bluuebunny/crossref_metadata_2025_split huggingface dataset:
Turkish version of body attitude test: Its reliability and validity
Authors: Huri M. , Sahin S. , Akel S. , Slepecky M. , Kotianova A. 
Published: June 2017

IntroductionBreast cancer (BC) may cause problems on body perception and awareness which can be perceived as a threat on body attitude among women with breast cancer.ObjectivesThe Body Attitude Test (BAT) assesses subjective attitude toward women's own body.AimThe aim of the present study was to develop the Turkish version of the BAT and examine its reliability and validity.MethodsThe study group (SD) consisted of 72 women diagnosed with BC while 100 healthy women (HW). The women evaluated by BAT, Eating Disorder Inventory (EDI) and Self Esteem Inventory (SEI) in 7–10 days intervals. Internal consistency was determined with Cronbach's alpha coefficient. Factor analysis was conducted on BAT ratings given by control group.ResultsThe mean age was 43.7 ± 8.76 of women with BC while 46.4 ± 10.84 in HW. Mean duration of cancer was 2.4 ± 0.7 years. Factor analysis showed BAT was composed of two factors as body dissatisfaction and lack of familiarity with one's body. The BAT demonstrates satisfactory level of internal reliability (α = 0.932). BAT was related with EDI subscales: drive for thinness (r = 0.741, P < 0.001), ineffectiveness (r = 0.736, P < 0.001) and body dissatisfaction (P = 0.718, P < 0.001) and SEI subscale: familial self-esteem (r = -0.629, P < 0.001).ConclusionThe results support the validity and reliability of BAT which is able to differentiate the clinical and non-clinical form of subjective attitude toward women's own body. Turkish version of BAT could be used as an appropriate measure for assessing subjective attitude towards own body in women with and without breast cancer in Turkey.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Eating disorders symptoms related to gestational BMI in breastfeeding mothers
Authors: Volpe F. , Giliberti L. , Soldera G. , Straface G. , Zanardo V. 
Published: June 2017

Background and aimsResearch has shown that maternal obesity and underweight are major risk factors for reduced initiation, duration, and exclusivity of breastfeeding. This prospective, cohort study analysed the association between gestational body mass index (BMI) and symptoms of eating disorders (ED) in breastfeeding women.MethodsThe study involved 1318 consecutive, at term, healthy mothers, who delivered at the division of Perinatal Medicine of Policlinico Abano Terme, located in a North-Eastern Italy industrialized area, supporting advanced educational levels, good socio-economic status and low and late fertility. The day of discharge mothers completed the completed the eating disorder examination-questionnaire (Fairburn and Beglin, 2008), including four subscales, restraint (R), shape concerns (SC), weight concerns (WC), eating concerns (EC) and a global score (GS). Mothers’ BMI groups were categorized as underweight, normal weight, overweight and obese, according to 2009 IOM guidelines.ResultsEDE-Q mean values ( ± SD) significantly increased with BMI increasing categories. Compared to normal weight mothers (n = 290, 22.0%), obese women (n = 273, 20.7%) had higher significant GS (0.6 ± 0.7 vs. 0.2 ± 0.3; P = 0.006), R (0.6 ± 0.9 vs. 0.3 ± 0.6; P < 0.0001), EC (0.4 ± 0.6 vs. 0.3 ± 0.5; P < 0.0001), SC (0.9 ± 1.0 vs. 0.3 ± 0.5; P < 0.0001) and WC (0.7 ± 0.8 vs. 0.1 ± 0.3; P < 0.0001). In addition, formula-feeding adoption at discharge significantly increased with BMI increasing categories (P per trend = 0.01).ConclusionsWe present evidence that gestational obesity is associated with reduced breastfeeding rates at discharge and higher ED symptomatology. Women need information and support to gain adequate weight during pregnancy.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Anxiety disorder on acting people in emergencies
Authors: Oller Canet S. , Madariaga Garcia D. , Castillo Magaña S. , Gasque Llopis S. , Adell Anglés V. 
Published: June 2017

IntroductionDisasters and emergencies generate a psychological impact on both survivors and response teams. Traumatic events and his memory would be a risk factor for anxiety disorders.ObjectivesDescribe the most common post emergency anxiety signs in a sample of Spanish people who responded directly to emergencies.MethodsStudy carried out by survey filled through Google Forms application; in this survey, we retrospectively value anxiety using the screening scale for generalized anxiety disorder of Carroll and Davidson.ResultsThe survey was answered by 20 people, of whom 60% were women 68.20% age range between 18–6 years and with university studies in the 70% of the interviewees. Four nurses, 2 doctors, 4 emergency assistants workers, 2 civil protection workers, 1 ambulance worker, 1 military, 3 policemen, 1 fire-fighter and 2 others. Sixty percent of cases did not received specific aid. The anxiety scale items that are most affected are musculoskeletal stress and sleep, with lower prevalence of psychological anxiety (Fig. 1). Women showed higher prevalence of psychological anxiety, muscle tension, and sleep disturbance.ConclusionsThe data reveals that the staff responding to emergencies recalled experienced musculoskeletal problems or sleeping disturbance better than psychological anxiety which was relegated to the background. Post-emergency treatment should be provided to all participants in emergencies including specific interventions for musculoskeletal stress and insomnia.Disclosure of interestThe authors have not supplied their declaration of competing interest.Fig. 1Scale for generalized anxiety disorder of Carrol and Davidson results.
Algorithm-based protocol for the identification, management and treatment of psychiatric patients with acute psychomotor agitation
Authors: Vieta E. , Garriga M. , Cardete L. , Bernardo M. , Lombraña M. , Blanch J. , Catalán R. , Vázquez M. , Soler V. , Ortuño N. , Martínez-Arán A. 
Published: June 2017

IntroductionPsychomotor agitation is the most common behavioural disorder observed in emergency and psychiatry departments. This syndrome is characterized by excessive or inappropriate motor or verbal activity and important emotional tension. Psychomotor agitation may be associated with medical conditions, substance intoxication/withdrawal and in a significant number of cases with schizophrenia or bipolar I disorder.ObjectivesThe objective of this protocol was to provide up-to-date guidance to identify, manage and treat patients with an episode of acute agitation, considering the consensus clinical knowledge, current ethical standards and available therapies. This protocol is aimed to be a patient-centric tool helping to anticipate and prevent the escalation of agitation symptoms.MethodsThe method followed to elaborate this document was through a combination of comprehensive bibliographical review (complied in the article “Assessment and management of agitation in psychiatry: expert consensus” by Garriga M. et al. (World J Biol Psychiatry, 2016), interaction with patients, and the clinical experience in our centre.ResultsThe elaboration of this protocol resulted in a document that contains guidelines to identify, manage and treat patients efficiently, ethically and safely. One of the novelties of the protocol is the addition of dichotomies based on the patients’ willingness to cooperate. The information is summarized in easy-to-use algorithms for non-specialized healthcare professionals.ConclusionsThis protocol may provide the basis of a new standardized treatment paradigm for psychomotor agitation which may help improve the patient's experience and therapeutic alliance with the healthcare professional and optimize resources in healthcare centres.Disclosure of interestCOI: The preparation of the protocol was funded by an unrestricted grant from Ferrer International. The company had no say on protocol content. Dr Vieta has received funding for research projects and/or honoraria as a consultant or speaker for from the following companies and institutions: AB-Biotics, Allergan, AstraZeneca, Bial, Bristol-Myers Squibb, Dainippon Sumitomo Pharma, Elan, Eli Lilly, Farmaindustria, Ferrer, Forest Research Institute, Gedeon Richter, Glaxo-Smith-Kline, Janssen, Lundbeck, Otsuka, Pfizer, Roche, Sanofi-Aventis, Servier, Shire, Solvay, Sunovion, Takeda, Telefónica, Institute of Health Carlos III [Instituto de Salud Carlos III], Séptimo Programa Marco (ENBREC), Brain and Behaviour Foundation (NARSAD) and Stanley Medical Research Institute.
Risk factors of self-injury behavior among psychiatric inpatients
Authors: Charfi N. , Hentati S. , Maâlej Bouali M. , Zoauri L. , Zouari N. , Thabet J. Ben , Maâlej M. 
Published: June 2017

BackgroundSelf-injury behavior among mental patients has been recognized for several years, yet our understanding of its mechanisms and its risk factors remains limited.ObjectivesThis study aimed to assess the prevalence of deliberate self-harm (DSH) among psychiatric inpatients and to identify its association with personal and clinical factors.MethodsIt was a descriptive and analytic study. It included 87 psychiatric inpatients followed in the psychiatry department “C” at the Hedi Chaker University Hospital of Sfax in Tunisia. Barratt Impulsivity Scale (Bis11) and the 28-items Childhood Trauma Questionnaire (CTQ) were used to assess respectively impulsivity and child maltreatment.ResultsThe average age of patients was 29.32 ± 8 years. Most of them were male (75%) and single. Fifty-nine percent of patients had previously attempted suicide. A history of DSH was found in 60.9% of cases. The most frequent trauma types were emotional abuse and physical neglect with respectively 58.7% and 69.8%. Factors positively correlated with DSH were: male gender (P = 0.026), father alcoholism (P = 0.024), history of suicide attempts (P = 0.017), borderline personality (P = 0.00) and history of emotional abuse (P = 0.008) or physical abuse (P = 0.04) or neglect (P = 0.004). Score “Bis11” was significantly correlated with suicide attempts (P = 0.00) and presence of childhood abuse (P = 0.00) or neglect (P = 0.01).ConclusionDSH seems to be a prevalent problem among psychiatric inpatients. It concerns mainly patients with a history of child abuse and impulsive behavior such as suicidal attempts underlying borderline personality disorder. Patients with these risk factors warrant specific attention in mental health services.Disclosure of InterestThe authors have not supplied their declaration of competing interest.
Public beliefs and attitudes towards schizophrenia and major depression: Findings from a representative population-based study
Authors: Lien Y.J. , Kao Y.C. 
Published: June 2017

IntroductionPrevious studies have suggested that public beliefs and attitudes toward mental illness may be influenced by country-specific social and cultural factors.ObjectivesThis study aimed to carry out a national survey to assess people's beliefs and stigmatizing attitudes toward schizophrenia and major depression in Taiwan.MethodsWe randomly recruited participants aged 20–65 (n = 1600) in Taiwan, using a computer-assisted telephone interviewing. Participants were presented with a case vignette for major depression and schizophrenia. Questions were asked about causal attributions, emotional reactions, and social distance of individuals afflicted by psychosis or depression.ResultsIn respect of causal attributions, respondents were more concerned with the likelihood of biogenetic explanations for schizophrenia as compared with depression. The same applied to other explanations such as god's willingness and being possessed or haunted. In contrast, psychosocial factors were more likely to be endorsed as a cause of depression than as a cause of schizophrenia. For perceived dangerousness, significantly more respondents considered schizophrenia likely to be violent toward others and to be unpredictable. In terms of emotional reactions, respondents were significantly more likely to express anger or fear for schizophrenia vignette. A similar pattern was shown for the social distance, where respondents were also significantly less likely to express a willingness to contact people suffering from schizophrenia within different social relationships.ConclusionsThe findings from this study may enhance our knowledge of community beliefs and stigmatizing attitudes towards people with mental disorders in Taiwan and highlight the importance of understanding these issues in context.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Specifics of the implementation of the security measures of medical nature in the Republic of Serbia
Authors: Misic P. 
Published: June 2017

The medical security measures in the Republic of Serbia include:– mandatory psychiatric treatment and confinement in a medical institution;– mandatory psychiatric treatment at liberty;– mandatory treatment of alcoholics and;– compulsory Drug Addiction Treatment.The aim of this presentation is to explain how the medical security measures are implemented in the Republic of Serbia. The methods used in this study are analysis and synthesis of the implementation of security measures in the Republic of Serbia based on many years of practical work in forensic centre for the implementation of security measures. By duration of medical security, measures may be twofold:– of unlimited duration, when the offender is undergoing medical treatment and keeping in a medical institution, while there is a need for treatment, or until there is no threat to the environment (the length of time is difficult to determine, however, that the most common word on the permanent indefinite treatment and storage required special caution and detailed analysis of all the elements relevant for this decision).– limited duration, where the duration of treatment is determined by the court and to no longer than three years as provided in the current The Criminal Code of the Republic of Serbia.The basis of every civilized society make the legal and moral norms governing the relations within the community, and thus regulate and protect their most essential element – the man – his physical and psychological integrity.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Personality type of homicide offenders based on psychiatrist expert reviews
Authors: Szilágyi P. 
Published: June 2017

Despite the relatively prudent regulations and dissuasive punishments worldwide, the number of homicide offenses are not decreasing. In my study those psychiatrist expert opinions were reviewed, which were created in closed homicide cases in the institute of forensic medicine of Debrecen over five years from 2007.The subject of my study was that what kinds of personalities these crime offenders have, and whether they were in a pathological mental state while committing the crime. The majority of the offenders were from the most active age group between 20 and 40, for the victims, however, the opposite can be said, as the most common homicide acts were committed against the older age group, because due to their age they are less able to defend themselves than the truly active age group. Out of 25 committers, 9 had psychiatric treatment in its antecedents – mostly suicidal intentions or attempts, alcohol dependence or depressive episode. Among the cases examined, antisocial personality disorder was only made probable in 42% of the perpetrators; however, it was not qualified as restrictive factor in neither case.43.5% of the offenders were under the influence of alcohol at the time of committing the act, and 58.3% had no criminal record before.The public believes about the homicide offenders that only people with abnormal mental condition can commit them – however, based on the reviewed psychiatrist expert opinions, the limitation of imputation ability can rarely be established professionally. Milder or more severe limiting factor were established in only 12% of the offenders.Disclosure of interestThe author has not supplied his declaration of competing interest.
The Effects of a Brief Educational Programme Added to Community Mental Health Treatment to Improve Patient Activation and Attendance: A Randomized Controlled Trial
Authors: Lara-Cabrera M. , Nesset M.B. 
Published: June 2017

IntroductionThough interest grows in improving patient activation in general medical health services, there is little evidence from randomised controlled trials in mental health settings of how to achieve this.ObjectiveWe aimed to evaluate the effects of a brief pre-treatment peer-co-led educational intervention added to mental health treatment. The intervention was developed and carried out in cooperation with user representatives, peer educators and health professionals, and aimed at activating and preparing patients to participate in own treatment.AimsTo assess the 4 months and 12 months effects on patient activation measure-13 (PAM-13) and attendance.MethodsPatients from two community mental health centres were randomised to a control group (CG, n = 26) receiving treatment as usual, or an intervention group (IG, n = 26), consisting of four-hour group pre-treatment educational seminar (peer-support and encouragement to adopt an active role) followed by treatment as usual.ResultsAt 4 months follow-up only the IG improved significant on PAM-13. Preliminary results at 12 months on PAM-13 and attendance will be presented.ConclusionBrief pre-treatment education improves patient activation at 4 months and could potentially have an effect on attendance at 12 months follow-up.Practice implicationsPre-treatment education co-led in cooperation with user representatives, peer educators and health professionals is a rational and easy way to activate and engage outpatients in their own health care process.Clinicaltrials.gov Identifier: NCT01601587Disclosure of interestThe authors have not supplied their declaration of competing interest.
Specialist Clinic Dedicated to Chronic Mental Illness and Metabolic Monitoring
Authors: McCafferty B. 
Published: June 2017

IntroductionPeople with serious mental illness exhibit higher morbidity and mortality rates of chronic disease than the general population. A significant proportion of premature deaths has been related to modifiable cardiovascular risk factors and may be related to medications taken for mental illness.ObjectivesEstablish a clinic for a cohort of patients with chronic mental illness dedicated to monitoring physical health focusing on modifiable risk factors.MethodsPatients with chronic mental illness taking psychotropic medications long term were invited to attend clinic.The following areas were examined: History focusing on current mental state, cardiovascular history assessing diet, exercise, personal and family history of cardiovascular disease, Exam including waist circumference, BP, pulse, ECG and calculation of BMI. Laboratory tests including HbA1c, Lipid profile, and other tests as appropriate such as serum lithium. Examination for tardive dyskinesia (Abnormal Involuntary Movement Scale (AIMS)), outcomes, (Health of the Nation outcome scale (HoNos)) and quality of life (WHOQOL-Bref) were performed also performed as additional indicators of global health.ResultsSample consisting of 47 patients. Mean age 56.1 (SD: 13.6) males 27 (60%). Mean years of illness 23.1(SD:12.2). Mean HoNos 2.7 (SD 2.5). Four cases prolonged QTc, 5 HbA1c > 6% (2 no prior record of elevation); 18 abnormal lipid profiles, (12 no prior record of elevation); 4 blood pressure readings ≥ 140/90, 3 no prior diagnosis of hypertension; 18 BMI > 25.ConclusionsThis is a newly established clinic. Preliminary results have highlighted modifiable risk factors some of which may represent new diagnoses. Close liaison with General Practice is of importance.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Could Promoting Happiness Mental Health Policy Prevention Against Suicide?
Authors: Chaouqi A. , Mamouni Y. Alaoui , Hammani Z. , Yassari M. 
Published: June 2017

What do we know about happiness? What is the essence of happiness? What are the causes of happiness? Is there a difference between individual happiness and collective happiness? Can we measure happiness? Let us see if there is a correlation between suicide and happiness?Disclosure of interestThe authors have not supplied their declaration of competing interest.
From Pilot Project to RCT – Music Intervention to Improve Sleep Quality in Depressed Patients: A Mixed Methods Study
Authors: Lund H.N. , Heyman-Shlaczinska A. , Pedersen I.N. 
Published: June 2017

IntroductionInsomnia is a common sleep disorder for patients with depression. This has a major impact on the quality of life for the individual. A randomized controlled trial (RCT) will address the use of music as a non-pharmacological treatment to reduce insomnia in depression.Objectives and methodThe aim is to investigate, whether music listening is effective to:– improve sleep quality;– reduce symptoms of depression;– improve quality of life;– limit or replace medication.A RCT will address the use of music as a treatment modality in depression using an explanatory mixed methods design. In the first phase of the study, patient data is collected from 3D accelerometer, log files from a new app for iPad called ‘the music star’ and questionnaires (MDI, HAM, PSQI and WHO-QOL). ‘The music star’ is an app for iPad used to select music from special designed playlists developed by Danish music therapists in psychiatry. An exploratory follow-up (semi-structured interviews) aims to explain quantitative results from accelerometer and ‘the music star’ log files. Participants enrolled are registered at the clinic for unipolar and bipolar affective disorders at Aalborg University Hospital – Psychiatry. The participants test whether a sound pillow and special designed playlists is effective to reduce insomnia in depression in a 4 week period.Results and conclusionsA feasibility study has been conducted on 11 participants showing positive results in terms of participation and sleep quality.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Cancer Survivor – What Comes Next?
Authors: Alves M. , Tavares A. 
Published: June 2017

IntroductionThe number of long term cancer survivors (more than 5 years after diagnosis) are nowadays increasing because of advances in cancer screening, early detection, treatment strategies and management of acute treatment toxicities.ObjectivesWe aim to highlight the long-term psychological responses or late effect of cancer diagnosis and treatment.MethodsNon systematic literature review through the Medline and clinical key databases, with time constraints.ResultsThere are physical and functional difficulties that may not be solved with the conclusion of treatment or can become problematic in survivors of cancer.Long-term refers to psychological or emotional responses that emerge after cancer diagnosis and treatment and persist for at least 5 years. Late effects of cancer refer to psychological or emotional responses that emerge after treatment completion. Risk factors to its development depends on the diagnosis, type of treatment, age at treatment, time since treatment, genetic vulnerability, psychological, social and environmental factors.Specific deficits are more prevalent in survivors than in healthy adults of the same age. Fatigue, sexual dysfunction, cognitive impairment and musculoskeletal symptoms are common. Functional limitations that induce restricted physical and social activities may happen in survivors. Physical function and late complications can be influenced by lifestyle, socio-economic and biologic factors.ConclusionsCancer survivors face short-term and long-term challenges to physical and mental health and they need to be addressed in the active treatment and throughout the continuum of survivorship care. Screening for mental health morbidity should be better integrated into active cancer treatment and survivorship and it should be provided mental health later interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.