bluuebunny/crossref_metadata_2025_split huggingface dataset:
Screening for depressive symptoms among adolescent consulting in emergency
Authors: Moalla M. , Feki I. , Sellami R. , Ktata A. , Feki S. , Masmoudi J. 
Published: June 2017

IntroductionAmongst adolescents, depression is a common mental health problem. Adolescent depression is associated with distress, functional impairment and difficulties in relationships with peers and family members. Depressive symptoms, even if sub-threshold to meet diagnostic criteria for a depressive disorder, are also risk factors for these difficulties. Adolescents rarely consult for their psychological distress. Emergency departments, which are often used by adolescents in this context, constitute a privileged place to detect this suffering.ObjectivesThe objective of this study was to estimate the prevalence and correlates of psychological distress among adolescents seen in emergency department.MethodsOur study was a transversal type, descriptive and analytic. It was conducted with 106 adolescents consulting in emergency department. All adolescents completed a sociodemographic data and the Adolescent Depression Rating Scale (ADRS), a screening questionnaire for depression.ResultsThe study included 106 adolescents. All of them consult for a somatic complain and none of them goes to the emergency department for a psychiatric reason. The mean age was 16.34 ± 2.54 (12→19 years). Sex ratio (♂/♀) = 0.89. The ADRS score was considered normal (score < 4) for 54.7% of the sample (n = 58) and 45.3% of adolescents (n = 48) had depressive symptoms (score ≥ 4). Depression was significantly correlated to bad school results (P = 10−3), tobacco use (P = 0.014), personal psychiatric history (P = 10−3) and family problems (P = 10−3).ConclusionDepressive symptoms are frequent among adolescents. Their consultations within emergency department provide a potential opportunity for their identification and for signposting to appropriate specialist services.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Long-term inyectable antipsychotics in adolescents. A case report
Authors: Nuevo Fernández L. , Muñoz V. , Saenz B. , Asensio L. , Mella L. , Font M.A. , Novo M. 
Published: June 2017

IntroductionActually psychiatrists around the world are treating children and adolescents (despite limited medical indications in this age group) with atypical antipsychotics at increasing rates for a range of psychiatric illnesses (schizophrenia, bipolar disorder, behavioral changes…). Over the last few years, a number of new long-term injectable treatments (ILD) have emerged, the advantages of which are found in adult (adherence, functionality, consistent blood level without daily peaks…) but we do not have enough data in minors.ObjectivesDiscuss utility of ILD in adolescents.MethodsWe expose a case report about a 17-year-old man, when he was a child he was diagnosed with attention deficit disorder and autism spectrum disorder and also he had a story of disrupted behavioural and aggressively. After been hospitalized in our hospital we remake his clinic history and he was diagnosed with schizophrenia. Before the injectable treatment (ABILIFY MAINTENA®) this patient tried various treatments (mood stabilizers, antidepressants…) and many hospitalizations.ResultsAfter the ILD, our patient has good functionality, he is now living with his parents and studying in the high school. He has not needed another hospitalization after the last one.ConclusionsThe ILD in adolescents must be a therapeutic option in mental disease, in this group is very difficult the complementation of the treatment, it's frequent the comorbid use of substances, this population are not used to take medications… so every treatment that facility this kind of problems must be a perfect weapon to improve their mental health and to prevent relapse and hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Bipolar disorder and substance use disorders in a Tunisian sample
Authors: Mustapha S. Ben , Homri W. , Labbane R. 
Published: June 2017

AimsDescribe the sociodemographic and clinical profile of patients suffering from bipolar disorder and substance use disorders comorbidity and assess the consequences of this comorbidity on prognosis and evolution of bipolar disorder,MethodsA case-control study, 100 euthymic patients treated for bipolar disorder, recruited in the department of psychiatry C of Razi hospital. Two groups of 50 patients were individualized by the presence or not of substance use disorders comorbidity. The two groups were compared for sociodemographic, clinical, therapeutic and historical characteristics.ResultsCompared to bipolar patients without addictive comorbidity, those with this comorbidity had the following characteristics: we found more male, less family cohesion, more domestic violence, more criminal records, more time spent abroad, more personality disorders especially antisocial and borderline, fewer triggers of bipolar illness, more mood episodes, more psychotic features, higher impulsivity BIS-10 score, an increased need to put in a neuroleptic long term treatment, poor adherence to treatment, lower response to treatment, lower score of global assessment of functioning (GAF), more rapid cycles, shorter period of remission, longer duration of the last mood episode, poor socio-professional integration and poor quality of intervals between mood episodes.ConclusionsIt seems important to insist on the identification and the treatment of bipolar disorder or substance use disorders when one of them is diagnosed. This needs to set up urgently facilities and care structures for patients with substance use disorders and to create more addiction consultations.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Psychogenic headache and analysis of 65 cases with craniocervical junction malformation operated
Authors: Vasconcelos S.C. , Holanda M.M.A. , Melo C.I.E. , Silva T.S. , Araújo-Neto S.A. , Neto E.J. Silva 
Published: June 2017

IntroductionCraniocervical junction (CCJ) malformations are common pathologies in Northeast of Brazil, predominating Basilar Invagination (BI) and Chiari Malformation (CM), sometimes associated to syringomielia (SM).AimsAnalyse the headache pattern in cases with CCJ malformation operated.MethodsRetrospective study of 65 cases with CCJ malformation, operated between 1994 and 2015, with analysis of headache pattern.ResultsOf 65 cases operated, 29 patients (44.6%) had BI and CM, 26 (40%) had BI, CM and SM, 2, only CM and 1, CM and SM. Of all patients, 39 (49.2%) presented headache and 43 (66.1%), nuchal pain. Among those who presented BI and CM, 12 (41.4%) presented headache and nuchal pain association. Of 26 with BI, CM and SM associated, 11 (42.3%) presented headache and nuchal pain association. We notice yet the presence of brachycephaly in 44 cases (67,7%) and brevis collis in 42 (64.6%). Headache, nuchal pain, brachycephaly and brevis collis were all present in 9 patients (31%) of BI and MC group, and in 8 (30.8%) of IB, CM and SM group.ConclusionsSeveral denominations referred to psychogenic headache: muscle contraction headache, stress headache and, finally, tension headache, well defined in the classification of International Headache Society (IHS) with clear diagnosis criteria. Bilateral location, predominantly occipital, is an important differential diagnosis with holocranial headache or occipital secondary to craniocervical malformations, and when associated to brachycephaly and brevis colis, should be carefully investigated. Diagnostic failure in symptomatic or neurological deficit’ patients can sequelae due to chronic compression of structures adjacent to CCJ.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Does comorbid depression and alcoholic dependence influence cognition in Bulgarian womеn?
Authors: Giannouli V. , Ivanova D. 
Published: June 2017

IntroductionPrevious research on the impact of alcohol intake on human behavior and cognition has revealed the detrimental effects of alcohol dependence. Especially in women, depression is often associated with the initiation of alcohol abuse that provokes new episodes of depression and this cycle tends to chronify.ObjectiveAlthough the co-occurrence of depression and alcoholism is well documented, there is still scarce data on the cognition of depressed alcohol-depended women. The aim of the present study is to examine the cognitive function in women who demonstrate both depression and alcohol dependence.MethodA group of fifty-three Bulgarian women with a formal diagnosis of alcohol dependence (Mage = 43.89, SDage = 9.48; level of education: all with high school education) and varying levels of depressive symptomatology were examined at the Municipal Council on Drug Addiction Blagoevgrad. Information were collected from personal history taking (anamnesis), self-reports and the Lesch Alcoholism Typology–Questionnaire (LAT online program). The women were grouped according to their age (27–45 and 46–71).ResultsResults indicated that there is a significant influence of depression (P = .032), a slightly above the statistical significance level non-influence of age (P = .056), and an interaction of the influence of depression*age (P = .048) on self-reported cognitive performance.ConclusionsThe present research suggests that future researchers should further clarify in a more systematic way the factors that influence cognition in this special population with comorbid depression and alcoholic dependence.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Cases where pituitary tumor is presented first with psychiatric signs are very rare
Authors: Pengili Taulant , Hashorva Anila , Prifti Ina , Lici Marsida , Balani Enida 
Published: June 2017

ObjectiveTo describe a rare case of Acromegaly presenting as psychotic disorder without neurological signs, in a 19 years old boy.MethodSingle case report.ResultsWe describe the case of a 19 years old boy, that was taller than his peers and had started to grow his hands. He suddenly presented with an acute psychotic episode. He presented with persecutory delusions, perceptual abnormalities, disorganization and marked fluctuation in his behavior, he showed marked emotional liability, fluctuations in orientation and psychotic symptoms in the form of grandiosity, persecutory delusions and delusional misidentifications. At times, he was seen talking to himself, although he denied hearing any voices. There was no impairment of consciousness. His mood was irritable. An urgent CT and subsequent MRI scan revealed a pituitary macro adenoma, extending into the cavernous sinus. The initial diagnosis of prolactinoma was revised to acromegaly. His symptoms responded to combination of olanzapine and valproic acid, followed by trans sphenoid resection of the adenoma.ConclusionsThis case highlights the need for investigation, especially of neuroimaging, in atypical presentations of psychosis, which may be first manifestation of rare disorders like acromegaly. Despite a lack of information regarding the path physiology, this particular case emphasizes the importance of ruling out an organic cause for atypical presentation of psychosis.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Suspension of judgement: A tool for non-invasive therapeutic relationship
Authors: Buffardi G. 
Published: June 2017

We often refer to our ability to perceive the other mind as a gift of our experience that helps us in our work. But to use this insight as a guidance counselor in the treatment process is sometimes a harbinger of relational mistakes that affect the success of the treatment.The specialist, psychiatrist or psychotherapist (but also other aid professionals), has to learn the process of the suspension of judgment “epochè”, described in Jaspers’ psychopathology.To foster learning of “epochè” we developed some exercises that help the young therapist in training. We believe they are also particularly useful for the training of students who are undergoing specialized training to become psychiatrists.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Psychological distress following spinal cord injury
Authors: Kinson R. , Tan J. , Hussain D. , Looi P.S. , Tan L. 
Published: June 2017

IntroductionThere is limited data on psychological burden following spinal cord injury (SCI) in Singapore.Aims(1) To describe the prevalence of depression and anxiety at admission for inpatient rehabilitation and (2) describe the baseline characteristics that predict the development of anxiety or depression in patients following SCI.MethodologyWe retrospectively reviewed medical records of SCI patients at admission from 01-06-2013 to 31-12-2015. The Hospital Anxiety and Depression Scale (HADS), ASIA score and demographics were collated.ResultsA total of 157 subjects were included, 62.4% (n = 98) were male with a mean age of 56.7 years. 43.4% (n = 68) had a traumatic SCI with 73.9% (n = 116) having had spinal surgery. The average length of stay was 46.6 days with most discharged to their own homes. Ten subjects screened positive for anxiety (6.4%) and 16 for depression (10.2%). 13.4% (n = 21) screened positive for anxiety and/or depression. Two third (n = 95) had injuries at the cervical level and 14% (n = 22) scored ASIA A/B. 45.9% (n = 72) was referred to the psychologist. A significantly higher proportion of subjects (P < 0.05) who screened positive had a past psychiatric history, were prescribed antidepressants at admission and during rehabilitation. Significant differences were noted in primary caregiver (nursing home vs. others) following discharge when comparing those that screened positive vs. negative however there were no significant differences between baseline demographics, neurological level and ASIA score.ConclusionPsychological burden following SCI is significant. Standardized screening and psychological support is warranted with special attention to those with a past psychiatric history.Disclosure of interestThe authors have not supplied their declaration of competing interest.
A psychiatric liaison team at the university medical services: A pilot experience
Authors: Morais S. , Ribeiro J. Silva , Melo A. , Rodrigues M. , Pereira T. , Lavaredas C. , Queirós A. , Madeira N. 
Published: June 2017

IntroductionUniversity students represent a specific population with concerns, burdens and worries that differ from other age and occupation groups. Students’ experiences are often exciting and empowering, yet facing multiple stressors that may trigger various forms of psychopathology. Our psychiatry department created a specific liaison service for university students in order to provide an easy and quick access to this medical speciality, included at the Multidisciplinary University Medical Services.AimsTo characterize a sample of college student users of our Psychiatry Liaison Unit regarding socio-demographic and clinic variables.MethodsSocio-demographic and clinic characterization was undertaken in all students observed during sixteen months (1st April 2015–30th July 2016).ResultsFifty-three outpatients were observed: 35 females (66%) and 18 males (34%), aged between 18 and 39 years old (average: 23.94; median: 23). The majority was Portuguese and lived originally in urban areas. A total of75.3% were displaced and 60% lived with colleagues while 84.9% attended an undergraduate degree, and 38% studied at faculty of Science and Technology. Clinically, 79.2% were referenced by the University Medical Services, and adjustment disorders (ICD-10 F43.2) were the most frequent diagnosis. Relatively to suicidal behaviors and self-harm, 5.7% did self-cutting, 49.1% took an antidepressant combined with another psychotropic drugs, and 81.1% maintained cognitive-behavioral interventions.ConclusionsThe typical university students’ psychiatry outpatient was of female gender, in an undergraduate degree, displaced and living without their family. The most frequent diagnosis was adjustment disorder, and about a quarter were successfully discharged. Multidisciplinary University Medical Services located near to students can easily refer patients to Psychiatry Liaison Units, allowing diagnosis and intervention at early stages of mental disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Multiphasic personality inventory on pneumo-or hemo-thorax: Retrospective cross-sectional analysis of military candidate in Korea
Authors: Nam B. , Ahn M.C. , Kim T. 
Published: June 2017

ObjectivesThe aim of this study was to identify association between pneumo- or hemo-thorax and psychological distress using the Military Personality Inventory (MPI).MethodsA retrospective cross-sectional study was conducted with 19-yr-old examinees who were admitted to the Military Manpower Administration in Korea from February 2009 to January 2010. A total number of 1955 young men were enrolled in this study. The normal volunteer group (n = 1561) comprise individuals who did not have pneumo- or hemo-thorax. The pneumo- or hemo-thorax group (n = 394) included individuals with pneumo- or hemo-thorax. This group was divided into two subgroups, group A (treated with conservative care or chest tube insertion, n = 341) and group B (treated with wedge resection, n = 53).ResultsWe compared each of three groups (Control group, Group A, Group B) using the analysis of covariant (ANCOVA). The somatization subscale score of the neurosis category was significantly higher for group A (P < 0.001) and showed higher tendency for Group B than the control group (P = 0.073). The other categories (validity scale; anxiety, depression, and personality disorder subscales for neurosis scale; and psychopath scale) showed no significant difference in the MPI among Group A, Group B and Control group.ConclusionConservative care or chest tube insertion group had higher somatization symptoms than control group. Wedge resection group had higher somatization tendency than control group. Individuals with pneumo- or hemo-thorax history may be concerned about their body shape or their general condition. Therefore, supportive intervention and psychiatric education may be needed for them to relieve somatic distress.Disclosure of interestThe authors have not supplied their declaration of competing interest.
A case report of mansonellosis with neuropsychiatric symptoms
Authors: González R. Sánchez , Asseiceiro D. Maia , Miravet R. Torres 
Published: June 2017

IntroductionAccording to the WHO, tropical diseases affect 1/5 of the world population, being increasingly frequent in Europe. Most of these diseases produce mainly physical symptoms, but the appearance of accompanying neuropsychiatric symptoms are not uncommon.ObjectiveTo present a clinical case of mansonellosis with neuropsychiatric symptoms.Clinical caseTwenty-two-year-old man from Equatorial Guinea, resident in the European Union for 3 years without psychiatric history. His medical history included recurrent malaria, syphilis treated with penicillin and he was HBsAg carrier.He presented with a 10 month history of headache, pruritus, retrograde amnesia, episodes of anxiety and persecutory delusions. Previously he had gone to the emergency room several times. Cranial CT scan showed no abnormalities. Anxiolytic treatment with benzodiazepines was started, with partial response of the symptoms.The blood tests revealed a WBC count of 62 × 10E9/L leukocytes with 11% eosinophils, IgE 5242 IU/mL and IgG 1740 mg/dL. Given the suspicion of filarial infection, a thick blood film was done, the result being positive for mansonella perstans. He was administered treatment with albendazole 400 mg/12 h for 10 days and ivermectin in single dose. One month after start of treatment the patient was asymptomatic with complete resolution of the neuropsychiatric symptoms and correction of eosinophilia.ResultsThe patient's origin, his medical history and the typical symptoms of parasitosis should raise the suspicion of an infectious origin of the neuropsychiatric symptoms.ConclusionsThe patients from tropical regions with neurological and/or psychiatric symptoms should undergo comprehensive diagnostic workup to rule out an infectious disease as a possible cause.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The psychological signs of the patients who receive treatment in the general clinic
Authors: Akahn L. Utas 
Published: June 2017

BackgroundFor most of the physical illnesses, behavioral, emotional, cognitive and inter-personal reactions develop. These psychiatric conditions and reactions are actually the adjustment process of the organism.ObjectivesStudy is conducted in order to identify the psychiatric signs as well as findings of the patients who receive treatment in the general services of hospitals.MethodsThe study was carried out with a total of 500 patients who receive treatment in the general service of a hospital of a ministry of health in Turkey between February and May in 2015 by descriptive cross-sectional method. For collecting the data; patient charts, SCL 90-Rand general health questionnaire as well as hospital anxiety and depression scale were utilized. Kolmogorov Smirnov Normality test was applied for the average SCL90R and general health. Questionnaire, as a result of the test, it was detected that both scales did not meet the assumption of normality Therefore, Kruskal Wallis test of non-parametric was used.ResultsThe study showed no significant difference among the lengths of stay in the hospital according to the average SCL90-R and general health questionnaire It was observed that the patients in the cardiology, neurology, and plastic surgery departments had a higher rate of signs of obsessive compulsive disorders; that the patients in the plastic surgery and internal diseases departments had a higher rate of depressive signs; that the patients in the neurology and plastic surgery departments had a higher rate of paranoid ideation; and that the patients in the neurology service had a higher rate of psychoticism.ConclusionsOverall, it has been observed that the patients hospitalized in the neurology and plastic surgery services had more physiological signs compared to those receiving treatment in the other services.Disclosure of interestThe author has not supplied his declaration of competing interest.