational social support, and intention to quit the job.MethodsWe enrolled 257 Swiss schoolteachers (76% female; mean age: 45). Burnout was assessed with the Shirom-Melamed Burnout Measure and depression with a dedicated module of the Patient Health Questionnaire. Work-related effort and reward were measured with a short version of the Effort-Reward Imbalance Scale and occupational social support with a subscale of the Job Content Questionnaire. Intention to quit the job was assessed with 3 generic items (e.g., “I plan on leaving my job within the next year”).ResultsWe observed a raw correlation of .82 and a disattenuated correlation of .91 between burnout and depression. Burnout's dimensions (physical fatigue; cognitive weariness; emotional exhaustion) did not correlate more strongly with each other (mean r = .63) than with depression (mean r = .69). Burnout and depression showed similar associations with the job-related factors under scrutiny.ConclusionsBurnout and depression may be empirically-redundant constructs. Measurement artifacts probably contributed to an underestimation of burnout-depression overlap in many studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Adult Attention-deficit Hyperactivity Disorder(ADHD) in Parents of ADHD Children
Authors: Kolat E. , Kolat U. 
Published: June 2017

ObjectiveADHD is one of the most common mental disorders of childhood and adolescence, and characterized by inattention, hyperactivity, and impulsivity symptomatology. The objective of this study is to find out the difference between ADHD prevalence in parents of children with or without ADHD.MethodA total of 132 parents of 90 ADHD children; aged between 6 and 12, and 67 parents of 45 non-ADHD children were recruited in the study. Control parents were matched to ADHD children parents according to age, gender and educational status.ResultsRate of childhood ADHD were significantly higher among parents of ADHD children compared to the parents of control group (P = 0.039). Rate of adult ADHD (P = 0.076) was not significantly but higher among parents of ADHD children compared to the parents of control group.ConclusionIn our study, we found the prevelance of childhood ADHD in parents of children with ADHD, similar to those reported by published studies but the prevelance of adult ADHD is lower than most of the previous studies. There may be several reasons for us to find a relatively low rate of adult ADHD. Firstly, in our study only parents of ADHD children are investigated, but in the previous studies not only parents but also siblings of ADHD children are investigated. Secondly, in the previous studies adult ADHD is diagnosed according to DSM-III; not DSM-IV. Under the highlight of our findings, assessing adult ADHD in patients with having a child with ADHD is important for treatment and prognosis.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Paliperidone Palmitate and Quality of Life in Schizophrenia
Authors: Juan Carlos N.B. , Girela B. , Maria Angeles A. 
Published: June 2017

There is growing interest in the study of the quality of life of mental disorders in general, and particularly in schizophrenia. The quality of life is defined by the world health organization as the perception that an individual has of his place in existence, in the context of culture and value system in which they live and in relation to its objectives, their expectations, their rules, their concerns. Paliperidone palmitate is a depot anti-psychotic treatment monthly application is indicated for maintenance treatment of schizophrenia in adult patients. In this work the quality of life in 5 subjects with a diagnosis of paranoid schizophrenia (less than 10 years of diagnosis) is evaluated, all males, aged between 42 and 45 years and with poor adherence to oral treatment. The patients received an average of paliperidone palmitate 100 mg/month. We evaluate the quality of life at baseline and after 3 months – BREF quality of life (WHOQOL – BREF) Scale Quality of Life (QOLS) and WHO was used. The results showed significant improvements in major QOLS scale in all subjects. There were no significant differences in total score WHOQL – BREF scale, but if there was improvement in the scores of some subscales. They no side effects evaluated in the UKU scale. The quality of life in schizophrenic patients can be affected by the presence of, particularly cognitive and negative clinical symptoms. New treatments as paliperidone palmitate improve adherence and have fewer side effects can improve the perceived quality of life. However, they need more extensive studies double-blind evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.