bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incest in the Schizophrenic patient: Case report
Authors: Mezghani M. , Fekih-Romdhane F. , Ghali F. El , Zghal M. , Jmii G. , Jouini L. , Ghazeli I. , Ridha R. 
Published: June 2017

IntroductionIncest may be defined as sexual relations between close blood relatives. Legally, incest and sexual aggression toward minors are classified as a criminal behaviour. Tunisia is among the countries from which incest cases are rarely reported.Objectives and methodThe aim of this study is to investigate the relationship between the psychotic structure and incest, and to describe the individual, clinical, and criminal traits of the incestuous father through clinical observation.Case reportMr T.G is 46 years old. He is married and has six daughters. His wife appears to be passive, and largely dependent on her husband. Mr T.G has had incestuous relationships, initially, with his two eldest daughters. The acts were followed by the mother's complicit silence and the non-denunciation of the daughters. Two years later, he starts an incestuous behavior with his third daughter. Incest took place in the context of delusion. The patient was convinced that he is responsible of his daughters’ sexuality education. He develops an incoherent theory of purification with a tendency towards morbid rationalism. It is only after four years of insufferable paternal incestuous relationships that the third daughter filed a complaint to the police. A psychiatric expertise concluded that the accused is exempt from criminal responsibility.ConclusionIncest is a multi-faceted phenomenon, which makes its approach, comprehension, and treatment quite complex. For a psychotic patient incest is a means to deny alterity by crushing other. It also allows him to find, in this complete power, control over his annihilation anxiety.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Predicting offense recidivism in Schizophrenia patients
Authors: Oueslati B. , Ridha R. , Mrabet A. 
Published: June 2017

IntroductionSchizophrenia increases the risk of offending. Recidivism rates are significant.AimIdentifying general and violent recidivism risk factors in schizophrenia patients.MethodsWe conducted a case control study. All included patients were admitted, at least once, to the forensic psychiatry department in Razi Hospital between January 1st, 1985 and December 31st, 2014 after a decision of irresponsibility by reason of insanity. All those who reoffended during this period were considered as cases. A draw was performed to create the control group. Both groups were matched according to their first offenses’ types as well as to their ages. A multivariate analysis was performed.ResultsWe included 25 cases and 38 controls. Eight recidivism risk factors were identified. Living in urban poor neighbourhoods (P = 0.023; OR = 4.86), having been unemployed (P = 0.042; OR = 2.18) and not having lived with the family (P = 0.039; OR = 1.36) after discharge were considered as risk factors. The same applied to alcohol (P = 0.026; OR = 4.89) and cannabis use disorders (P = 0.018; OR = 6.01). A hospitalization shorter than 6 months increased the risk by 1.79 (P = 0.046). A combination of conventional antipsychotics (P = 0.023;OR = 4.81) and a poor adherence (P = 0.001; OR = 10.42) were considered as recidivism risk factors too.ConclusionsAll eight recidivism risk factors are dynamic. This makes recidivism prevention conceivable. Measures involving the patient, the health care system, patients’ families, society and the government should be taken.Disclosure of interestThe authors have not supplied their declaration of competing interest.
German mental health care in people with intellectual and developmental disabilities (idd) in comparison to other European countries
Authors: Elstner S. 
Published: June 2017

IntroductionIn Germany, mental health care in people with IDD is mostly determined by experts’ opinions. Particularities of the psychiatric assessment and treatment of people with IDD and a co-morbid psychiatric disorder are taught neither at medical schools nor in the scope of the medical training of psychiatrists.ObjectivesThe present study examined the influence of socio-political aspects of health care on quality and organisation of mental health care in people with IDD.MethodsVarious aspects of health care systems in Germany and three other European countries were explored and juxtaposed subsequently with a special developed questionnaire.ResultsThe health care systems of four different European countries differ in socio-economical, educational and system-financed aspects.ConclusionsDiffering organisational levels of national health care systems and socio-economical aspects within these countries contribute to the organisation of the mental health care system in people with IDD. Suggestions for a better harmonisation of European mental health care in people with IDD are offered.Disclosure of interestThe author has not supplied his declaration of competing interest.
Adapting the assertive community treatment (ACT) for the needs of different communities: A comparative case study of KUINA ACT Japan and Mt. Sinai ACT Canada
Authors: Chow W. , Shiida M. , Andermann L. 
Published: June 2017

In this e-poster, we will present the assertive community treatment (ACT) model in both Japan and Toronto, Canada. We will compare the adaptations of ACT models in both teams in order to serve their target populations efficiently and effectively.We will also compare the demographic data, clinical data and the outcomes of both ACT teams by analysing the hospitalisation days, number of emergency admission and the number of admissions into hospitals.We will also highlight differences in the mental health systems in Japan and Canada.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Long-acting injectable antipsychotics and global functioning in north western italian public health service
Authors: Probo M. , Dalo’ V. , Facchini F. , Rudoni M. , Preziosi V. , Nano D. 
Published: June 2017

IntroductionLong-acting injectable antipsychotics (LAI-APs) should be the first choice therapy in the treatment of schizophrenia, however their use in outpatient's psychiatric services remains limited.ObjectiveObservational study in schizophrenic patients of the northwestern public health service.AimTo assess demographic and psychopathological features in patients treated with LAI haloperidol (H-LAI) and second-generation LAI antipsychotics (SG-LAI).MethodsWe recruited 105 schizophrenic patients upon LAI-APs treatment, and we assessed socio-demographic data, medical comorbidity, substances use, time from admission, treatment length, and per os augmentation therapies. All participants were assessed for global functioning and severity of illness by CGI-SCH and PSP, respectively.ResultsOf all patients, 52% were treated by H-LAI, 48% by SG-LAI. No statistical differences (P > 0.05) were found between the 2 groups for age, gender, other demographic variables, substances use, somatic comorbidities. Both groups were homogeneous for severity of illness (CGI-SCH score = 4.20 in H-LAI vs. 4.38 in SG-LAI) and global functioning (PSP score = 49.1 in H-LAI vs. 54.4 in SG-LAI). Compared with the H-LAI group, SG-LAI-treated patients were characterized by shorter time from admission (>10 yrs) and treatment length (>1 yr), and less frequent anticholinergic drug co-prescription. We counted only 6 LAI-APs treatments started in the last year.ConclusionsDespite of the literature support, LAI-APs treatment for schizophrenia is still limited in our service. Our data suggest that SG-LAI-APs are used as first choice of LAI-APs treatment, although maintained for short time, while H-LAI are reserved to long-standing patients and are burdened by side effects needing anticholinergic treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Developing Community Mental Healthcare: Kosovo Case
Authors: Halilaj G. 
Published: June 2017

BackgroundCommunity mental healthcare in Kosovo is still in its developmental stage and thus pose an ongoing challenge for the health system and population.ObjectivesThe purpose of this study is to describe the processes of preparation, implementation, challenges and future of community mental health service in Kosovo as an economically struggling society with underdeveloped health care system.MethodsReview of the current state of community services provision for mentally ill peoples in Kosovo in the light of the objectives and targets of the WHO comprehensive mental health action plan 2013–2020.ResultsThe implementation of a new community mental health service in Kosovo still is characterized by considerable shortages, beside substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent/initialization of international bodies and coordinated commitment of all responsible national stakeholders and authorities. Obstacles remain regarding improvements of service development indicators: financial and human resources; capacity building; stakeholder involvement and service availability. Lack of strategies for promotion and prevention in mental health and lack of information systems, evidences and research for mental health is vital need.ConclusionsCommunity mental healthcare in Kosovo despite struggles faced is successfully installed and represents one of Kosovo health system achievements. Comprehensive, integrated and responsive mental health services in community-based settings in line with international and regional human rights instruments is goal to be addressed.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Mental Health of Management Staff in the Closed Environment of Construction
Authors: Kornetov N. , Pushpusheva O. 
Published: June 2017

Introductionit is difficult to overestimate the role of social, cultural and environmental conditions in evaluation of psychological health in hard intellectual work.ObjectivesResearch of construction staff in far taiga conditions using PHQ и GAD-7.Aimsto investigate the correlation between major depressive disorder, anxiety and somatoform disorders and gender and marital status.Methodswe studied 119 people who live in concentrated social environment and in conditions of hard work and lack of relaxation. In order to study depression, anxiety, and somatoform disorders we used PHQ и GAD-7 rating scale.Resultswe noted that distribution of depression according to gender has statistically significant differences. In the men group the number of depressive individuals is 5 (11.1%; P < 0.01). In the women group the number is 28 (37.8%; P < 0.01). Also it was stated, that marital status does not influence the distribution of depressive symptomatology level (P > 0.05). Distribution of anxiety symptoms significantly differs by gender. In the group of men anxiety observed in 1 patients (2.2%; P < 0.05), whilst in the group of women – in 13 patients (17.6%; P < 0.05). Gender proved to be irrelevant in the occurrence of somatoform disorders (P > 0.05); it is also not dependent on marital status (P > 0.05).ConclusionStaff employed into hard working social environment experience a range of negative psychological effects such as depressed mood, fatigue, and insomnia. Lack of leisure and lack of time for walking cause dissatisfaction with life, which contributes to the development of depression, anxiety and somatoform disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Quality of Life in People with Chronic Mental Illness
Authors: McCafferty B. 
Published: June 2017

IntroductionAn association between chronic mental illness and significantly reduced quality of life in relation to the general population is speculated in the literature internationally.ObjectivesTo investigate the quality of life of people with chronic mental illness taking psychotropic medication living in the community and attending the Mental Health Services of Sligo town.MethodsReview of data including demographics, diagnoses and World Health Organisation Quality of Life Bref scale (WHOQOL-Bref) scores from consecutive patients attending specialist outpatient clinics dedicated to the care of people with chronic mental illness. Raw scores for each WHOQOL-Bref domain were converted to transforme scores in the range 0–100 for ease of comparison with other validated instruments tools.ResultsTotal number of patients: 47. Mean age: 56.1 (SD: 13.6), males: 27 (60%). Mean years of illness: 23.1 (SD: 12.2). Primary psychiatric diagnosis: psychotic disorders 26 (57.8%), mood disorders 16 (35.6%), others 3 (6.6%). WHOQOL-BREF Domain transformed scores: physical health mean: 68.1, SD: 19.92, psychological health mean: 68.2, SD: 19.62, social relationships: 66.2, SD: 21.44, environment: 76.8, SD: 19.5.ConclusionsQuality of life is a complex multidimensional entity and its assessment relies on subjective reporting and analysis as supported by validated instrument tools. Our results suggest that quality of life is reasonably high among this cohort of patients, contrasting much of the current literature in similar populations. The mean score for social relationships was lower than other domains. This may suggest that a lack of socialisation may be associated with chronic mental illness and identifies a clinical focus for improvement of quality of life.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
The Effects of Personality Traits of University Students in their Romantic Relationships
Authors: Ongun E. , Barlas G. Unsal 
Published: June 2017

IntroductionMost people will have romantic relationship in different periods of their life and sometimes this relationship can contain abuse. The abuse which is perceived in romantic relationships can be an important problem for university students.ObjectiveThis study was conducted to determine the effects of personality traits of university students in the abuse which is perceived in their romantic relationships.MethodsThe study was descriptive and analytical. The students of Marmara University Faculties of Law, Pharmacy, Nursing and Midwifery, Cinema and Television department comprised the sample. The measuring instruments consisted of a personal information form, the Basic Personality Traits Instrument (BPTI) and Romantic Relationship Assessment Inventory (RRAI). The data were analyzed with the SPSS 11.5 programme, using the “Mann–Whitney U Test”, “Kruskal–Wallis Test”, “Spearmans Correlation Test”.ResultsRRAI mean score was 102.41 ± 33.79; subscale of BPTI's mean scores were; extraversion 28.60 ± 5.97; conscientiousness 28.30 ± 5.91; agreeableness 33.73 ± 4.29; neuroticism 26.09 ± 6.48; openness to experience 21.91 ± 3.83; negative valence 9.82 ± 3.36. There was a low level negative significant relation was obtained between subscale of conscientiousness (r = −0.196, P = 0.000), agreeableness (r = −0.168, P = 0.000), a low level positive significant relation was found between subdimensions of neuroticism (r = 0.168, P = 0.000), negative valence (r = 0.255, P = 0.000) and abuse.ConclusionIn conclusion, there is a relation between personality traits and perceived abuse. Therefore, education programmes should be prepared about abusive behaviour and its risk factors and consequences.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Sociodemographic Profile of Psychiatric Inpatients at a Center of Mental Health Care in Brazil
Authors: Soria D. , Vernaglia T.V.C. , Santiago N.R. , Ramos E.C.F. , Leitão D.R.D. , Marcellini P.S. 
Published: June 2017

BackgroundThe most prevalent disorders between the chronic diseases are the mental health disorders. Almost 650 million of people in the world suffer of some mental health disorders, which cause serious impact on individual abilities, family relationship and social rehabilitation.AimsWe describe and study the sociodemographic characteristics and the diagnosis of a sample of male and female psychiatric inpatients undergoing treatment in a mental health care center in Brazil.MethodsIt is a descriptive cross-sectional study, carried out with 517 psychiatric inpatients from a Brazilian health institution – IMAS Nise da Silveira. Data was collected from January to December 2014 and occurred through consultation of the patients’ hospital notes. Univariate analysis was used for the data collection and analysis.ResultsOur sample was composed by 52.6% (n = 272) of men and 47.4% of women (n = 245); 50.5% were over 40 years old and have a long time of hospitalization. Overall, 64.6% had schizophrenia; 27.2% mood [affect] disorders; 3.7% mental and behavioural disorders due to psychoactive substance use; 1.4% mental retartation; 0.4% personality disorders; 0.2% disorders of psychological development.ConclusionThe profile could advance the mental health care and rehabilitation of these people. Although could improve public policies.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Assessing Sustainability of an Intensive Primary Care Training for Children and Adolescents with Attention Deficit Hyperactivity Disorder
Authors: Wegner L. , Stiles A. , Jacobson Vann J. , Rasmussen E. , Wegner S. 
Published: June 2017

IntroductionAdherence to practice guidelines for diagnosing and treating attention-deficit/hyperactivity disorder (ADHD) by primary care providers (PCPs) is important for optimizing care for many children and youth. However, adherence is often low. To address this problem, we implemented an intensive intervention in 2009 aimed at improving diagnosis and management of ADHD among PCPs.ObjectivesThe study objective is to assess the sustainability of intervention-attributable outcomes.AimsThe study aims are to assess the sustained effect of the intervention on PCP intentions to implement, attitudes toward, and obstacles to implement ADHD practice guidelines.MethodsDuring November 2009, 48 PCPs from 31 clinical practices completed a 3-day training, 6 months of biweekly telephone peer group reinforcement, and baseline questionnaires; follow-up questionnaires were completed at 12 months. To assess sustainability, we tracked PCPs and administered the questionnaire in 2016.ResultsIntentions to implement ADHD guidelines remained stable over seven years, with all mean values ranging from “probably will” to “definitely will” implement guidelines.ConclusionsGenerally, favorable self-reported intentions (see Exhibits 1 & 2), attitudes and obstacles to implementing ADHD guidelines were sustained seven years after the intensive training and follow-up intervention.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Case Report: Three Years of Refractory Atypical Depression Successfully Treated With“Old School” Moclobemide (maoi-r)
Authors: Latorre S. , Moreno I. , Gordillo M.J. 
Published: June 2017

BackgroundAtypical depression is linked to bipolarity and specific response to mono amino oxidase inhibitors (MAOI), treatments not commonly used due to their complex handling. We describe a successfully treated case.MethodologyClinical description. Depression severity is assessed with Montgomery Asberg depression rating scale (MADRS).Clinical caseFemale, 54-year-old. Major depression, since 2011, refractory to venlafaxine/aripiprazol and escitalopram 20 mg/day. Manic episode with psychotic symptoms after potentiation with duloxetine. Diagnose of schizoaffective disorder was made, treated with aripiprazol 10 mg/day, with established chronical depressive symptoms, despite addition of valproate and venlafaxine, and partial response to pramipexole up to 1 mg/day.– Decision of cleaning up aripiprazol during 8 days and switch to moclobemide monotherapy was made due to atypical features. Baseline MADRS: 31. At week 2, there is change in mood, expression, psychomotor features and speech formal and content alterations. At week 4, activity increases, and biorythms normalize. At week 8 (with 600 mg/day increased dose), full response is obtained, including drive, and anxiety, with MADRS 12.– After one year of treatment, she has kept stability with no manic or psychotic symptoms emergence. Reduction in dose are linked to depression relapses. She still struggles with psychosocial recovery.– Tolerance has been good in all moment, except for headache crisis, not linked to high blood pressure or diet.ConclusionsMAOI still has a role in affective disorders treatment, given its effectiveness, unique mechanism of action and good tolerability. Targeted psychopharmacological and phenomenology knowledge can be the key to a recovery.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Attention Deficit Hyperactivity Disorder and Scientific School Performances Among Moroccan Children
Authors: Rouim F.Z. , Azzaoui F.Z. , Ahami A.O.T. 
Published: June 2017

Background and aimAttention deficit hyperactivity disorder (ADHD) is classified as neurodevelopmental disorders. ADHD is one of the major problems in childhood encountered most often in schools. A study realized by Platt in 2011 show that children with ADHD often experience difficulties in mathematics. The aim of this study is to assess whether there is a relationship between school performance in scientific subjects (mathematics and natural science) and attention deficit hyperactivity disorder.MethodsThe study was realized among 239 children studying in a urban school in Kenitra city (North-West of Morocco), and aged from 6 to 16 years. To evaluate the relationship between ADHD and the average class results of mathematics and natural science, Conners rating scale (parent and teacher short version) and the academic transcripts are used.ResultsThe results show that there is a significant correlation (P < 0.05, P < 0.01) between the average class results in each natural science and mathematics and three components of Conners rating scales (parent's version), which are behavioral difficulties, learning difficulties and hyperactivity/impulsivity. Furthermore, the Conners rating scale (teacher's version) show, also, that there is a significant correlation (P < 0.05, P < 0.01) between behavioral difficulties, hyperactivity/impulsivity and Inattention passivity and the average class results in natural science and in mathematics.ConclusionAs known, children with ADHD are not less intelligent than other children, although our study show that children with ADHD represent low marks in natural science and in mathematics. In fact, deeper investigations are needed to study the possible factors that could affect ADHD children's school performance.Disclosure of interestThe authors have not supplied their declaration of competing interest.