bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Impact of EU Political Ambiguity Towards Migrant Crisis on the Mental Health of Migrants
Authors: Kulovic S. Veceric 
Published: June 2017

For last couple of years, EU is facing migrant crisis that is challenging its capacity to help and its unity to decide the modes of assistance. Such political context brings additional uncertainty and insecurity into migrants’ lives which causes extreme experiences that are often damaging migrants’ mental health. In humanitarian plans regarding assistance for migrants, mental health is a cross cutting issue. Status of mental health is a result of complex intertwining of genetics, developmental and current life experiences. The experience of migration is a current life event which highly determines migrants’ mental health. Hardships of travel along migration route are worsened by often hostile reception by authorities at borders of countries that are on the way to desired rich EU countries. On migrants’ way to desired safety, there are countries like Slovenia and Hungary which protect their borders with wire. Therefore, migrants are stuck in countries, like Greece and Croatia, which are not their desirable destination. While waiting to get free passage, migrants are exposed to various political rhetoric of politicians of EU countries who hold their destiny in their hands. Migration experience does not make migrants mentally ill but it does make them vulnerable in that respect. Migrants’ vulnerability is highly challenged by ambiguity of political decisions, media coverage influenced by the same policies and concomitant changes in immediate surrounding. It is crucial to make publicly clear that political decisions mean life or death, health or mental disorder to migrants and that therefore they at least carry ethical responsibility.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Identity, Culture and Psychosis: A Non-systematic Review
Authors: Xavier S. , Correia A.F. , Barbosa S. , Dindo V. , Maia T. 
Published: June 2017

IntroductionGiven the results of multiple epidemiological studies showing a greater incidence of schizophrenia in migrants, especially in second-generation migrants, many researchers tried to investigate which factors could be associated to these findings, in order to have a better understanding of the migration process itself and simultaneously to contribute to improve knowledge about schizophrenia. In line with the research suggesting that social factors are important contributors to psychological suffering and vulnerability to psychosis, several authors pointed cultural identity as a possible mediator between migration and psychosis.ObjectivesTo review different perspectives on the current literature about the relationship between cultural identity and psychosis.MethodsNon-systematic review searching on the database MEDLINE and additional searches through secondary references.ResultsConcepts like identity clarity and identity value attributions are closely related to psychological well-being and may influence vulnerability or resilience to severe mental illness. Simultaneously, these concepts are also regarded as closely linked to social and cultural identity. Feelings of uncertainty between multiple existential positions that may arise for migrants (especially if hierarchical and unequal relationships of power are established) could compromise the sense of meaning and coherence of the self and compromise identity structure, thereby predisposing to psychotic experiences.ConclusionsEven taking into account the heterogeneity of the reviewed articles, there seems to be some consensus regarding the importance of culture on how individuals experience themselves and others and that preservation of a solid and coherent cultural identity may be a crucial aspect to take into account when studying resilience against severe mental diseases.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Rural and Urban Childhood Environment Effects on Episodic Memory
Authors: Zhang X. , Yan H. , Shah S. , Yang G. , Zhao X. , Zhu J. , Zhang X. , Li J. , Zhang Y. , Chen Q. , Mattay A. , Yue W. , Weinberger D.R. , Zhang D. , Tan H. 
Published: June 2017

IntroductionChildhoods in urban or rural environments may differentially affect risk for neuropsychiatric disorders. Here, we leveraged on dramatic urbanization and rural-urban migration since the 1980s in China to explore the hypothesis that rural or urban childhoods may differentially influence memory processing and neural responses to neutral and aversive stimuli.ObjectivesExplore the underlying mechanisms of childhood environment effect on brain function and neuropsychiatric risk.MethodsWe examined 420 adult subjects with similar current socioeconomic status and living in Beijing, China, but with differing rural (n = 227) or urban (n = 193) childhoods. In an episodic memory paradigm scanned in a 3 T GE MRI, subjects viewed blocks of neutral or aversive pictures in the encoding and retrieval sessions.ResultsEpisodic memory accuracy for neutral stimuli was less than for aversive stimuli (P < 0.001). However, subjects with rural childhoods apparently performed less accurately for memory of aversive but not neutral stimuli (P < 0.01). In subjects with rural childhoods, there was relatively increased engagement of bilateral striatum at encoding, increased engagement of bilateral hippocampus at retrieval of neutral and aversive stimuli, and increased engagement of amygdala at aversive retrieval (P < 0.05 FDR corrected, cluster size > 50).ConclusionsRural or urban childhoods appear associated with physiological and behavioural differences, particularly in the neural processing of aversive episodic memory at medial temporal and striatal brain regions. It remains to be explored the extent to which these effects relate to individual risk for neuropsychiatric or stress-related disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Emotional Intelligence Features at a Pathology of Corpus Callosum (CC)
Authors: Kovyazina M. , Ksenia F. , Varako N. , Dobrushina O. , Martynov S. 
Published: June 2017

IntroductionDependents of human behavior on the hemispheric interaction quality is extremely interesting question. The СС impairments are observed at schizophrenia, autism, Tourette syndrome, ADHD, etc. Difficulties in the sphere of emotional intelligence are typical at not only frontal zones disorders and right hemisphere of brain.AimsAnalyze the emotional intelligence of the patients with CC pathologies.MethodsMethod for the recognition of facial expression (faces and gestures); Video test “estimation of another person emotional condition”; Survey for the estimation of emotional intelligence (EmIn); ten people with different CC pathologies participated.ResultsResults of the person with the CC pathologies were different from normative indexes of the first two methods. They did not recognize the shown emotion: the sign of emotional expression was not identified, the gestures were not distinguished and three positive characteristics out of 24 suggested for the designation of emotion modality were used. The emotions of heroes from video test were recognized mistakenly. The indexes were normative for all scales of EmIn survey. However quite noticeable negative correlation of“emotion control” and “interpersonal emotional intelligence” survey indexes with the index of emotional recognition video test was obtained.ConclusionsWeak emotional tone, leading to incorrect estimation of the emotional sign, is observed at CC pathology. This doesn’t exclude the violation of face emotional expressions analyze criteria. The situational context does not help the another person condition recognition. The answers on the EmIn test questions are based on subjective visions of the patient about themselves, those witnesses about the criticism reduction.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Effect of Prenatal Exposure to Alcohol on the Development of Brain Vessels in Human Embryos and Fetuses
Authors: Solonsky A. , Shushpanova T.V. , Solonskaya E.G. , Bokhan N.A. , Logvinov S.V. 
Published: June 2017

IntroductionHuman embryos are most susceptible to exogenous effects during the first weeks of development.AimStudy the effects of prenatal alcohol intoxication on morphometric measures of developing vessels in the human embryonic and fetal cerebrum.MethodsEmbryos and fetuses (7–12 weeks): 23 obtained from alcoholic women with stage II alcoholism (the experimental group) and 30 from healthy women (the control group). The research involved electron microscopy, computer morphometry, parametric method of variational statistics and Scion software to determine mean vascular cross-sectional area, the relative cross-sectional area of vessels, the number of vessels per unit area, and the perimeter of vessels.ResultsFrom 10 weeks, vessels in the human brain start to differentiate into arteries and veins. At 12 weeks, capillary basal membranes were already clearly visible. We established a series of characteristics distinguishing brain tissues in the experimental group vs. that in controls: mean vessel cross-sectional areas and vessel perimeters were significantly reduced by 11 weeks vs. controls. The tendency persisted at 12 weeks. Relative vessel cross-sectional area in the experimental group was greater than in controls.ConclusionsMaternal alcoholization during pregnancy significantly influences the development of the cerebral circulatory system, manifesting mainly in changes in the vascularization of the growing brain.Disclosure of interestThe authors have not supplied their declaration of competing interest.
REMOVED: Do Impulsive Individuals Respond Better to Cognitive Bias Modification Treatment for Alcohol Dependence?
Authors: Staiger P. , Manning V. , Leung D. , Hall K. , Verdejo-Garcia A. , Hughes L. 
Published: June 2017

This has been removed as it was published accidentally. The authors listed wish it to be known that this article was not presented at the conference for which this volume is the proceedings.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
Correlation Between Depression and Cognitive Decline in Elderly Outpatients: A Preliminary Study
Authors: Gogos A. , Papageorgiou G. , Kavourgia E. , Papakyrgiaki E. , Mitsokali A. 
Published: June 2017

IntroductionDepressive disorder is common psychiatric morbidity among the elderly outpatients. It is also evident that cognitive disorders, ranging from mild cognitive impairment to severe dementia, are widely prevalent in the elderly coexistence of the above is quite common. Treatment for both conditions is quite challenging, aiming at symptomatic relief and improvement in functional status.ObjectivesTo investigate the coexistence of depression and cognitive impairment in aged depressive outpatients, 65 years or older. Correlation of cognitive level and depressive symptomatology was measured.MethodWe used hamilton depression scale (HAM-D) and MMSE in 35 (mean age 68.2 years) depressed outpatients over 65-year-old. We excluded depressed schizophrenics and bipolar patient.Results.On a preliminary basis, a correlation between low MMSe and HAM-D (P < 0.05) was found. An interesting finding, though not measured primarily, was that low MMSE was accompanied with a low compliance with medication.ConclusionsThe mental deterioration that accompanies cognitive impairment is being widely studied and it is real complex. In our ongoing study previous findings are confirmed and can be interpreted both ways, i.e. depression is a risk factor for dementia and also the fact that existing dementia is positively correlated with a low HAM-D.Compliance to medication is affected, among other variables, by the patients’ mental state.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Pain Assessment in People with Dementia
Authors: Feki I. , Hentati S. , Sallemi R. , Baati I. , Masmoudi J. 
Published: June 2017

IntroductionAssessing and quantifying the experience of pain in elderly with cognitive impairment is particularly challenging and important.ObjectivesTo describe the overall profile and to identify the prevalence and characteristics of pain among demented elderly.MethodsA descriptive study including 60 institutionalised elderly aged 65 and older in the retirement home, Sfax, Tunisia. Data collection was conducted using questionnaire exploring socio-demographic and medical data. Mini-mental state examination (MMSE) and Katz index of independence in activities of daily living (ADL) were used to assess respectively mental status and dependence for ADL. Verbal Descriptor Scale (VDS) and elderly behavioural scale (ECPA) were used to evaluate pain. Thirty-two elderly were included and the inclusion criteria were: Age ≥ 65 and MMSE score ≤ 20.ResultsThe average age of cognitively impaired residents was 74.2 years with a slight male predominance (57%). They were mostly illiterate (83%) and 56.3% of subjects were single. Almost two-thirds were admitted voluntarily and the average length of stay was 4.8 days. The ADL scale has shown that 65.6% were dependent. According to the VDS, the majority of demented subjects (93.8%) did not feel and express pain, 3% of residents with dementia had mild pain, 2.2% had moderate pain and 1.1% had severe pain. Whereas, the hetero evaluation (ECPA) concluded that 72% of demented elderly actually had pain with severe pain in 18.8% of cases.ConclusionPain in elderly persons with dementia is a significant problem. This underlines high needs of research as well as excellent implementation concepts for assessment and treatment of pain.Disclosure of interest.The authors have not supplied their declaration of competing interest.
Voltage Gated Potassium Channel Antibody(VGKC)-associated Encephalopathy and Psychiatric Symptoms (case report)
Authors: Narayana U. , Nirodi P. 
Published: June 2017

Introduction and ObjectivesThe limbic system is primarily responsible for modulating behaviour, emotions and neuro-endocrine functions. Limbic encephalopathy involves this part of the brain and is characterised by the acute or sub-acute onset of seizures, recent memory loss, confusion and psychiatric symptoms. Here we describe an unusual presentation of a well-functioning elderly man, who presented with sudden onset of confusion, cognitive impairment, treatment resistant hyponatremia, seizures and psychiatric symptoms.Methods (Presentation)This 79 year old gentleman, previously well and independent was admitted to the acute hospital with a 3 week history of sudden onset of confusion, odd behaviour and weight loss. On admission he was hyponatremic (Na-118), developed treatment resistant seizures and progressive cognitive impairment. He was referred to the Liaison Psychiatry team with increasing paranoia, agitation and persecutory delusions.ResultsMRI and CT brain remained normal. Lumbar puncture revealed a positive VGKC antibody and his blood titres for VGKC was more than 3000. His hyponatremia and seizures remained chronic, but improved with plasmapheresis, oral corticosteroids and cyclophosphamide. He was commenced on aripiprazole for psychiatric symptoms, but was transferred to the acute psychiatric unit after being detained under section 2 of the MHA due to risks of aggression and absconsion.ConclusionsPsychiatric symptoms related to this form of encephalitis have not been emphasised in literature. His aggression improved over time on aripiprazole, but was transferred to a residential care home setting due to persisting cognitive deficits and social care needs This case highlights the importance of recognising multimorbidity, joint working and more research required in the area.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Health-related Quality of Life in Old Age Institutionalized Patients with Neurocognitive Disorders
Authors: Vasiliu O. , Vasile D. , Vasiliu D.G. , Vasile F. 
Published: June 2017

Health-related quality of life (HRQOL) is an important indicator of how a patient perceives hi/her own physical and mental status. Evaluating this dimension in old age patients which are institutionalized for neurocognitive disorders is useful from several perspectives: (1) determination of an initial value for HRQOL parameters could help the case manager in structuring an individualized therapeutic intervention, adapted for psychological, somatic or psychosocial needs of each patient; (2) monitoring the evolution of HRQOL dimensions could help in improving through feedback the quality of therapeutic intervention(s), especially if the case manager is permanently in contact with the patient, as is usually the case of institutionalized subjects; (3) correlation between HRQOL and other important variables, like therapeutic adherence, regression of comorbidities, daily functioning etc. could modulate the therapeutic intervention. We suggest a plan for HRQOL evaluation in institutionalized patients diagnosed with neurocognitive disorder, consisting in monthly scoring of SF-36 or EuroQoL questionnaire, corroborated with MMSE and ADAS-Cog scoring. Psychotherapeutic interventions tailored to the needs identified through HRQOL periodic evaluations could be useful in this population, for example a perceived isolation could be compensated by increasing the rhythm of social interaction by group therapy under the direction of a counsellor, a reduced self-efficacy could be compensated by activation techniques, music or art-therapy, while dissatisfaction with own memory capacities could be mitigated using reminiscence therapy. Switching from a paternalistic way of perceiving the patient as the object of an intervention, to a more interactive style of communication, involves obtaining feed-back through HRQOL instruments.Disclosure of interestCOI: The presenting author was speaker for Bristol Myers Squibb and Servier, and participated in clinical research funded by Janssen Cilag, Astra Zeneca, Eli Lilly, Sanofi Aventis, Schering Plough, Organon, Bioline Rx, Forenap, Wyeth, Otsuka Pharmaceuticals, Dainippon Sumitomo.
Older Adults’ Adjustment to Aging: The Impact of Sense of Coherence, Subjective Well-being and Socio-demographic, Lifestyle and Health-related Factors
Authors: Von Humboldt S. , Leal I. 
Published: June 2017

IntroductionLiterature lacks of studies assessing correlates of adjustment to aging (AtA) among older populations.ObjectiveThe aim of this study was to build a structural model to explore the predictors of adjustment to aging (AtA) in a community-dwelling older population.MethodsA community-dwelling sample of 1270 older adults aged between 75 and 102 years answered a questionnaire to determine socio-demographic (sex, age, professional and marital status, education, household, adult children, family's annual income, living setting and self-reported spirituality), lifestyle and health-related characteristics (perceived health, recent disease, medication and leisure). Several instruments were used to assert psychological variables, namely AtA, sense of coherence and subjective well-being. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables.ResultsSignificant predictors are self-reported spirituality (β = .816; P < .001), perceived health (β = .455; P < .001), leisure (β = .322; P < .001), professional status (β = .283; P < .001), income (β = .230; P = .035), household (β = -.208; P = .007), sense of coherence (β = -.202; P = .004) and adult children (β = .164; P = .011). The variables explain 60.6% of the variability of AtA.ConclusionsSelf-reported spirituality is the strongest predictor of AtA. This study emphasizes the need for deepening the variables that influence older adults’ AtA, in particular perceived health and further lifestyle-related characteristics, as being relevant for promoting aging well in later life, within a salutogenic context for health care.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Clinical-qualitative Study on Emotional Aspects of Practices and Learning, Interviewing Brazilian Nurses from a Hemato-oncological Unit who Work with Patients in Risk or Death Process
Authors: Bastos R.A. , Turato E.R. , Quintana A.M. 
Published: June 2017

IntroductionThere is no clear limit between the personal and professional dimension, when the health worker cares for patients who have no prospect of cure. This shadowing of the personal dimension causes high emotional demands of the professional in the face of the experiences with the death.ObjectivesIn face of troubles which surround the nurse in the context of death, this article aimed to identify the learning and self-care practices experienced by nurses who work with patients in risk or in death process, in a haematology-oncology unit.MethodThis is a clinical-qualitative study, conducted through individual interviews. The participants were 6 nurses from haematology-oncology unit of a university hospital, covering the sectors of chemotherapy clinic and children's unit.ResultsThe results highlight two phenomena built by the experiences of nurses: long learning experiences with the team work through the maturity arising over time or even with constant monitoring of the death situations; and self-care practices as self-preservation phenomenon through the development of pain by speaking and listening in groups, the motivation through professional achievement and the well-being caused by the charity care each other.ConclusionsWork towards the personal development of nurses as professional who deals with ethical conflicts should be focused on promoting opening spaces for speaking and listening of these nurses. This allows them to create ways of dealing with situations of death, which are professionally responsible.Disclosure of interestThe authors have not supplied their declaration of competing interest.
New method and new access to the grieving and clinical tool of the thanatology
Authors: Färber S. , Färber M. 
Published: June 2017

IntroductionEducational advice for coping with loss and resolution of grief: VIVER®, proposes new method of research and action in the field of thanatology and grief psychology through systematic meetings, group in which the intervention takes place under the simultaneous care professionals of thanatology and psychology.ObjectiveTo present the principles that underlie the research typology and grief subject, its implications in the grieving process and the service to the mourning proposed by VIVER® assistance.MethodsThanatological hermeneutics and literature review were used to develop this work.ResultsThe educational assistance VIVER® offers a useful tool in the care of the mourning by the method, created by Färber and Färber, composed of two pillars: the presentation of educational content about loss and grief, and artistic, playful and expressive experiences.ConclusionThe work on operational groups listening and intervention assists the development of losses and reinterpretation of the history of the participants.Disclosure of interestThe authors have not supplied their declaration of competing interest.