bluuebunny/crossref_metadata_2025_split huggingface dataset:
The importance of psychosexual variables in the sexual functioning in sexually active adults
Authors: Pereira H. 
Published: June 2017

IntroductionSexuality is a very important human dimension which contributes to psychosocial well-being and psychosexual variables, such as sexual self-esteem, sexual anxiety and sexual depression, can affect sexual functioning; however, there are few studies that demonstrate this relationship.ObjectivesTo assess the psychosexual variables and sexual performance levels in a sample of adults, and verify and determine the degree of association between sexual functioning and self-esteem, anxiety and sexual depression.MethodsThe study included 422 adults that were sexually active (who had sex in the previous month); 265 (62.8%) were women and 149 (35.3%) were men, who filled out a sociodemographic questionnaire and scales related to sexuality and sexual functioning, Sexuality Scale and Sexual Functioning Questionnaire Short Form (CSFQ 14), broadcast over the internet.ResultsThe results obtained allowed to know the relationships between the variables and psychosexual sexual functioning, and was statistically significant correlation between the two dimensions and significant differences between the correlation when comparing gender and sexual orientation.Discussion and conclusionsThis study allows us to highlight the importance of psychosexual variables in sexual functionality expression, in the sense that those working in the area of sexuality should be aware of how the human psyche interferes with sexual manifestation.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Rethinking classification of zoophilia
Authors: Sendler D. , Lew-Starowicz M. 
Published: June 2017

IntroductionIn 2011, Anil Aggrawal proposed ten-point classification system of zoophilia, based on forensic literature review.Objectives(1) Allow for conceptualization and improved management of zoophilic patients in clinical practice or forensic examinations, (2) describe identity of modern-day zoophiles, including demographics and psycho-social profile, and (3) determine normative and pathologic traits and behaviours.MethodsA qualitative observational study of user activity (n = 958) on discussion forums, combined with brief demographic survey. Data were analyzed according to principles of grounded theory. Surveys of own design (demographic, discreet + open ended questions) were answered by 350 participants. Presented data show aggregate conclusions from mixed methods qualitative and quantitative analysis.ResultsProposed classification system categorizes zoos as either classic, sexual, romantic, or platonic. Relationship goals of classic and romantic zoos are reminiscent of those typical of human partnership, differentiated by the commitment and psychological distress level (romantic zoos, affectionate relationship goals outweigh sexual pursuit; classic zoos, romantic and sexual urges cause distress rather than pleasure). Sexual zoos show high prevalence of hypersexuality traits. Platonic zoos are typically confused about the roots of their sexuality. Contrary to common perceptions, prevalence of sexual sadism is extremely low (<1% in our study). Sociopathic traits determine propensity for animal cruelty, which is not synonymous with typical zoophilia. Half of respondents were in committed relationship with human partner, whom they frequently attempted to “convert” into practicing zoophile.ConclusionsWe can categorize zoophiles into four sub-types. Emotional attachment and sexual urges play equal role in bonding with animal partner.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Treatment of alcoholism – New targets?
Authors: Carvalhão Gil L. , Lázaro M. , Ponte A. , Teixeira J. , Prata Ribeiro H. , Mota T. 
Published: June 2017

IntroductionAlcohol use disorders (AUD) is a preventable cause of significant morbidity and mortality worldwide. AUD is a heterogeneous disorder stemming from a complex interaction of neurobiological, genetic, and environmental factors. To achieve treatment effectiveness this heterogenity should be considered, as well as safety.ObjectivesReview mechanisms underlying alcohol addiction in order to work out new, more effective treatment strategies.AimTo update on treatment for alcoholism.MethodsA literature search was performed on PubMed database.ResultsAlcohol dependence is a chronic, relapsing condition in which there is evidence of significant change in the motivation and control systems in the brain. Increasingly drug therapy is focused not just on the treatment of the acute withdrawal syndrome, but on modifying these other dysregulated brain systems. Of the numerous neurotransmitter systems that have been identified for the development of new medicines, the most promising compounds appear to be those that modulate the function of opioids, glutamate with or without gamma-aminobutyric acid, and serotonin. Other putative therapeutic medications including direct modulators of dopamine function and enzyme inhibitors also shall be discussed. At present, only four medications are approved for the treatment of alcohol dependence in Europe, that is naltrexone, acamprosate, disulfiram and the most recent nalmefene. Among other promising strategies the following drugs are mentioned: baclofen, topiramate, ondansetron, aripiprazole, rimonabant and varenicline.ConclusionsPharmacological development remains a high priority in the alcoholism field. Drugs have different safety profiles that need to be balanced with the treatment objective, individual patient preferences and comorbid conditions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Reasoning, critical thinking and attitudes toward substance abuse in adolescence: Explaining the mediator role of emotional intelligence
Authors: Rezaei H. , Shafiabady A. , Ghaedi Y. , Delavar A. , Esmaeili M. , Fattah Moghaddam L. 
Published: June 2017

IntroductionAdolescence is frequently described as a golden time for prevention of substance abuse.AimsThis study is aimed at determining the fit of structural equation modeling for change of attitude toward substance abuse based on the components of emotional intelligence (intrapersonal awareness, interpersonal awareness, adaptation, stress management, and general mood) and reasoning, critical thinking in female adolescents.Objectives and methodsThe data were collected in random multistage sampling from 800 senior high school students at 4 different regions of Tehran by using the Bar-on Emotional Intelligence Inventory, the adolescent-special revised inventory, Ricketts Critical Thinking Questionnaire, New Jersey Test of Reasoning Skills and Nazari's Questionnaire for Attitude toward Substance Abuse. In the 618 valid questionnaires were statistically analyzed.ResultsPath analysis and path coefficients in the structural equation model suggested that the strongest relation belongs to the reasoning skill, directly predicting attitude with a 61% level and also, has indirect, significant impacts on attitude through intrapersonal awareness, adaptation and stress management. The weakest relation belongs to general mood which, with a 21% level, predicts attitude toward substance abuse. Results of the fit indices in the final model also indicate that all indices are at a desirable level and the model has good fit to the data, implying that there is a linear relation between independent variables and between the moderating variables and a dependent variable.ConclusionsIt is reasonable to show the importance of attitude toward substance abuse in prevention programs for students.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The needs of children who have parents suffering from severe mental disorders
Authors: De Girolamo G. , Signorini G. , Candini V. 
Published: June 2017

AbstractObjectiveMental illness in parents is a biological and environmental risk factor to which young people are exposed. Living with a parent suffering from a mental disorder may have a variety of detrimental consequences, including: (a) the reversal of caregiving (“parentification”); (b) the exposure to an adverse environment, where developmental needs of the child (emotional and practical) might be repeatedly neglected (lack of communication, high expressed emotion, etc.); (c) stigma and discrimination. We will provide a review of needs of these children and of possible interventions.MethodsSystematic searches located studies reporting and assessing met and unmet needs of these children.ResultsYoung people living in such families often have problems of internalizing and externalizing symptoms, cognitions of shame, guilt, and loneliness, perceptions of lacking social support and social acceptance. Children who have mentally ill parents are up to two and a half times more likely to experience poorer mental health outcomes than their peers. Compared to peers, children of parents with mental disorders are also at risk of poorer intellectual and social outcomes, of affect dysregulation, of behavioral problems, of impaired attention and reduced overall adaptive functioning, of higher rates of substance abuse and multiple diagnosis and finally of low occupational status, health risk behaviour and antisocial behavior.ConclusionsGiven the high toll paid by children having parents suffering from severe mental disorders, it is urgent to develop, test and implement structured programmes to help these children cope with stressful circumstances and improve their resilience.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Do not forget alcohol damage – Cognitive impairments related to alcohol
Authors: Lázaro M. , Carvalhão Gil L. , Ponte A. , Mota T. 
Published: June 2017

IntroductionChronic excessive alcohol consumption may lead to structural and functional damage of the brain. Alcohol-related cognitive impairments are well-established and confirmed by neuropsychological and neuroimaging studies. However, the influence of each neuropathological mechanisms is still under discussion. This topic is increasingly becoming focus of attention in psychiatry.ObjectivesReview the neuropathology, clinical features, neuropsychology and management of alcohol-related cognitive impairments.AimsEvaluate clinical impact, management and prognosis of alcohol-related cognitive impairments.MethodsA literature search was performed on PubMed and Medscape database.ResultsAccording to our literature research, there is a debate concerning the relative contributions of the direct toxic effect of alcohol and the impact of thiamine deficiency on the alcohol-related cognitive impairments. Research about this issue is challenging, considering the multiple patterns of alcohol abuse, the personal and lifestyle factors, and the vulnerability of specific brain regions. The cognitive decline is linked to neuroanatomical alterations and primarily affects executive functions, episodic memory, and visuospatial capacities. These deficits may range from mild to severe but usually remain undiagnosed, unless they are specifically investigated. Maintenance of lasting abstinence is associated with cognitive recovery, but some impairments may persist and interfere with the prognosis.ConclusionRecognizing and screening for alcohol-related cognitive impairments is crucial to offer significant benefits to patients by optimising management strategies.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Problematic Internet use and associated mental health issues in South Korean Internet users
Authors: Lee T.K. , Kim J. , Kim E.J. , Kim G. , Lee S. , Kang Y.J. , Lee J. , Nam Y. , Young-Mi K. 
Published: June 2017

IntroductionThe Internet is commonly used in modern society; however, Internet use may become a problematic behaviour. There is an increasing need for research on problematic Internet use (PIU) and its’ associated risk factors.ObjectivesThis study aims to explore the prevalence and health correlates of problematic Internet use among South Korean adults.MethodsWe recruited the participants aged between 18 and 84 years old among the online panel of an online research service. The sample size of the survey was 500. Of these 500 participants, 51.4% (n = 257) were men and 48.6% (n = 243) were women. A participant was classified as a problematic Internet use (PIU) if his/her total score of Young's Internet Addiction Scale (YIA) was above 50. Stress Response Index (SRI), Fagerstrom test for nicotine dependence, lifetime average caffeine consumption, and sociodemographic query form were used in the collection of data. The t test and chi-square test were used for data analysis.ResultsOne hundred ninety-seven (39.4%) of the participants was classified into the PIU group. There was no difference of gender and education between PIU and normal users. However, PIU group was younger (mean 39.5 years) than normal users (mean 45.8 years). PIU group was more likely to have high levels of perceived stress, nicotine dependence, and drink more often caffeinated beverages (P < 0.05).ConclusionsThese data indicate that problematic Internet use is associated with perceived stress level, nicotine and caffeine use in South Korean Internet users. More research is needed to better understand the relationship between Internet use and mental health issues.Disclosure of interestThe authors have not supplied their declaration of competing interest.
What are sweet dreams made of? Analysis of psychoactive substances into “gummies”: A retrospective descriptive study
Authors: Trabsa A. , Monteagudo E. , Mariona D.D. , Grifell M. , Galindo L. , González L. , Quintana P. , Palma Á. , Santiago P. , Sanagustin D. , Ventura M. , Torrens M. 
Published: June 2017

IntroductionAlthough psychoactive substances has a long history in recreational settings, research on its composition has focused only on tablets, crystal and powder, even though new formulation for new psychoactive substances are readily available for users.ObjectivesTo describe the presence of psychoactive substances and its characteristics in new formulations which had not previously been found in samples delivered to Energy Control from 2014 to 2015 in Spain.MethodsA total of 8324 samples were analysed from June 2014 to December 2015. Only those samples in gummy formulation were studied (n = 9). Samples were analyzed by energy control, a Spanish harm-reduction NGO that offers analysis of substances to users. Analysis was done by gas chromatography-mass spectrometry.ResultsFrom 9 samples of psychoactive substances in gummy formulation, the analysis detected that 55.5% contained multiple psychoactive substances: 6 samples contained 25N-NBOMe (66.7%), 1 2C-E (11.1%), 1 2C-D (11.1%). Two allylescaline (20%), 1 cocaine (11.1%), 1 THC (11.1%), 1 canabinol (11.1%), 1 ketamine (11.1%), 1 caffeine (11.1%), 1 MDMA (11.1%), 1 N-acetyl-MDMA (11.1%), 1 metoxetamine (11.1%), 1 N-acetyl-MDMA), 1 2C-N (11.1%). The only substance found in active dosage was 25N-NBOMe. Six samples (66.67%) did not contain the substance expected by the consumer.DiscussionIncipient presence of gummies as new psychoactive formulation was found. The most prevalent drug was 25N-NBOMe; 66.7% did not contain the substance expected. This may pose a risk for potential harmful effects. All the gummies were known to be drug-carriers when bought. This could represent the presence of new formulations from June 2014 in the Spanish recreational market.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Ethics of Mobile Health Technology
Authors: Galderisi S. , Caputo F. 
Published: June 2017

IntroductionMobile health (m-health) technology has been growing rapidly in the last decades. The use of this technology represents an advantage, especially for reaching patients who otherwise would have no access to healthcare. However, many ethical issues arise from the use of m-health. Health equity, privacy policies, adequate informed consent and a competent, safe and high quality healthcare need to be guaranteed; professional standards and quality of doctor-patient relationship in the digital setting should not be lower than those set for in-person practice.AimsTo assess advantages and threats that may arise from the wide use of m-health technologies, in order to guarantee the application of the best medical practices, resulting in the highest quality healthcare.MethodsA literature search has been conducted to highlight the most pressing ethical issues emerging from the spreading of m-health technologies.ResultsFew ethical guidelines on the appropriate use of m-health have been developed to help clinicians adopt a professional conduct within digital settings. They focus on the need for professional associations to define ethical guidelines and for physicians to take care of their education and online behavior when using m-health technologies.ConclusionsThe rapid spreading of m-health technologies urges us to evaluate all ethical issues related to its use. It would be advisable to produce an ethical code for the use of these new technologies, to guarantee health equity, privacy protection, high quality doctor-patient relationships and to ensure that m-health is not chosen over traditional care for merely economic purposes.Disclosure of interestSG received honoraria or Advisory board/consulting fees from the following companies: Lundbeck, Janssen Pharmaceuticals, Hoffman-La Roche, Angelini-Acraf, Otsuka, Pierre Fabre and Gedeon-Richter. All other authors have declared.
The ethno-cultural peculiarities of suicidal behavior in multinational Russia
Authors: Polozhy B. 
Published: June 2017

IntroductionAccording to the data of 2015, suicide rate in Russia was 17.1 cases per 100,000 population. However, many aspects of the problem of suicidal behavior are not studied. This prevents the organization of the system of effective suicide prevention. In this regard, special attention deserves ethno-cultural factors, since they are essential to the moral and ethical attitude to the possibility of suicide and to potential willingness to formation of suicidal behavior.ObjectiveStudy of the rate of suicide among different nations of Russia.MethodsStatistical analysis of suicide rate in constituent entities of the Russian federation from 2010 to 2015.ResultsThe specificity of suicide situation in Russia is that suicide rates in different ethnic groups of the population has the distinction of reaching 21: from 2.8 per 100,000 in the Republic of North Ossetia to 59.7 per 100,000 in the Altai Republic. This is due to cultural peculiarities of different ethnic groups, including the historically established their relationship to suicide. Taking in consideration these factors were elaborated the differential programs for suicide prevention. That has allowed to lower suicidal rate in Russia in 1.4 times for the last 5 years. That indicates the possible beneficial effects of the ethno-cultural approach in suicide prevention strategies.ConclusionIn planning programs suicide prevention in multinational countries should take into account the ethno-cultural characteristics of the residing peoples.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Surviving psychiatry on-calls
Authors: Holt C. , Mirvis R. , Butler S. , Howe A. , Lowe P. , Mullin J. , Mirzadeh D. , Sedgwick R. , Zacharia T. 
Published: June 2017

IntroductionOut of hours, there is only one on-site junior doctor. First year psychiatry trainees (CT1s) and GP trainees may have no prior experience in psychiatry. On-call shifts are therefore potentially daunting for new trainees.ObjectivesExpand the resources available for trainees when on-call.MethodsWe issued questionnaires to CT1s asking if they would have appreciated more information about on-call scenarios and in what format.Based on the questionnaire results we implemented some changes. These were:– a printed “pocket-guide” summarising common on-call scenarios;– a training video on common on-call scenarios.The handout was given to new trainees in February 2016 and in August 2016. The video was shown to new trainees in August 2016. Trainees provided feedback on the resources.ResultsOf 24 CT1s, 15 (63%) were “neutral” or “disagreed” that they had felt prepared for on-calls.CT1s wanted additional resources, especially a paper handout or phone download.Feedback on the “pocket-guide” from trainees in February 2016 (n = 8) was positive (62.5% reported increased confidence in on-call situations). Feedback is also being collected from trainees who received the guide in August 2016.Trainees in August 2016 (n = 36) liked the video – no trainees “disagreed” with statements asking if the video had been useful.The video improved the confidence of trainees about on-call situations by an average of 2.8 points.ConclusionsWe have expanded available resources relating to on-calls and improved confidence. Further improvements would include making resources more easily available in downloadable formats.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Ecological momentary assessment and physiological self-evaluation improve mindfulness of stress-related events during interprofessional training. Meta-analysis of a pilot study
Authors: Lazzari C. , Masiello I. 
Published: June 2017

IntroductionSelf-reflective learning improves interprofessional education (IPE).ObjectivesPromoting ecological momentary assessment (EMA) of IPE via an online app. This shall allow contextual recording of students’ heart rate during and after pivotal moments of their training, thus improving mindfulness of stressful events (MSE).AimsTo make health care students mindful of the effect of their anxiety about learning, patient safety and performance.MethodsThirty-two undergraduate students contextually recorded their heart rate with a pulse-oximeter before and after each learning moment: discussion of a clinical case during ward rounds (ClinDis), attending patients as an interprofessional team (BedPat) and self-reflective practice at the end of each day of training (SelfRef). Results were recorded on a dedicated app linked to an online survey. Meta-analysis with Tau squared (t2), Cochrane's Q and I2 provided the results.ResultsMeta-analysis (Fig. 1) of IPE events was significant at P = 0.003, with t2 = 16.515, Q (5d.f.) = 17.913, and I2 = 72.088%. The bedside care had the higher statistically significant heterogeneity in the before-after event with t2 = 53.275, P = 0.001, Q (5d.f.) = 10.803 and I2 = 90.74% due to an increase in heart rate after patient care (BedPatAft).ConclusionsEMA reinforces self-reflection in IPE by making students mindful of the impact of educational emotions on team performance and patients’ quality of care.Fig. 1Results for contextual heart rate during interprofessional education.Disclosure of interestThe authors have not supplied their declaration of competing interest.