bluuebunny/crossref_metadata_2025_split huggingface dataset:
Handwriting disorders in children with developmental coordination disorder (DCD): Exploratory study
Authors: Lopez C. , Hemimou C. , Vaivre-Douret L. 
Published: June 2017

IntroductionAlthough more than 85% of children with DCD are affected by handwriting disorders, their characteristics and underlying mechanisms remain poorly known.ObjectivesWe aim to better identify the nature of handwriting disorders in subtyping DCD children.MethodsSchool children aged between 5 to 15 years and exhibited a DCD (according to DSM-5) are eligible for inclusion. They were classified in three subtypes of DCD: ideomotor (IM), visual-spatial and/or constructional (VSC), and mixed (MX). They were assessed with a standardized handwriting evaluation including quality and speed and a clinical observation of motor gestual developmental and temporal-spatial organization of handwriting highlighting six qualitative criteria: irregular handwriting (criterion 1), immaturity of handwriting gesture (criterion 2), excessive pressure of the pen on the paper (criterion 3), neuro-vegetative responses (criterion 4), trembling (criterion 5), slow handwriting velocity (criterion 6). Two groups are established: children with poor handwriting (PH) and children with dysgraphia (DysG).ResultsWhile 89% of children have handwriting disorders, only 20% exhibit dysgraphia. IM DCD is characterized by an immaturity of handwriting gesture and is associated with PH. Dysgraphia appears only in VSC and MX DCD which are characterized by the association of criteria 1, 2, 3, and 4. This association appears to more than 80% in DysG. Slow handwriting velocity is constant between PH and DysG.ConclusionImmaturity of handwriting gesture is a possible underlying mechanism of poor handwriting. Dysgraphia is associated with specific impairments in spatial organization of letters and in motor control of handwriting gesture.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Ganser's syndrome: A nosographic approach
Authors: Moalla M. , Sellami R. , Feki I. , Hentati S. , Masmoudi J. 
Published: June 2017

IntroductionGanser described a peculiar hysterical state, called Ganser's syndrome. This syndrome raises many etiological and psychopathological unresolved issues.ObjectivesThis article proposes to present the place of the Ganser's syndrome in the current nosographic framework throw the analyse of a clinical case and a literature review.ObservationA 28-year-old man was admitted for fugue and memory loss. This symptomatology evolves since three days after an emotional conflict.He complained from headache. He showed incoherent speech with approximate responses, lability, anxiety, auditory hallucinations, unstructured mild delusional ideation, cognitive difficulties, altered sleep-wake rhythm and anorexia.Memory gaps were observed with difficulties in abstract thinking.Symptoms totally regressed after one week under anxiolytic treatment.CommentsGanser's syndrome was evoked in the presence of suggestive symptoms: presence of a stressor factor, cardinal symptoms (approximate answers), associated symptoms (hallucinations + confusion + somatoform symptoms) and rapid restitution. Ganser considered this syndrome as a special case of crepuscular state, belonging to hysteria. Ganser's syndrome was included in DSM-III but located in factitious disorders against Ganser's position. In DSM-IV, it was positioned in unspecified dissociative disorders. In DSM-5, its place was reduced to a few words in the end of the introduction of dissociative disorders, and was no longer used as dissociative disorder.ConclusionAlthough Ganser's syndrome is not part of current diagnostic criteria for dissociative disorders, clinical descriptions of Ganser remain of clinical of interest by nosographic questions they have raised, in particular the link between simulation, psychiatric disorder and non psychiatric disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Attention deficiency hyperactivity disorder and Internet addiction comorbidity: A case report
Authors: Cenker Ö.Ç. , Ercan A.C. , Varlik D. Sarikaya , Uyar T. 
Published: June 2017

IntroductionInternet addiction is a serious problem especially for children and adolescents. It is described by an individual's inability to control the Internet, which causes distress and functional impairment. Internet addiction symptoms can be Internet surfing, computer gaming, chatting and gambling by using Internet. Previous studies regarding Internet addiction can interfere with some psychiatric disorders; such as bipolar disorder, depression, anxiety or attention deficiency disorder (ADHD). Some researchers emphasized that psychiatric disorders and Internet addiction can be seen together and excessive use of the Internet has been associated with attention deficit hyperactivity disorder.Case19 years old male patient discussed in this paper who was admitted to our psychiatric service for the first time in his life, complaining about uncontrollable use of internet. He spent time more than 10 hours/day. His family finally opposed and took his computer from him, just before he got depressive symptoms. We diagnosed him ADHD by using psychometric tests and psychiatric evaluations. After medical therapy and psychotherapy, we discussed changes his psychiatric situations and symptoms.DiscussionThis case emphasized possible relationship between Internet addiction and symptoms of ADHD.Disclosure of interestThe authors have not supplied their declaration of competing interest.
A feasibility randomised controlled trial of extended brief intervention for alcohol misuse in adults with mild to moderate intellectual disabilities living in the community
Authors: Kouimtsidis C. , Hassiotis A. , Scior K. , Baio G. , Hunter R. 
Published: June 2017

IntroductionExtended brief interventions (EBIs) are effective in targeting alcohol misuse in the general population. However, little is known on the effects of EBI in adults with intellectual (also known as learning disabilities).ObjectivesIn this feasibility trial we compared EBI with usual care for alcohol misuse in adults with mild to moderate intellectual disability (ID).MethodsThe study took place in three community ID services in England. Participants aged 18–65 years with reported alcohol problems, a score > 8 on the alcohol use disorder identification test (AUDIT), and IQ < 70 (+/5% CI) were recruited and were randomly allocated to either EBI (5 weekly sessions and 1 follow-up at 8 weeks) and usual care or usual care alone. Research assessments took place at baseline, two and three months.ResultsThirty individuals were randomised (15 in each arm). In regard to harmful drinking, at baseline, all the participants exceeded the relevant threshold. At 8 weeks, the proportion of participants with harmful drinking decreased to 60% for both groups, at 12 weeks it was decreased by 66.7% and 46.7% for the intervention and the control group respectively. The unit cost for the delivery of EBI is £ 430.ConclusionsRecruitment to this trial has been proven challenging as prevalence of alcohol misuse in the targeted population was lower than anticipated. EBI may provide an effective low intensity treatment for this population. Participants’ and carers’ feedback on their experience was overall positive.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Psychopathological consequences of introducing psychopharmacological treatment in patients with ADH with comorbidrug use. A preliminary study
Authors: Domínguez L.A. Núñez , Ruiz O. Arbeo , Arcos L. Barrado Los 
Published: June 2017

IntroductionThere exists a high prevalence of SUD among patients suffering ADHD and the consequences of this comorbidity are that AHDH and SUD may exacerbate the outcome of SUD and vice versa. The presence of both disorders increases the risk of chronicity and the level and/or the number of symptoms.The main objective is to evaluate how the introduction of treatment correlates with a better control of symptoms.Material and methodsWe select a group of patients with both diagnosis treated in a Mental Health Day Center in Pamplona, Spain.We employ several scales to evaluate the sample: SCL-90, SF-36, Weiss Scale and a Scale of Satisfaction, in three times: at the beginning, one month and three months. We employ urinalysis to detect level and number of substances.ResultsThe sample is comprised by 12 patients, main age of 42.6 years. 8 patients are cocaine addicts. The majority received Atomoxetine (main dosage 36.0 mg)Our data shows an important decrease in the score of Neurotics groups of symptoms and Hostility. We observe a decrease in score of items correlated with physic health and an increase in emotional aspects of daily life.Eight patients gets abstinence and the punctuation of craving decrease from 21 to 5.2.The level of satisfaction with treatment was very high.ConclusionsThe psychopharmacological treatment of patients diagnosed of ADHD with comorbid SUD implies a great improvement in the symptomatology and quality of life of the patients, with a low level of craving.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Comorbidity between obsessive-compulsive disorder and attention deficit/hyperactivity disorder
Authors: Perestrelo J. , Samico A. , Lapa G. 
Published: June 2017

IntroductionThe comorbidity between obsessive-compulsive disorder (OCD) and attention deficit/hyperactivity disorder (ADHD) has been discussed for a couple of decades. Reported co-occurrence rates are highly inconsistent in the literature.ObjectiveTo review phenomenological and theoretical issues concerning concomitant OCD-ADHD.AimsPhenomenological and theoretical issues regarding OCD-ADHD comorbidity are reviewed.ResultsAlthough numerous studies suggest an OCD-ADHD comorbidity, thus far etiological (i.e., genetic) background has been provided only for a pediatric comorbidity. High rates of co-occurrence may be mediated by the existence of tic disorders, and evidence of impaired neuronal maturational processes in OCD pediatric population may lead to probably transitory phenotypical expressions that look like ADHD symptomatology. Thus, it is possible that ADHD-like symptoms resulting from OCD-specific symptomatology may be misdiagnosed as ADHD. This may explain the lower co-occurrence rates reported in adolescents and adults.ConclusionOCD and ADHD are very different disorders in terms of pathophysiology, phenomenology, and treatment strategies. Several methodological concerns have been identified in our review. Future studies on OCD-ADHD comorbidity should try to mitigate these biases.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Generalized anxiety disorder comorbidities: Panic and depressive disorder
Authors: Turki M. , Thabet J. Ben , Charfi N. , Mezghanni M. , Bouali M. Maalej , Zouari N. , Zouari L. , Maalej M. 
Published: June 2017

IntroductionIt has been well documented that generalized anxiety disorder (GAD) can co-occur with mood disorders and other anxious disorders, particularly panic disorder (PD). These comorbidities can complicate therapeutic management and burden the prognosis.AimTo highlight the relationship between GAD and panic and depressive disorders.MethodsWe conducted a cross-sectional study, among 250 subjects consulting in 6 primary care units in Sfax, Tunisia. These participants, randomly chosen, were asked to answer a questionnaire after their consent. The diagnosis of GAD and PD were assessed by the “Mini International Neuropsychiatric Interview” of the DSM-IV. Depressive symptoms were evaluated using the “Beck Depression Inventory” (BDI).ResultsThe average age was 39 years. The sex ratio M/F was 1/2.The GAD was diagnosed in 10.8% of participants. The mean IDB score was 3.8. According to this scale, a mild depression was noted in 23.6%, moderate 12% and severe in 2.8% of cases. The GAD was statistically associated with psychiatric histories (P = 0.009), particularly depression disorder (P = 0.004) and the history of suicide attempt (P < 0.001).The IDB score was significantly higher in participants with GAD (P < 0.001). Among them, 74% presented moderate to severe depression.GAD co-occurs with PD in 22.2% of cases. This association was statistically significant (P < 0.001). Participants presenting GAD- PD comorbidity are at higher risk of developing depression (P = 0.003).ConclusionOne must always think to screen comorbidities in the presence of either diagnosis, in order to ensure a better management.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Psychiatric hospitals may enhance holistic care by introducing medical and surgical liaison teams
Authors: Sacco R. , Micallef C. , Grech G. , Role C. , Mercieca S. , Grech A. 
Published: June 2017

IntroductionPatients with mental health problems (MHP) are known to have more physical comorbidities compared to the general population.In Malta, Mount Carmel hospital (MCH) which is the main psychiatric hospital (consisting of both acute and chronic wards), is separate from Mater Dei hospital (MDH) which is the general hospital at which medical and surgical care is provided.Such a division in healthcare may result in inadequate focus on physical health amongst patients of high demand in this regard. This subsequently puts an increased strain on the general hospital through repeated referrals.ObjectivesThe purpose of this study is to show that inpatients with MHP have a significant number of comorbidities and require multiple referrals to a general hospital for medical and surgical attention.MethodsThree hundred and ninety-three inpatients at acute and chronic wards of MCH (during the first week of December 2016) were enrolled in the study.Treatment charts and iSOFT (healthcare IT software used in Malta) were used to determine patient's diagnosed comorbidities, number and type of referrals to MDH outpatient clinics (OPC), casualty and admissions at MDH over 1 year.ResultsResults of the audit indicate that a significant number of inpatients at MCH have medical comorbidities and the majority have been referred to MDH for OPC and casualty over the past year.ConclusionsHaving medical and surgical liaison teams in psychiatric hospitals may enhance patient care and reduce the pressure exerted on general hospitals.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Relationship between borderline personality disorder and migraine
Authors: De Jonge L. , Petrykiv S. , Fennema J. , Arts M. 
Published: June 2017

IntroductionBorderline personality disorder (BPD) is characterized by pervasive instability in moods, impulsivity, intense and unstable or disturbed interpersonal relationships and self-image, and often self-destructive behaviour. BPD seems to be more common in patients suffering from migraine. However, typical migraine characteristics in this population remain partly unknown.Objectives & aimsTo present the specific clinical characteristics of migraine patients with BPD and to assess their response to migraine treatment.MethodsWe examined 10 patients with migraine and previously diagnosed with BPD (group 1), 10 patients with migraine and no history of BPD (group 2), and 10 patients with migraine and no history of BPD matched to group 1 for age, gender, and frequency of headache. Migraine was treated in group 1 and 3 and pharmacological treatment outcome was assessed after 6 months.ResultsThe group of migraine patients with coexisting PBD was associated with female gender, increased prevalence of medication overuse headache, higher rates of self-reported depression, increased migraine-related disability, and a decreased response to pharmacological migraine treatment.ConclusionPatients with migraine and previously diagnosed BPD can be regarded as a distinct population. They are more suffering from depressive symptoms, more disabled by their migraine, are more resistant to pharmacological treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Impact of coping strategies on emotional status in patients with obstructive sleep apnea syndrome
Authors: Gassara I. , Thabet J. Ben , Msaad S. , Medhaffar K. , Omri S. , Maalej M. , Charfi N. , Zouari N. , Yaich S. , Zouari L. , Kammoun S. , Maalej M. 
Published: June 2017

IntroductionObstructive sleep apnea syndrome (OSAS) is a common sleep disorder, which leads to higher morbidity, and mortality and can result in various psychological problems, such as depression.ObjectivesThe purpose of this study was to assess the severity of depression and to examine its relationships with coping strategies in OSAS patients.MethodsWe performed an analytical cross-sectional study of 87 recently diagnosed OSAS patients. Apnea hypopnea index (AHI) was determined by an overnight polysomnography. Depressive symptoms were evaluated by the hospital anxiety and depression scale (HADS). Coping strategies were assessed by the brief cope.ResultsSubjects included 38 men and 49 women averaging 55.7 years of age (SD = 11.6) with a mean body mass index (BMI) of 33.8 kg m−2. According to the AHI, 70.1% of the patients had severe OSAS, and 16.1% had moderate OSAS. Depressive symptoms were found in 44.8% of all patients. Emotional coping was used by 72.4%, while problem-focused coping was used by 28.7% of the patients. The score of depression on HADS (HADS-D) showed positive correlation with BMI (r = 0,48; P ≤ 0.001). No significant association was found between HADS-D and AHI. Depressive symptoms were associated with more emotional coping (P = 0.03) and with less problem-focused coping (P = 0.002).ConclusionOur findings suggest that depression is highly prevalent among patients with OSAS, and that coping style seems to have a significant influence on emotional status in these patients. Further research should explore the possibilities of intervening on this factor, aiming to lessen depressive symptoms in OSAS patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Somatogenic depression on cardiovascular disease patients
Authors: Mykhaylov B. , Mykhaylov V. , Kudinova O. 
Published: June 2017

In research, based on the systematic approach of evaluating results of complex clinical-psychopathological, psychodiagnostical investigation myocardial infarction and cerebral stroke patients the clinical structure features, regularities in the formation, development and course of somatogenic depression and associated disorders on these patients was determined. At patients with cardiac infarction in acute period the pain syndrome is the main one, leads to severe psycho-emotional disorders. Against the background of cognitive function preservation phobic, anxiety and depressive symptoms prevail, their intensity depends on the severity of pain. Subsequently, the primary psycho-emotional constituent element disappeared and anxiety-depressive disorders developed along with hypo and anozognostical type of personal condition perception. At cerebral stroke, patient's disorders of level of consciousness were primary with cognitive and asthenic disturbances with subsequent formation of psycho-emotional disorders, anxiety and depressive disorders with hypohondrical elements on the basis of persistent cognitive impairments.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Cognition, disability and quality of life of patients with chronic migraine
Authors: Pompili M. , Corigliano V. , Denise E. , Migliorati M. , Martelletti P. , Girardi P. 
Published: June 2017

IntroductionChronic migraine is commonly regarded as one of the most disabling headache conditions. Although there has been some research indicating the severe impact of this chronic headache, there is little comprehensive evidence of its impact on quality of life, disability and cognitive function.ObjectivesThe aims of this cross-sectional study were to investigate cognition, disability and quality of life in patients with chronic migraine compared to healthy control subjects.MethodsParticipants were a convenience sample of 58 adult outpatients admitted to Headache Centre of the Sant’Andrea Hospital in Rome (Italy). Inclusion criteria were a diagnosis of chronic migraine (illness duration >5 years). Fifty-eight age-matched healthy subjects were recruited as controls. Participants were administered the Mini Mental State Examination, the Italian Perceived Disability Scale (IPDQ), the 12-item Short Form Health Survey (SF-12) to assess physical and mental health, and the neurocognitive task Visual Perspective Taking (VPT), as a measure of social cognition.ResultsPatients with chronic migraine showed higher perceived disability and poorer well-being compared with healthy controls. No differences were found in global cognitive function and in the performance of the neurocognitive task.ConclusionsAddressing the burden associated with subjective state of disability and well-being in migraineurs is important because of its association with a worse prognosis and a worse response to treatment. Findings did not confirm the hypothesis that migraneurs are more impaired in social cognition. Further studies are needed to assess different cognitive dimensions in migraneurs, including various measures of social cognition, to better understand neurocognitive profile of this patients’ population.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Self-efficacy of the psychotherapist in the context of supervision
Authors: Šefarová I. , Šlepecký M. 
Published: June 2017

IntroductionIn the context of the importance of psychotherapy in mental health care the aim of our study is to highlight the importance of supervision as an integral part thereof.AimWe analyze the relationship between the assessment of the quality of supervision and the perceived self-efficacy of the psychotherapist as one of the antecedents of decision-making in the psychotherapeutic process. This framework is applied to an empirical study that focuses on psychotherapist's perception of clinical supervision in relationship to professional self-efficacy in the therapeutic process.MethodsThe study was operationalized using the Manchester clinical supervision scale (MCSS), containing a demographic questionnaire, counselor self-efficacy scale–modified version. One hundred and twenty-five psychotherapists with supervisory experience participated in the research, including 67 trainees and 58 graduates of psychotherapy training.ResultsThe results show a positive relationship between effective supervision and self-efficacy (r = 0.363; sig = 0.000; n = 125). The participants who attributed higher ratings to supervision and supervision work alliance also assigned higher scores to perceived self-efficacy–although there is a significant relationship among the participants of psychotherapeutic training (r = 0.444; sig = 0.000; n = 67), this relation is not significant among the actual graduates. Based on modeling, rapport was discovered to be the most important predictor of supervision effectiveness assessment.ConclusionsThe results support the merits of supervision in the education of psychotherapists and the importance of investing resources in its regular implementation.Disclosure of interestThe authors have not supplied their declaration of competing interest.