bluuebunny/crossref_metadata_2025_split huggingface dataset:
Work Setting and Perceived Stress - are All of Us Exposed to the Same Risks?
Authors: Moscoso A. 
Published: June 2017

In this presentation we propose to speak about specific stressors/protective factors that might be present in different settings of work (working in prison, working in addition, working with babies, liaison...) and individual factors that might be linked with more/less perceived stress. It will be done by means of a review of the literature.Disclosure of interestThe author has not supplied his declaration of competing interest.
Risks and Challenges in Perinatal Mental Health
Authors: Wieck A. 
Published: June 2017

Mental illness affects 1 in 5 women during pregnancy and the first year postnatal and in about 1 in 20 women the condition is serious. When a woman with major mental illness becomes pregnant she and her child face a number of risks. These include poor pregnancy and neonatal outcomes and a sharp rise of psychiatric admissions after childbirth. Mental illness is also one of the leading causes of maternal death. Risks to children are impaired parenting and developmental disadvantage in emotional, behavioral and cognitive domains. Parental mental illness also has a significant role in infanticide and abuse-related serious harm to children, with infants <1 year old being most at risk.A recent analysis has shown that the resulting economic costs to public services and the wider society are extremely high. In view of the wide-ranging consequences, a number of European countries have set up specialized perinatal mental health services. These consist of specialized inpatient units and community teams. The essential components of their service are preconception counselling, expert advice on the use of medication during pregnancy and breastfeeding, joint inpatient admissions of mothers and babies, interventions to improve parenting, and advice to children's social services. None of these countries, however, are yet offering universal access.In order to improve service provision and outcomes it is important that perinatal mental health is acknowledged more widely as a public health priority. The workshop will provide an opportunity for participants to discuss approaches to raise awareness and promote perinatal service developments.Disclosure of interestThe author has not supplied his declaration of competing interest.
Psychiatric Mother and Baby Inpatient Units
Authors: Gressier F. , Glangeaud N.M.C. , Mezzacappa A. , Cazas O. , Sutter-Dallay A.L. 
Published: June 2017

During the perinatal period, women may experience severe mental health problems. Research has shown the potential negative impact of mother-baby's separation and of parental psychiatric illness, on the child. MBUs care requires different staff's expertise in order to: treat women with psychiatric disorders, ensure child care and development, and support appropriate mother–infant interaction with “good enough” mothering. For this, a multidisciplinary team is needed. Specific attention is also given to the child's father. Most MBUs may admit women with infants from birth till one year old and during several weeks or months.More than two third of admitted women are discharged either symptom-free or greatly improved. An efficient follow up at discharge should be prepared with the women, the child's father, when presents, and linked to familial, social and medical resources. Moreover, MBUs staff should collaborate with other psychiatrists, obstetricians, midwives, pediatricians, and social workers. Mother–baby units should be part of a local health perinatal network including maternity unit, neonatal care, and community resources.Referral for admission in MBUs may be required for women with a first acute episode, or a relapse, of a severe psychiatric disorder such as postpartum psychosis, manic disorder, major depressive episodes, schizophrenia, personality or behavior disorders. Moreover for prevention purposes, referral of women with known chronic mental health problems may start already during pregnancy.Challenge of benefice and limit of MBUs’ care will be discussed with participants.Disclosure of interestFlorence Gressier has given talks for Lundbeck and Servier and received a grant from Servier for a postdoctoral degree (2011-2012).
m-RESIST Project as an Example of m-health Approach in Schizophrenia: Content, Aims and Realization
Authors: Corripio I. 
Published: June 2017

This communication aims to present m-RESIST, the first mHealth program for patients with treatment resistant schizophrenia (TRS). The main objective of this European project is to develop an intervention programme to allow TRS patients to self-manage their condition, which is associated with persistent positive symptomatology, extensive periods of hospital care, and a greater risk of excess mortality and multi-morbidity.m-RESIST could offer a new tool for mental health professionals to better monitor TRS patients, providing a tailored and optimized therapeutic intervention. In this sense, m-RESIST will develop and validate a mHealth tool aimed to reduce the severity of episodes and further complications. Moreover, this tool will involve and promote a proactive role of patients and caregivers in the therapeutic process, promoting an active and collaborative role with the medical team in the treatment decision-making procedure.m-RESIST intervention, will integrate: (1) a sensor data analysis module, which will process data coming from smart phone and wearable devices, providing passive information such as movement or social activity; (2) a predictive modeling engine, which will enable prediction of clinically significant events, such as hospitalization, risk behaviors and social isolation; and (3) a clinical decision support system (CDSS), which will provide the users with necessary information to support health-related and clinical decision-making.The pilots of this project will take place in Tel-Aviv, Budapest and Barcelona during May, June and July of 2017. Although cost-effectiveness variables will also be measured, the main assessment will be focused on acceptability, usability, satisfaction, empowerment and quality of life outcomes.Disclosure of interestThe author has not supplied his declaration of competing interest.
Euthanasia, Physician Assisted Suicide in the Netherlands in Dementia and Late Life Psychiatric Illness
Authors: Stek M. 
Published: June 2017

BackgroundAlthough controversial in many countries, in The Netherlands euthanasia or physician assisted death has increased in patients with early stages of dementia, psychiatric illness and in conditions described as ‘being tired of life’ in the oldest old. There is a strong debate about this practice in the community and among professionals often with exclamation marks ranging from medical murder to providing ultimate care.ObjectiveTo provide figures, describe current practice and debate in The Netherlands with regard to capacity evaluation in older psychiatric patients and end of life questions.MethodsReview of literature, case reports and own experience in the past decade.Result and conclusionThere are few studies on the important issue of capacity making in psychiatric patients. The research that was performed does not show that a high threshold of capacity is required for granting euthanasia. Research on physician-assisted death in early dementia is scarce. With regard to end of life questions the debate in The Netherlands is still ongoing.Disclosure of interestThe author has not supplied his declaration of competing interest.
Suicide and Assisted Suicide in Switzerland: Consequences for Suicide Prevention
Authors: Stoppe G. 
Published: June 2017

As in other countries, in Switzerland, the rate of suicide is highest in the elderly. Assisted suicide is allowed and mostly exerted by private organizations like EXIT. The number of assisted suicide cases has doubled during the last five years and is expected to increase. It is mainly committed by women. In the age group 80 + y the number is higher than the number of suicides. To reduce the number of suicides by 25% by 2030, the federal authorities have issued a national action plan in November 2016. It includes preventive means like reduction of access to methods (weapons, drugs), construction of bridges and buildings, education of lays and professionals and specific treatment of those who have attempted suicide. There has been a position paper of Swiss public health concerning suicide prevention in the elderly. Both papers will be presented and discussed.Concerning assisted suicide there is a broad discussion on the control of the state and on the role of physicians in the process. A survey of Swiss physicians showed much ambivalence. Position papers of gerontological and geriatric societies focused on the role loneliness and the provision of adequate psychiatric help, e.g. for depression, and the overestimation of autonomy.Disclosure of interestThe author has not supplied his declaration of competing interest.
Identity and Immigration. From Ulysses’ Syndrome to the Identity Construct and their Cultural Development
Authors: Garcia E. , Moreno R. , Tarjuelo B. 
Published: June 2017

Immigration is one well known but complex stressor. When we analyze its consequences, we discover the loss of social or family support, the need to afford a new unknown and many times hostile perceived environment, or languages/communications problems. Greek myths have been used as a way to explain how men afford that kind of events/monsters. However as cultural productions, myths grow and change trying to reflex the culture, society and time when they are used. Identity has been a main question for many disciplines, psychiatry has wondered about its construction but society has too, and sometimes last explanations are even better than clinical ones. We would like to discuss the inmigration phenomena using anthropology tools, which previously have nourish other psychiatric disciplines as systemic therapy. If we want to be able to treat immigrants, we have not only to fulfill their physical needs or treat their mental symptoms but to look every travel as a risk one, in which as Ulysses they are at risk of losing what they are, their identity. Identity is described in old Greece as the life lived with others, but not any other person, just those who know us and may accept our own images. In the past, the city, our born place, as a social support was what made us humans. Ulysses, out of Ithaca, found monsters, those who weren’t humans, because they didn’t live in his Greek society. As the new Ulysses, the immigrant maybe should be first helped to construct a new identity, which makes monsters disappear.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Problems of Investigation of Immigrants’ Students and their Relation to Psychopathology
Authors: Kotrotsiou S. , Tsoumani E. , Kotrotsiou E. , Gouva M. , Dragioti E. , Paralikas T. 
Published: June 2017

IntroductionThe purpose of this research was to investigate the problems of first-generation immigrant students and the linkage of these problems with the psychopathology of students.ObjectivesThe sample of this study included men and women students, that were second-generation immigrants aged from 18 to > 25 years.MethodsThe research tools used were: (a) Psychopathology Scale (Symptom Checklist 90-R - SCL-90) and (b) State - Trait Anxiety Inventory (STAI), (c) the orientation test life (LOT-R) d) Other As Shamer Scale (OAS), (e) Experience of Shame Scale (ESS). The statistical processing of data showedQ (a) the students immigrants have higher levels of student migrants stairways: inferior (OAS), empty (OAS), (Mistakes (OAS), Total internal shame (ESS), characterological shame (ESS), behavioral shame (ESS), bodily shame (ESS), Trait Anxiety (STAI), Somatization (SCL-90), Inter. Sensitivity (SCL-90) and Depression (SCL-90).ResultsThe results of our study found high levels of psychopathology students immigrants and students migrant and interpretative this finding is explained by the lifestyle of their parents immigrants and different cultures which have to cope and adapt and their marginalization from society and official institutions, a situation that results in their exposure to a variety of risks to their mental health.ConclusionsIn addition to increased levels of psychopathology, second generation immigrants such as students and the students in our sample suffer from violence the authorities and their fellow citizens.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Quantitative EEG may Help Differentiating Bipolar Disorder at Old Age from Frontotemporal Dementia
Authors: Metin S.Z. , Metin B. , Kocarslan B. , Salcini C. , Tarhan N. 
Published: June 2017

IntroductionEspecially the behavioral variant of Frontotemporal Dementia (FTD) may present with impulsivity, social disinhibition or depressive symptoms and these symptoms may create a clinical profile very similar to Bipolar Disorder (BD). In clinical practice, this similarity at symptom level creates substantial diagnostic confusion and often errors. As the treatment approach to the two disorders differ significantly, it is essential to make a reliable differential diagnosis.AimIn this study we aimed to identify EEG differences between FTD and BD.MethodsFor this aim we recruited 22 patients with FTD and 32 patients with BD. Patients in both groups were evaluated with a standardized neuropsychological battery and structural MRI. All patients were evaluated with resting EEG. There were no significant age and gender differences between groups.ResultsEEG power analysis showed that FTD group had increased frontal and temporal theta as compared to the BD group. There were no consistent group differences for other bands.ConclusionBased on this result we conclude that quantitative EEG may help differentiating BD from FTD and may eliminate diagnostic uncertainty.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Human Based Psychiatry in Clinical Practice
Authors: Küey L. 
Published: June 2017

Human based medicine and human based psychiatry are contemporary approaches to the theory and practice of medicine and psychiatry. It is a post-modern way of re-thinking psychiatry enriched by humanities, especially philosophy. In questioning the current research and praxis of psychiatry, it shares the statement by Wittgenstein, “what a curious attitude scientists have″: ‘We still don’t know that; but it is knowable and it is only a matter of time before we get to know it as if that went without saying. So, here, our problematic is not only ‘what and how much we do‘ but also ‘how and why we do‘. The clinician‘s main challenge is harmonizing the current available ‘scientific universal knowledge‘ and the ‘uniqueness’ of that specific person in need of help. In achieving this task, the importance of the synthesis of the clinician's perspective and patient's perspective will be elaborated using depression as a case example. It will be stated that an empathetic understanding of depression, through a subjective, experiential and narrative-centered approach must become a primary concern by building a joint, ongoing, re-construction process of clinical assessment, formulation and treatment. There is no meta-theory explaining “the clinical truth”. From the perspective of a human based psychiatric practice, in fact, we do not need such a meta-theory, but instead, we need multi-level/multi-dimensional approaches, also taking the narrative into consideration. We suggest the clinicians to be modest, honest and respectful towards “the clinical truth”.Disclosure of interestThe author has not supplied his declaration of competing interest.
Charles-bonnet Syndrome: Hallucinations are in the Eye of the Beholder
Authors: De Uribe-viloria N. , Mayor Toranzo E. , Cepedello Perez S. , Sevillano Benito I. , De Lorenzo Calzon M. , Gomez Garcia M. , Medina Ojeda G. , Ladron De Cegama F. De Uribe 
Published: June 2017

IntroductionCharles-Bonnet Syndrome (CBS) is a clinical entity characterized for visual hallucinations in patients with severe vision impairment and preserved cognitive state. Its pathogeny is still unknown, limiting management options. For diagnosis neurological and psychiatric disorders must be discarded. Treatment is based in three pillars: explaining to the patient the origin and nature of the symptoms, treating the visual deficit when possible, and pharmacotherapy with anti-psychotics.Objectives and aimsTo outline the main characteristics and etiopathogenic theories of the CBS, so as to improve diagnosis and treatment.MethodsBasing on a case followed in mental health consults, we made a systematic review of the articles published in Medline (PubMed) in the last 5 years, with the following keywords, Charles-Bonnet Syndrome, hallucinations, deafferentation, visual impairment.ResultsWe found that all our case and the reported ones had in common the nature and characteristics of the hallucinations, the presence of a trigger, usually a new medicament, and the functional MRI patrons of activity; those patrons located the loss of input prior to the association cortex, which appeared hyper-excitable in functional MRI.ConclusionsAlthough the aetiology and pathogeny of CBS is still unclear, present data suggests that the key mechanism may be a dysregulation in the homeostatic adaptation of the neural pathway when it is left without external input, traducing a hyper-function of a physiological process, probably mediated by acetylcholine, as opposed with other neuropsychiatric pathologies, in which the cortex is the primary affected area.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Illusion as a Research Tool for Inter-analyzer Interaction (Iai) Characteristics in a Psychiatric Clinic
Authors: Kovyazina M. , Fomina K. , Varako N. 
Published: June 2017

IntroductionIAI does not only play a functional role but also has qualitative and quantitative characteristics. Biological significance of IAI consists in mobilization of some sensory functions and demobilization of others as a response to a stimulus signaling changes in the environment. This constitutes one of the manifestations of body's preparatory reactions for action in the forthcoming situation. It has been established that in patients with psychic pathology such preparation of the body systems is affected, which may manifest through changes in illusion frequency.ObjectivesTo apply Charpentier illusion to research IAI characteristics with the purpose of further detection of abnormalities in the sphere of intermodal interaction.MethodsOne of the IAI research methods, is illusion research, e.g. Charpentier illusion, since it is based on interaction between visual and proprioceptive analyzers. Changes in preparatory reaction in subjects with psychic pathology is characterized by decline in illusion frequency, patients in these conditions should evaluate stimuli more correctly than healthy participants. Pre-experimental research design included two subjects: with white matter pathology (patient G., male, 27, full agenesis of CC, based on MRI results) and with IDD (subject A., male, 30).ResultsResearch subjects demonstrated absence of illusions, which is indicative of functional weakness of IAI, which results in inconsistency of sensory systems and meaningless perception. IAI plays an important role in formation of human psyche by enabling the development of significant patterns underlying human cognitive activity.ConclusionIllusion research is relevant for clinical psychological diagnosis of diseases associated with integrative brain activity disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Pathways to violent extremism and risk assessment of terror detainees
Authors: Marquant T. 
Published: June 2017

IntroductionViolent extremism has become an important challenge for forensic professionals in prisons. In Belgium, cities like Brussels and Antwerp saw the rise of recruitment hotspots for violent extremism and foreign fighters. Prisons are well-known places where radicalization occurs. Belgium has the most foreign fighters that left to fight in Syria in Europe. Subsequently, incarcerations of radicalized men and women rose for joining terrorists groups. These events have triggered a need to train psychosocial services in prisons into understanding radicalization and the risk assessment of terror detainees. Mental illness in contrast, is known to be rare amongst violent extremists, and risk assessment as well as advising on reintegration will need specific tools for psychosocial services to advise on reintegration.AimsThe current presentation aims at showing insight into pathways towards violent extremism and introduce risk assessment of terror detainees.MethodsWe assembled literature on follow-up and pathways that lead to radicalization and even to violence extremism. Radicalization is not new, whether it stems from religious, political or other motives. This resulted in important literature on different trajectories towards radicalization.ResultsWe will give an overview of the pathways towards violent extremism (Dean, Moghaddan, Bjorgo) and on risk assessment tools (VERA-2, Pressman)ConclusionsRadicalization happens stepwise in different ways and leads to different types of violent extremists. Pivotal points follow a cognitive opening in the minds of people that might push and pull people towards radicalization and violence. Cases will be used to describe the different types and pathways.Disclosure of interestThe author has not supplied his declaration of competing interest.
Role of Detention in the Process of Radicalization
Authors: Verbeeck N. 
Published: June 2017

Role of detention in the process of radicalization and opinions about detention regime and approach for the prevention of radicalization in jail.Following the terrorist attacks in Paris and Brussels, more attention is being paid to the factors, which play a role in the radicalization process of some Western youth. It was found that a large number of radicalized youth have a history of detention and that often this period of detention played a key role in radicalization. As a psychiatrist working in a prison with a high security department where many suspects of terrorism are incarcerated stay, I was asked to advise on the detention regime and on the way of dealing with difficult inmates. In this presentation I would like to elaborate on the elements during detention which determine the process of radicalization of certain prisoners, based on the current knowledge about the radicalization process and on the knowledge about the background of radicalized individuals in combination with own observations and findings about the detention regime in prisons.Disclosure of interestNils Verbeeck.Nils.verbeeck@telenet.beNils.verbeeck@fracarita.orgProposal EPA 2017.