bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of depression in Tunisian general population
Authors: Belhadj H. , Jomli R. 
Published: June 2017

IntroductionDepression is a major burden for the health-care system worldwide.ObjectiveTo identify prevalence and severity of depression in Tunisian general population and define socoiodemographic characteristics of screened positive to depression participants.MethodWe undertook a cross-sectional and descriptive study. A total of 134 participants, representative of the Tunisian general population, were enrolled. Age, gender, and educational level were the major criteria for representativeness. Depression was assessed with the Patient Health Questionnaire (PHQ-9).ResultsThe cut-off score was 10. The prevalence of depression was 13.4%. There were no statistical difference in gender, education and age for the prevalence of depression.ConclusionThe World Health Organization ranks depression as the fourth leading cause of disability worldwide. Thus, the detection of depression and the dissemination of treatment in the general population are very important to reduce the burden of the disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Anxiety and depression at the medical students in post-examination
Authors: Saadi S. Ben , Moula O. , Oueslati J. , Jelalia I. , Ghachem R. 
Published: June 2017

IntroductionThe course of medical studies is a long route asking for a lot of breath. It is enclosed by the national examination for specialisation, which allows to access professional training. This examination requires a diligent preparation over several months in difficult conditions for the most part of the candidates who are in practical training.Objectivesand aims We suggest estimating the degree of anxiety and depression at the candidates in the week following the national examination for specialization of 2016.MethodsWe have put online on the pages of the various Tunisian Faculties of Medicine an anonymous questionnaire intended for the candidates who took the national examination for specialization of 2016. We used the scale HAD (Hospital Anxiety and depression scale).ResultsWe recruited 220 participants. More or less half of the participants declare to be rather often in a good mood, that they take little only of the pleasure in the same things as before, that they laugh and see the highly-rated voucher of things really less than before, that they are made of the concern very often and that they sometimes experience sensations of fear. A third of the participants feel tense or irritated most of the time feel sudden sensations of panic rather often and have the impression to work in slow motion rather often.ConclusionTaking the national examination of specialization rhymes with stress and anxiety. It leads us to question: is it necessary to assure a psychological coverage during the preparation and upstream of the competition?Disclosure of interestThe authors have not supplied their declaration of competing interest.
Management of treatment resistant depression: A comparison between French expert consensus guidelines and international evidence based guidelines
Authors: Charpeaud T. , Yrondi A. , El-Hage W. , Leboyer M. , Haffen E. , Llorca P.M. , Courtet P. , Aouizerate B. 
Published: June 2017

Expert consensus guidelines rely on a relevant methodological procedure complementary to based-evidence recommendations. They aim at offering support strategies derived from expert consensus for clinical situations where the levels of evidence are either absent or insufficient. Recommendations for resistant depressive disorders proposed by french association for biological psychiatry and fondamental foundation, were based on responses from 36 highly specialized experts in this field. They were invited to complete a comprehensive questionnaire with 118 issues. The questions raised covered a wide range of aspects from the evaluation of therapeutic resistance and clinical conditions increasing the risk for treatment failure to the adopted therapeutic strategies organized according the effects of previous treatment lines. Specific populations/situations especially including elderly, comorbidities (anxiety disorders, personality disorders and addictions) were also been studied through specific questions. Such recommendations are intended to substantially help the decision and therapeutic choice of clinician implied in the management of resistant depressive disorders in everyday clinical practice. We propose in this communication to compare the results of these recommendations with the various data from the evidence-based guidelines in order to demonstrate their complementarity for the management of resistant depressive disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The effect of subjective well being method on depression in high school students
Authors: Pourshahriari M. , Abrishami Z. 
Published: June 2017

IntroductionDepression has a large impact on individual, family and society. This disorder can start early in life and often go untreated. The aim of current research was to investigate the effectiveness of subjective well being method in reduction of depression in high school students by using a cluster random sampling four hundreds students were selected from five different areas. All subjects answered the Kovaks Depression Questionnaire and hundred (fifty boys and fifty girls) had been selected who were under the mean score. The subjects were randomly assigned to four groups, two excremental, two controls. The intervention was used in an hour and a half each week for twelve weeks fifteen.MethodsThe data was analysed using manova that showed significant difference among experiment pan control groups on depression scores. But there were no difference between sexes.The study suggest further study with longer intervention.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Theory of mind in binge eating disorder: an exploratory study
Authors: Legnani A. , Martoni R.M. , Brombin C. , Cugnata F. , Porta R. , de Filippis R. , Erzegovesi S. , Caputi M. 
Published: June 2017

Introductionto date, studies on the relationship between Theory of Mind (ToM) and eating disorders (ED) have never considered binge eating disorder (BED).Aims a) to assess ToM abilities in a sample of patients suffering from BED comparing them with healthy controls; b) to evaluate the influence of several variables (demographic, clinical and neuropsychological dimensions, attachment styles, traumatic events, comorbid Axis I and II disorders) on ToM abilities.Methodswe assessed ToM in a sample of 20 BED patients and 22 women from the general population using the Reading the Mind in the Eyes Test (RMET) and the Faux Pas Test (FPT).Resultsregarding the first aim, the comparison between groups showed that the clinical group scored significantly lower than the control group on the RMET as well as on FPT. Regarding the second aim, two different multiple regression models were performed: one for the RMET and one for the FPT. Both of them led to significant results. When modeling RMET score, it emerged that age and Binge Eating Scale significantly reduce the score, while vocabulary and drive for thinness have a positive effect (r2 = 0.62). When modeling FPT score, we found that central coherence and binge eating significantly reduce the total score (r2 = 0.33).Conclusionsour study begins to shed light on the relationship between ToM and BED; in particular, it suggests that BED patients have lower mentalization skills than healthy controls and ToM abilities are partially influenced by clinical variables related to eating pathology.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Association between eating disorders and 5-HTTLPR polymorphism: The experience of an Italian eating disorders unit
Authors: Oriani M.G. , Barchiesi M. , Sabbatini L. , Nardi B. 
Published: June 2017

IntroductionEating Disorders (ED) as Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED) are severe and debilitating psychiatric diseases whose etiology is complex and still largely unknown. Several studies seem to suggest that serotonin could be involved and notably there are several associations with 5-HTTLPR polymorphism, especially with the S allele and the S/S genotype.ObjectivesThe purpose of this study is to evaluate if an association between ED and 5-HTTLPR (especially the S allele frequency) can be shown.Material and methodsA group of about 100 subjects attending the eating disorders unit of Ancona will be tested. Their DNA will be taken and the frequency of the S allele will be compared with a control subjects group negative for ED. Then, the ED group will be divided, according to the DSM-5 criteria, in 3 subgroups (AN, BN, BED) and potential differences will be evaluated.ResultsAt the moment, we are still collecting patients. According to other studies involving 5-HTTLPR, the S allele frequency in Italy is comparable with the European one, so there is reason to believe that an association could be found.ConclusionsSerotonin involvement in ED in literature is shown, but it still has to be completely expounded. Studies as this one could help in describing the etiology and the development of this disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Visuo-Haptic information processing in patients suffering of anorexia nervosa
Authors: Risso G. , Martoni R.M. , Cavallini M.C. , Erzegovesi S. , Baud-Bovy G. 
Published: June 2017

IntroductionSeveral studies recently investigated how Anorexia Nervosa patients (ANp) process multimodal information. Longo (2015) hypothesized that ANp might be less reliant on visual perception of bodies than healthy controls (HC). Case et al. showed that processing of multimodal information might be disrupted in ANp. Literature lacks of studies that measure precisely and compare directly the contributions of each sensory input.ObjectiveTo investigate the integration of visual and haptic inputs in ANp compared with HC and measure the weight of each input.MethodWe used a visuo-haptic integration task with a setup adapted from Gori et al. (2008) to measure each sensory input's when judging the size of a cube according to Maximum Likelihood Estimation theory which describes the optimal multimodal integration behaviour (Ernst and Banks, 2002). Fifteen ANp and 16 HCs were recruited.ResultsRegardless the group, we found considerable individual variability about the integration processes; moreover, many participants did not integrate optimally. Correlation analysis suggested that ANp rely less on visual information then HC.ConclusionsDespite using a setup previously validated with children, the observation that many HC did not integrate optimally is not in line with the results of previous studies, making it difficult the comparison with the AN group. The setup might not be adapted to adults and it needs to be improved. Our study shows for the first time how it might be possible to measure and compare directly the contribution of two different sensory modalities. This could provide precious information to deeply investigate the pathology.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Evaluation of experts’ clinical practice in crisis unit and psychiatric emergency technical and therapeutic principles to better intervene
Authors: Denis J. , Hendrick S. 
Published: June 2017

IntroductionClinical practice in emergency room and crisis unit is often fraught with pitfalls (Immediate demands, accelerated temporality, difficulties working with family and care network). This practice contains specific clinical therapeutic interventions based on recognized theoretical frameworks. These theoretical frameworks constitute “formal knowledge”. They help to diagnose but have got limitations. In fact, clinical competence requires also technical and interpersonal skills (“know-how”) as well as reasoning skills and clinical intuition (“Informal knowledge”). All these knowledge and skills are built over clinical experience based on trainings and supervisions, continued clinical reasoning and exchanges with colleagues.ObjectivesOur research aims to capture therapeutic processes in clinical crisis intervention by illustrating what experts really do in their clinical practice and above all, how they do.AimsOur study illustrates several crisis situations, moment-by-moment, by analyzed experts’ voices.MethodOur method is grounded in a first person epistemology and used a qualitative methodology focused on explicitation interview. Ten crisis interviews were analyzed in a micro and macro perception.ResultsOur research based on experts’ voices has identified a series of therapeutic techniques and principles who are essential to better intervene in clinical crisis intervention. A model of intervention was developed to train debutant clinician.ConclusionWe believe that reflexivity is a powerful attitude to understand and transform practices in a lasting way.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Relation of stress coping strategies and depressive symptoms in university students
Authors: Kara D. , Gulmez H. , Sayar G. Hizli 
Published: June 2017

Relationships between students’ coping strategies with stress and effects on depressive tendencies of negative automatic thoughts are examined in the poster. A group of 153 (126 female and 27 male) university students attending the University of Üsküdar were examined using the Coping Strategy with Stress Indicator (CSSI) to measure the styles of coping with stress; the Beck Depression Inventory (BDI) to measure the level of depression and the Revised Automatic Thoughts Scale (ATS-R) to measure the negative automatic thoughts. Significant relationships were established among CSSI, BDI and ATS-R.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Social stigma and disclosure of diagnosis among women with breast cancer in Azerbaijan
Authors: Mammadzada G. 
Published: June 2017

ObjectiveThe current practice in medical and surgical care of women with breast cancer in Azerbaijan is to hold back disclosure of cancer diagnosis unless the patient actively asserts full disclosure. This study aimed to serve as a pilot, to appraise the level of anxiety and depression in women diagnosed with breast cancer and explore ways to develop approaches to further elucidating the important issue of cancer information disclosure.MethodsThe subjects in the study were women recruited consecutively with confirmed oncological diagnosis of breast cancer (n = 23; mean age = 50 (SD ± 11; range 27–73 years) and who were scheduled for mastectomy. All the subjects consented to be directly interviewed. The interview comprised of a socio-demographic questionnaire and inquiry regarding the subjects’ understanding of the nature of their breast condition. All the subjects were also administered the Hospital Anxiety and Depression Scale (HADS) in Azerbaijani. The patients who knew their diagnosis of cancer were ascertained subsequently from the record (n = 11 [42.3%]).ResultsThere was a significant correlation between anxiety scores (P = 0.006) and anxiety/depression scores combined (P = 0.009) with the level of subjects’ awareness regarding diagnosis of cancer; the correlation was not significant for depression scores alone (P = 0.068).ConclusionsThe findings are consistent with studies from culturally similar regions and reflect the need for improvement on disclosure, patient participation, and family support in treatment of women with breast cancer.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Persons with mental disorder in jails and prisons – legislation and practice in Georgia
Authors: Zavradashvili N. , Eliashvili M. , Zhorzholadze E. , Makhashvili N. 
Published: June 2017

IntroductionStatistics shows that in most countries prevalence of mental health problems are much higher among prisoners than the general population. Country approach to regulating mental health needs of persons with mental disorder who come into contact with justice system depends on variety of cultural or legal traditions, as well as on different concepts and structures of mental health care delivery.ObjectiveThe aim of the survey was to study and assess the established practice of implementation of the legal procedure relating to individuals who commit crime and have mental health problems in Georgia.MethodsQualitative analysis including desk review, in-depth interview and focus group discussion was conducted. Preceding from the research objectives the current legislation with regard of people with the mental disorder has been analyzed; the interviews on the shortcomings and problems of the implementation of the law in practice have been conducted with key informants.ResultsThe study acknowledges that recent changes in Georgian legislation imports much of the civil law standards and processes relating to admission, detention and compulsory treatment of criminal detainees with mental health problems. However, due to the ambiguous, ambivalent and incomplete nature of the aforementioned changes, the penal and administrative courts, as well as the clinicians are facing serious difficulties and confusions in their work.ConclusionsIt is discussed that there is a strong need for closer cooperation between mental health and justice systems to treat mentally disordered persons both in the system and after they are released into the community.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Preliminary study on the analysis of cognitive profile in subjects with ASD: WISC-IV
Authors: Galletta D. 
Published: June 2017

Autism spectrum disorder (ASD) is a neurodevelopmental disorder, observed in several contexts and characterized by persistent deficits in the communication, social interaction and behavioral areas (DSM V, 2013). ASD includes a wide range, “a spectrum,” of symptoms, skills, and levels of disability. In the last years, we have noticed a substantial change in the diagnostic criteria due to the fact that, although the huge heterogeneity shown by the disorder, in the majority of autistic subjects, both those with high and low IQ, we can identify a common profile of functioning, as regards communicative, social, motor and behavioral skills (Sharma et al., 2012). As reported by Frith (1989; 2003), this kind of functioning is based on a different cognitive style, characterized by a strong prevalence of “bottom-up” elaboration processes, coexistent with the inability of the subject to integrate perceptual data into a global and coherent representation (weak central coherence theory). In this study, we have administered WISC IV to two adolescents (16 years old), already diagnosed for ASD with a low functioning. As expected, results have evidenced the presence of a rigid cognitive style with impaired conceptualization abilities and high attention to details. Specifically main falls have occurred in the area of visual-perceptual reasoning, underlining a lack of visual-spatial processing skills, as well as a lack of fluid reasoning skills. Particularly deficit resulted in the categorization capabilities and abstraction.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Adult ADHD and the use of mindfulness-based practice: A pilot study
Authors: Allen A. , Ansari R. , Thurley J. , Murphy L. , Chan E. , McKinnon C. , Fitzgerald R. , Deeley A. , Wachter R. , Rajewski J. 
Published: June 2017

Educational objectivesThe goal of this poster is to discuss a brief pilot study in which mindfulness – and yoga-based practices were utilized with a group of adult ADHD patients.MethodsA sample of 10 adults participated in a pilot group which utilized the use mindfulness-based and yoga practices to address ADHD. This group was a single 2 hour session which was a pilot for a future 6-week psycho-educational group. The participants completed the following questionnaires: the Cognitive and Affective Mindfulness Scale (CAMS-R), the Freiburg mindfulness inventory and the Mindful Attention Awareness Scale (MAAS) in addition to a survey regarding levels of knowledge of yoga and mindfulness prior to the beginning of the session. The participants completed a survey at the end of the session.ResultsIn our small sample group, all respondents reported that they found the session helpful (43% strongly agreed; 57% agreed). When asked if the participants were likely to explore and learn more about ADHD and meditation on their own based on what they learned in the session, most indicated that they were likely to (43% strongly agreed; 43% agreed and 14% were neutral).ConclusionsThe use of treatment modalities involving the use of meditation and mindfulness-based techniques in a group setting are thought to be helpful in addressing some of the target symptoms of ADHD. Based on the preliminary data collected in our small pilot study, our group intends to further explore the efficacy of meditation-based groups in the form of a 6-week training program in 2017.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Mental heath in republic of moldova: The way from in-patient to community-based care services
Authors: Chihai J. 
Published: June 2017

IntroductionThe history of mental health in Moldova has been centered on psychiatric institutions. Current reform goals are centered on the reduction in psychiatric hospital beds, shifting the focus towards outpatient therapy, where community mental health centers have a central role in coordinating recovery and social reintegration.Objectivesto collect different data according guidance for establishing a situational analyses about Moldova.Methodologywe elaborated a guidance with outline: the historical perspective:– a. back a 5–10 years events/developments; epidemiologic data;– b. the service delivery system;– c. mental health system: laws/regulations, role of the government as well as civil organizations, mechanisms for data collection, monitoring of performance, costs, quality of care and outcomes;– d. opportunities, barriers, and needed changes/innovations needed to address these.ResultsThe current focus is on moving from a relatively centralized system towards a more community-based approach to psychiatric care and community supports, as well as deinstitutionalization and integration of mental health care with primary care. Besides over reliance on institutionalization, the Moldovan mental health care system faces other challenges, including access to care, workforce limitations, and stigma.ConclusionLooking forward, success in these efforts will require continued strong political will to bring domestic law, policies and practices into line with international standards in the field of human rights for persons with disabilities. By supporting deinstitutionalization and improving the accessibility of mainstream services, more people will have the opportunity for social inclusion and the ability to contribute to the communities’ social and economic growth.Disclosure of interestThe author has not supplied his/her declaration of competing interest.