bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing a guide to choose psychiatry in Spain
Authors: Gómez Sánchez-Lafuente C. , Reina Gonzalez R. , Rodríguez Sánchez E.M. 
Published: June 2017

IntroductionChoosing a medical specialty is not easy. In Spain, when medical students finish the university degree, they have to take an exam called popularly MIR if they want to start a specialty. If the exam is passed, that person receives a number result of his academic record during university and test result. The number indicates the order of election, so number 1 chooses specialty and hospital first and so on. The Spanish healthcare system offers between 220 and 250 places to start the Specialty of Psychiatry in 121 hospitals across Spain.MethodsWe designed a semi-structured questionnaire with 30 questions specific for the purpose of this work. The questionnaire was spread by social networks and email to reach as many medical doctors undertaking postgraduate training in psychiatry as we could.ResultsOne hundred and thirty people responded to the questionnaire. Fifteen were not psychiatry trainees. We obtained information from 80 hospitals (66%). Thirty-three hospitals (41%) have specific training in psychotherapy. Sixty-nine (86%) apply electroconvulsive therapy regularly. Teaching during training is given together with psychologists and nurses in 36 hospitals (45%), with psychologists in 32 (40%), only psychiatry trainees in 12 (15%). Psychiatry trainees do general emergency guards in 62 hospitals (77%).ConclusionAt the moment of writing this, the guide has been consulted by 14,600 people and visited over 40,000 times. This guide may help medical students to discover Psychiatry Training and to choose the best hospital that fits their interests.Disclosure of interestThe authors have not supplied their declaration of competing interest.
“Hear me out”: Experiences of mothers suffering from severe mental illness with health care providers – A qualitative perspective
Authors: Banerjee D. , Desai G. , Chandra P.S. 
Published: June 2017

BackgroundContrary to popular myth, majority of mentally ill women are mothers with increasing number of them seeking help. Little is known about their own experiences in this regard and the extent to which their needs are met.ObjectivesTo assess the barriers and facilitators in seeking help from mental health care providers in matters of pregnancy and parenting.MethodsThe study used qualitative design with social constructivist paradigm. A purposive sample of 30 mothers with severe mental illness was obtained. Data was collected through one-to-one in-depth semi-structured interviews. After verbatim transcription, inductive thematic analysis was used to explore transcripts.ResultsMost women considered motherhood “central” to their lives and almost all of them experienced the burden of the “dual role”. Main barriers in seeking help were stigma, treatment side effects, wrong information and time constraints. Whereas self-advocacy, early engagement, education of women and involvement of the family with service providers were the facilitating factors. The prime expectations of the mothers as identified were early and direct communication, patient audience and basic guidance in regards to child health and parenting issues.ConclusionWomen who are mothers and also users of mental health services face special challenges in managing the contradictory aspects of their dual identity. Hearing their voices are essential for service provision and ensuring adequate mental health needs. Early and direct intervention along with understanding and addressing critical areas are necessary for proper care of both the mother and child.Disclosure of interestThe authors have not supplied their declaration of competing interest.
World maternal mental health day
Authors: Bowen A. 
Published: June 2017

IntroductionAs many as 20% of mothers experiences some type of perinatal mood and anxiety disorder (PMAD) worldwide. Women of every culture, age, income level, and race are at risk for PMADs with potential effects to mother and child.ObjectivesTo promote awareness of maternal mental health and PMADs.MethodAn international task force met via online videoconference to make plans for the inaugural World Maternal Mental Health Day. The task force soon grew to include representatives from around the globe with a common goal to increase awareness of and influence policy about maternal mental health. This presentation will discuss the process, successes, challenges, and engage participants in future social marketing strategies for World Maternal Mental Health Day. International reach and impact will be discussed.ResultOrganizations from 12 countries were involved in this event, with twitter and landing page activity across the globe. A unique logo was developed and numerous organizations endorsed the event. An international social media campaign included a Twitter Feed “#Maternal Mental Health Matters” starting in Australia, Facebook page, and landing page. The first World MMH Day was held May 4, 2016.ConclusionIncreased awareness will continue to drive social change with a goal of improving the quality of care for women worldwide who experience all types of PMADs and to reduce the stigma of maternal mental illness. World Maternal Mental Health Day will be held each year on the first Wednesday of May, close to “mother's day” and “mental health week” in many countries.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Clinical Use of Biomarkers in Suicidal Behaviors
Authors: Courtet P. 
Published: June 2017

The epidemiology, risk factors, and biological basis of suicidal behaviors have been the object of an ever–increasing research in the last three decades. During this period, researchers all over the world have identified potential biomarkers of risk and developed several theories about the mechanisms leading to suicidal behavior. However, the lack of common terminology, instruments, and cooperation has been a major deterrent. Today, the community has established the bases for this collaboration and evidence coming from neuroscientific studies can already be applied to the field of suicidology. We present here a potential semiology based on current evidence coming from biological, clinical, and neuroimaging studies.Disclosure of interestThe author declares that he has no competing interest.
Explanatory and Confirmatory Factor Structure of Beck Anxiety Inventory in College Sample
Authors: Kareemi S. , Alansari B.M. 
Published: June 2017

IntroductionThe Beck anxiety inventory (BAI) is a widely used 21-item self-report inventory used to assess anxiety levels in adults and adolescents in both clinical and non-clinical populations. The values for each item are summed yielding an overall or total score for all 21 symptoms that can range between 0 and 63 points. A total score of 0–7 is interpreted as a “Minimal” level of anxiety; 8–15 as “Mild”; 16–25 as “Moderate”, and; 26–63 as “Severe”. There is no study until this date that examines the Explanatory and confirmatory factor structure factor structure of BAI in college student in Kuwaiti.ObjectivesThe current study investigated the original four-factor structure of the (BAI) in non-clinical sample of college students.MethodsSample one consisted of 540 males and females while sample two consisted of 600 males and females from Kuwait University undergraduates. The Arabic version of BAI was administered to participants. Explanatory factor analysis based on sample one and conformity factor analysis based on sample 2.ResultsThe results revealed four factor structures of BAI in the two samples of Kuwaiti students. Which included neurophysiological, subjective, autonomic, and panic factors.ConclusionsThe results of both confirmatory and exploratory factor analysis indicated that the original four-factor structures of the BAI do provide the best fit for the college sample.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Music Performance Anxiety: Perceived Causes and Coping Strategies
Authors: Osório F.L. , Burin A.B. , Nirenberg I.S. , Barbar A.E.M. 
Published: June 2017

IntroductionThe understanding of the causes of music performance anxiety (MPA) and of strategies to cope with it is important for the comprehension/management of this common condition in musicians.ObjectiveTo investigate the causes of MPA reported by Brazilian musicians and the efficacy of the most commonly used strategies to cope with it.MethodsTwo hundred and fourteen Brazilian musicians (53% professional/musicians from orchestras, 67% male, mean age: 34.02 years, 65% with over 11 years of education, 42% of which played string instruments) completed different self-rating scales to assess the presence/absence of MPA.ResultsThirty-nine per cent of the musicians had indicators of MPA. The most commonly reported causes were repertoire difficulty (57%), concerns about audience response (52%), and self-pressure (51%). The most common coping techniques included breathing/relaxing techniques (66%) and increased practice (53%), regarded as efficient by at least 49% of the musicians. Strategies like seeing a doctor/psychiatrist/psychologist and taking antidepressant/anxiolytic medication were among the least frequently used in the sample. Also, 18% of musicians with MPA used beta-blockers and 6% used non-prescribed medications. Comparatively, musicians with MPA believed that it was associated with a higher number of conditions and regarded coping techniques as less efficient.ConclusionMusicians consider internal situations to be the most frequent causes of MPA and use different coping strategies with average effectiveness. Results highlight the poor use of well-established therapeutic resources and the occurrence of self-medication in the sample, which together point to the need for attention on the part of mental health professionals to this specific group.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Long Term Effect of Cognitive Behavioral Therapy in Patients with Health Anxiety
Authors: Veddegjaerde K.E. 
Published: June 2017

IntroductionCognitive-behavioral therapy (CBT) has been found to be an effective treatment of excessive health anxiety (HA), but the long-term effect over 18months has not been examined.ObjectivesSeveral studies have shown effect of CBT for HA-patients. However, these effects have been short or immediate after therapy. To our knowledge no studies have examined long-term effect of CBT for HA over 18 months.AimsTo investigate the long-term effect of CBT on HA, focusing on level of HA, quality of life, subjective health complaints and general anxiety. Follow-up time was at least 10 years. Our hypothesis was that the effect was sustained.MethodsPatients with HA received 16 sessions of CBT over a period of 12–18 months, and were followed up over at least 10 years. All patients fulfilled criteria for F45.2, hypochondriacal disorder according to ICD-10.The patients answered several questionnaires, exploring areas such as HA, Quality of life, somatization, and mental health problems. Questionnaires were answered before CBT, after CBT and at follow up. Mixed model analysis was performed in SPSS 23.0 for all questionnaires.ResultsAll scores were found to be significant in the Pre-CBT–Post-CBT and Pre-CBT–FU (0.034– < 0.001), and none were found to be significant in the Post-CBT–FU.ConclusionsOur findings suggest that for the majority of patients with HA, CBT has a significant and lasting long-term effect. This effect lasts up to ten years post therapy.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
The Effect of Long-term Lithium Treatment on Renal Functions in Patients with Bipolar Disorder
Authors: Ayik B. , Çakır S. , Yazıcı H. , Karabulut S. 
Published: June 2017

IntroductionThe effect of lithium on tubular functions leading to decreased urinary concentrating ability is recognized. Although there are several studies type, severity and frequency of renal impairment and its correlation with duration of lithium therapy are not well established.ObjectivesTo explore long-term effects of lithium on patients with chronic bipolar disorder.AimsWe aimed to assess patients with bipolar disorder using lithium at least for six years in terms of renal functions, starting from mild impairments to full blown chronic renal failure.MethodsFifty-one patients with bipolar disorder and 38 age and sex matched healthy controls were enrolled for the study. Serum BUN, creatinine, uric acid, electrolytes, calcium (Ca), phosphorus (P), vitamin D (25-OH D3) and eGFR levels were measured. The correlations between renal function and mean lithium levels, duration of lithium treatment and GAF scores were calculated.ResultsMean eGFR level of patients with bipolar disorder was significantly lower than that of controls. Serum creatinine, uric acid, Ca and PTH levels were higher, 25-OH D3 levels were lower in the patients than in controls. The duration of lithium treatment was positively correlated with serum creatinine and uric acid levels, negatively correlated with eGFR levels. Mean lithium levels were positively correlated with serum creatinine levels and negatively correlated with eGFR.ConclusionsThe study revealed that glomerular functioning of the patient group was significantly lower than that of the control group. The findings suggested that both duration of lithium treatment and high serum lithium levels may have a negative impact on glomerular functions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Late-onset Bipolar Disorder: A Comparative Study
Authors: Derbel C. , Feki R. , Ben Nasr S. , Bouhlel S. , Ben Hadj Ali B. 
Published: June 2017

IntroductionBipolar disorders (BP) with late onset are underestimated by their frequency, their misleading presentations and therapeutic difficulties due to the high prevalence of somatic comorbidities.AimTo identify sociodemographic, clinical and therapeutic characteristics in subjects with a late-onset BP.Patients and methodsRetrospective and comparative study of 101 patients followed for a BP (12 patients with BP started after 50 years and 89 patients with BP started earlier) from 2009 to 2015, in the department of psychiatry of the University Hospital Farhat Hached, Sousse, Tunisia.ResultsThe mean age of subjects with late-onset TBP was 46.11 ± 12.85 years. Women were in the majority (65.3%). Ten patients had a novo mania, four patients had a late-onset mania and one patient had a secondary mania. Regarding the socio-demographic data, only the regular professional activity was more reported in the elderly (P = 0.017). Regarding clinical data, BP type 1 and secondary mania were more reported in elderly with (P = 0.050 and P = 0.000 respectively). Elderly had significantly fewer depressive episodes (P = 0.026), fewer hypomanic episodes (P = 0.000). The durations of the latest episodes and the last intervals were shorter in elderly (P = 0.045 and P = 0.000). Concerning therapeutic data, elderly had fewer hospitalizations (P = 0.045), required lower mean doses of lithium (P = 0.04) and greater mean doses of tricyclic antidepressants (P = 0.047).ConclusionIt is always necessary to look for an organic cause in manic syndrome in late-onset BP. Doses of lithium should be lower. However, doses of TAD should be higher.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Information to Improve Awareness, Contribution to Evidence-based Practice – What Does the Brazilian population Knows About Autism
Authors: Amato C. , Varanda C. , Fernandes F. , Molini-Avejonas D. 
Published: June 2017

The present prevalence of autism spectrum disorders (ASD) demands changes in health policies highlights barriers that are inherent to the national diversity and therefore poses great challenges to the planning and delivering specialized services. Systematic data regarding the level of knowledge and information about autism in the general population may help in building a set of evidences to support decision-making processes about intervention proposals directed towards this population. Aiming to contribute to evidence-based practice, this study used a digital-delivered questionnaire to assess the knowledge by the general population about autism in Brazil. A self-explanatory questionnaire was made available on-line. It was comprised by 57 questions divided in five domains: data about the answerer; information about how the person had access to the issue of autism; information about the concept of autism (signs, symptoms and etiology); information about the characteristics of persons with autism and what are the professionals that are essential in the team that assists these individuals. Participants were contacted via e-mail and given full information on the nature of the research. They were 4282 persons living in the five large regions of Brazil. Results indicate that most of the participants were mothers, followed by teachers. The analysis of the answers demands consideration of the hypothesis that although most of the participants have answered that they knew what is Autism, this knowledge is based on lay beliefs and not on scientific-based information. This reality must be taken into account when proposing intervention programs directed to persons with ASD.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Association Between Problem Behaviors and Yin-Yang Temperament in Korean Middle School Students
Authors: Lee S.J. , Chae H. 
Published: June 2017

ObjectivesThe Yin-Yang represents two opposing and complementary traits of nature such as introvert-extrovert and passive-active, and has been primary framework of medicine for thousands of years in the East. The purpose of this study was to examine the problem behaviors of the middle school students, which is a major social and psychopathological issue in Korea, from the Yin-Yang temperaments.MethodsSubjects of 670 middle school students (365 boys and 305 girls) finished Korean version of youth self-report (YSR) for describing the problem behaviors and Sasang personality questionnaire (SPQ) for measuring Yin-Yang temperament. The high (30%) and low (30%) SPQ score groups were shown to represent Yin and Yang temperament groups with acceptable reliability and validity. We examined the correlation between YSR and SPQ, and YSR subscale differences between high and low SPQ score groups.ResultsThe SPQ significantly (P < 0.01) correlated positively with YSR externalizing problem (r = 0.148, r = 0.182) and negatively with YSR Internalizing Problem (r = −0.212, r = −0.177) in boys and girls, respectively. The Yang temperament group (8.42 ± 6.24, 8.36 ± 6.59) is significantly (P < 0.01) higher than Yin group (6.17 ± 4.82, 5.83 ± 5.32) in Externalizing Problem, and the Yin temperament group (9.55 ± 7.72, 11.38 ± 8.18) is significantly (P < 0.01) higher than Yang group (6.01 ± 5.95, 8.28 ± 7.49) in Internalizing Problem with boys and girls, respectively.ConclusionThese results showed that the Yin-Yang temperament of traditional eastern medicine might be clinically useful for screening psychopathological problems in adolescents. Implications and suggestions for cross-cultural psychological study of the East and West are also suggested.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Relationship Between Physical and Mental Disorders in a Pediatric Population
Authors: Chartier G. , Cawthorpe D. 
Published: June 2017

IntroductionFew studies examine comorbidity in a pediatric population. This poster presents results that extend our understanding of the relationship between mental disorder and physical disorders using a population-based study approach.Objectives and aimsTo review the evidence behind comorbidity of psychiatric disorders and other medical disorders. To propose an informatic approach that evaluates those comorbidity on a population-scale.MethodsUsing an informatics approach, a dataset containing physician billing data for 235,968 (51% male) individuals up to 18 years old spanning sixteen fiscal years (1994–2009) in Calgary, Alberta, was compiled permitting examination of the relationship between physical disorders and mental disorders, based on the International classification of diseases (ICD).ResultsAll major classes of ICD physical disorders had odds ratios with confidence intervals above the value of 1.0, ranging from 1.08 (Perinatal Conditions in 4–6 year olds) to 4.95 (Respiratory Conditions in 0-3 year olds). Distinct major class ICD disorder patterns arise in comparing all children with adults and specific age strata for those under 19 years of age.ConclusionsThis study represents the first evidence reported in a population-based data set of the effect of mental disorders on each major class of ICD diagnoses related to a physical disorder. The focus on the early intertwinements between physical and mental disorders in a pediatric population may help to target strategic areas for future research and investment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Subtypes of Psychosis Among Difficult-to-treat Patients – A Cluster Analytical Replication Study Among Chronically Psychotic, Institutionalized Dual Diagnosis Patients
Authors: Dost-Otter R. , Timmerman L. , Van Veen M. , Diekman W. 
Published: June 2017

BackgroundResearch is lacking on possible subtypes of psychosis in difficult-to-treat patients that require long-term institutionalisation due to a combination of psychosis, substance abuse and problem behaviours after multiple failed treatments.AimThe aim of this study is to increase our knowledge of this group of patients in order to apply more targeted interventions.ObjectiveTo identify subtypes of psychosis among this group by cluster analysis and compare these subtypes on different clinical variables.MethodsPANSS data was acquired for 117 patients. Separate clusters were identified by using Ward's method of hierarchical cluster analysis, replicating Dolffus et al., 1996 [1], who used this method in a cohort of schizophrenia patients. Subtypes of psychosis were identified using PANSS items. Clusters were compared on several clinical variables, f.e. course of admission.ResultsFour distinct clusters were identified (Fig. 1): (1) a ‘positive cluster’, (2) a ‘mild cluster’, (3) a ‘negative cluster’, and (4) a ‘mixed group’. These clusters are similar to those found by Dolffus et al.There was a significant association between cluster and co-morbid personality disorder, P < 0.05. No significant association was found between clusters and other clinical variables.ConclusionsAmong difficult-to-treat institutionalised patients four distinct subtypes of psychosis could be identified, comparable to those found in a cohort of schizophrenia patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.