bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Perceptions of Greek Immigrants in Germany About the Health Illness and Pain in the Context of Mental Health
Authors: Kotrotsiou S. , Tsoumani A. , Kotrotsiou E. , Gouva M. , Dragioti E. , Paralikas T. 
Published: June 2017

AimThis study aims to investigate the perceptions of health, disease and pain issues among Greek immigrant, living in Germany, as they were formed through their previous experiences, their immigration routes and their experiences in a new sociocultural environment, while taking under consideration their varying cultural backgrounds.Material-methodThis research was based on the personal interpretations of ten Greek immigrant (6 women and 4 men). As to methodology, qualitative research was employed. The methodological tools used for the collection of the material were semi-structured interviews (face to face), participant observation and a field diary. Finally, the method of analysis used for the empirical material was content thematic analysis.ResultsAll participants experienced immigration as an especially stressful period of their lives that changed their state of health (these changes extend from physical complaints to manifestation of depression). Most person describe life in Germany as difficult due to various problems (loss of relatives and friends’ social networks, poor language knowledge, isolation, etc.). However, the public health system's organization (regardless any flaws), which ensures their access to health services, positively contributed in changing their attitudes regarding the issues under question. Lastly, the reference to psycho-traumatic situations, transitional life phases, as well as to stimuli in the difficult everyday life feed person's meaning-makings about pain.ConclusionsThe research's results showed that health and disease are not only biologically determined phenomena. They also are socially determined situations, given that they are not only related to changes in the individual's psychology but are influenced by the broader sociocultural environment in which the individual lives and works.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Examining the clinical utility of neuroimaging on an inpatient psychiatric unit
Authors: Gonzalez L. , Mashayekh M. , Gu W. , Korenis P. , Khadivi A. 
Published: June 2017

IntroductionRecent developments in neuroimaging have revolutionized medicine and aided in our understanding of how biological abnormalities may contribute to clinical presentation. While such advances have begun to enhance our knowledge about the timing of abnormalities, it remains unclear at this time how neuroimaging impacts the clinical course of the patient. In addition, much debate exists regarding the clinical necessity of neuroimaging for psychiatric conditions, and there are contradictory reports and guidelines for the application of conventional brain imaging (MRI and CT) in the evaluation of patients with mental illness.ObjectiveWe aim to review the clinical utility of neuroimaging in an acute psychiatric setting, and hypothesize that there will be no significant differences between the outcome of neuroimaging and clinical course for patients.MethodWe conducted a retrospective chart review of adult patients who were diagnosed and treated for psychiatric conditions on an inpatient psychiatric service over a period of 36 months July 1, 2013–June 30, 2016.ConclusionsWhile imaging advances have added to our understanding of biological abnormalities and can aid in ruling out organic causes of psychiatric illness, at this time it is not guiding clinical management for patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Dynamic of NAA and BOLD After Single Short Stimulus in Motor Cortex of Schizophrenia Patients
Authors: Ublinskiy M. , Semenova N. , Lebedeva I. , Akhadov T. 
Published: June 2017

IntroductionThe aim of this study was the analysis of dynamics of motor cortex metabolite in the norm and in early stage of schizophrenia in period of BOLD response to event related single stimulus.ObjectivesThe patients group consisted of 9 mails of 16–28 years old in initial stage of schizophrenia and in remission. The group of 9 age matched healthy mails was used as a control.MethodsPhillips Achieva 3.0 T scanner was used for the study. Volume of interest in motor cortex was localized on the base of fMRI. 1Н МR spectra were run using synchronization of FID signals acquisition (PRESS, TE = 30 ms TR = 3000 ms) with dynamics of BOLD response at the same paradigm.ResultsThe BOLD signal in both groups demonstrated maximum at the 6th s after target stimulus, however its value was reliably lover in schizophrenia in comparison with the control. The only [NAA] in normal motor cortex was changed after stimulation. The stable values of [NAA], [Cr] and [Cho] were observed in dynamic of resting state as well. [NAA] in normal cortex statistically significantly decreased at the 12th s after stimulus presentation and returned to initial value at the 15th s.ConclusionDifferent behavior of [NAA] in the norm and schizophrenia might be related with a difference in location (or activity) of aspartoacylaze (ASPA). Decreased expression of glutamate transporters in schizophrenia could also reduce consumption of NAA as a source of acetate in synthesis of AcCoA which is used for restoration of ATP.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Zoophilia in a Patient with Parkinson's Disease
Authors: Fornelos A. , Roque M. 
Published: June 2017

IntroductionParkinson's disease (PD) is a neurodegenerative brain disorder characterized by Bradykinesia, muscle rigidity and resting tremor. Non-motor symptoms like neuropsychiatric manifestations can also cause significant morbidity. Common medications used in anti-Parkinsonian treatment such as dopaminergic agonists, may help motor symptoms but can also cause or contribute to adverse behavioral manifestations. These include dementia, depression, anxiety, insomnia, psychosis and paraphilic disorders. There are sporadic reports of zoophilia in association with dopaminergic therapy.ObjectivesReport of a clinical case of PD and zoophilia.Aimsclinicians must be aware of paraphilic disorders, namely zoophilia, in patients with dopaminergic medication.MethodSearch of the Pubmed database was conducted for articles published that had “zoophilia [All Fields] and Parkinson [All Fields]”, resulting in 3 eligible articles through October 2016. The patient's clinical records were also reviewed.Case ReportA 77-year-old man, living in a rural area and with a low educational background, with akinetic–rigid PD in an advanced stage and followed by neurology since 2003. His family physician sent him to a psychiatric assessment for hyper-sexuality with zoophilia. The psychiatrist found that these behaviors had begun a week after levodopa was increased along with the introduction of selegiline. The psychiatrist has introduced quetiapine with significant decrease of the hyper-sexuality and the end of zoophilic episodes.ConclusionDespite hyper-sexuality is found in just 2–6% of PD patients in connection with dopaminergic treatment. This case report emphasizes how crucial it is to evaluate PD patients’ sexuality as well as to explain these adverse effects to the families involved.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Comparative Study of the Frontal EGG Activity After Superficial Neuro-stimulation Application, Mindfulness and Other Attentional Techniques
Authors: Rico P. , Aranguren P. 
Published: June 2017

IntroductionChanges in the electrical cerebral activity, especially in frontotemporal regions, have been described after using the Superficial Neurostimulation Application (SNSA) in upper and lower limbs. The use of this technique is associated with emotional equilibrium and predisposition for a positive mood. Its application clinically improves hostility and anxiety symptoms.AimsTo compare the electrical changes observed after the use of SNSA with other techniques of mental concentration: Mindfulness (mental attention without judgment) and a technique based on the emission of a sound.Materials and methodsSNSA topology system: uses electricity through superficial electrodes placed on feet and hands and an electrode over the 7th cervical vertebra; Digital encephalogram; Faraday cage.ResultsMindfulness and SNSA techniques show similarities regarding the alpha rhythm's frequency in frontal regions (Figs. 1 and 2) compared to a different mental concentration technique (Fig. 3).ConclusionFurther analysis would be required.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Application of Cognitive-behavioral Therapy in a Case of Obsessive-compulsive Disorder
Authors: Rodríguez Andrés L. , Rodriguez Campos A. , Sevillano Benito I. , Red Gallego H. De la , Noval Canga C. , Marques Cabezas P. , de Cegama F. Uribe Ladron 
Published: June 2017

We present the case report of a 46-year-old woman who experienced obsessive-compulsive symptoms for over twenty years, with multiple relapses, severe depressive symptoms and many hospitalizations in the psychiatric Inpatient Unit. Treatment with different SSRIs, tricyclic antidepressants, atypical antipsychotics and even electroconvulsive therapy were administered with poor results.After her last hospitalization a Cognitive-Behavioral Therapy, including exposure and response prevention and cognitive therapy, is initiated combined with medication, improving depressive symptoms, the ritual behaviors and levels of anxiety.Modern treatments for Obsessive-Compulsive Disorder (OCD) have radically changed how the disorder is viewed. While in the past OCD was regarded as chronic and untreatable, a diagnosis of OCD may now be regarded with hope. Cognitive and behavior therapy and antidepressant medications are currently used to treat the disorder. They can be used to control the symptoms and enable people with OCD to restore normal function in their lives.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Stress Hormone System and Epigenetics in Depression
Authors: O’Keane V. , Farrell C. , Doolin K. , Chai J. , O’leary N. , Frodl T. , Booji L. , Tozzi L. 
Published: June 2017

BackgroundExposure to early life adversity (ELA) has been identified as a major risk factor in the development of major depressive disorder (MDD). It is hypothesized that a mediating mechanism may be environmentally induced alterations in gene function. In our REDEEM (Research in depression: endocrinology, epigenetics and neuroimaging) project we are examining possible epigenetic difference in some previously investigated target genes relevant to depression. To this end, methylation of the following genes were measured: NR3C1 (HPA axis), SLC6A4 (serotonin neurotransmitter function), and CD3ɛ (T cell receptor gene). We also looked at possible trans-generational transmission of epigenetic markers in a mother-baby sample.MethodsDNA was isolated from depressed patients and controls and babies and a portion of the above genes, encompassing our regions of interest, were amplified by PCR. Percentage methylation levels were measured by pyrosequencing. mRNA was also measured for some gene products to see if function was related to methylation. HPA axis function was measured with serial saliva samples throughout the day.Resultsto date: Methylation was increased in the CD3ɛ promoter in depressed subjects relative to controls. In the total group, those exposed to ELA had significantly increased methylation at this site. Levels of CD3ɛ mRNA levels were inversely related to methylation. There were some relationships between maternal ELA and baby methylation at the sites examined.ConclusionsConsistent with an allostatic model of ELA damage, our findings suggest an alteration in epigenetic function in acquired immunity and the HPA axis, mediated by ELA. Findings will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Behavioral Symptoms as Predictor Factor of Disease Progression Across Different Neurocognitive Disorders. A Longitudinal Study
Authors: Santamaría García H. , Santacruz Escudero J.M. , Matallana D. , Ibañez A. 
Published: June 2017

BackgroundPrevious works highlight the importance of neurocognitive symptoms over cognitive and functional dependency in neurocognitive disorders. However, little is known regarding to what extent presence of neuropsychiatric symptoms predicts disease progression, cognitive and functional impairments in behavioral variant frontotemporal dementia (bvFTD) and in Alzheimer dementia.MethodsWe performed two different evaluations (T1 and T2) with 3 years of difference in a group of bvFTD (n = 18), AD (n = 20) and controls (n = 22). Neuropsychological, clinical and cognitive correlates were measured in each time T1 and T2. By using different multiple regression models, we explored if behavioral symptoms (measured by Columbia, Yesavage at T1) predict disease progression as measured by changes over T1 and T2 in cognitive (MoCA, IFS, and clock figure) and functional dependency (Lawton).ResultsBehavioral symptoms, in particular depression, psychosis, apathy and disihinibition were factors able to predict cognitive and functional progression in bvFTD. By contrast, regression model revealed that depression and insomnia were behavioral factors able to predict progression in AD.ConclusionNeuropsychiatric symptoms are crucial to predict disease progression in bvFTD and AD patients in differentiated ways. Our results suggest tha tracking early behavioral symptoms in neurocognitive disorders playing an important role in the early detection, disease tracking, and neuroanatomical specification of bvFTD, as well as in future research on potential disease-modifying treatments.Disclosure of interestThe authors have not supplied their declaration of competing interest.
A Study on the Factors that Contribute to Older Adults’ Sexual Unwellness
Authors: Von Humboldt S. , Leal I. 
Published: June 2017

IntroductionOlder adults may remain sexually interested and capable into their 90s.ObjectivesTo analyze the contributors to sexual unwellness (SU) and to explore the latent constructs that can work as major determinants in SU for a cross-national older community-dwelling population, and to analyze the explanatory mechanisms of a SU model, in an older cross-national sample.MethodsA socio-demographic and health questionnaires were completed, assessing participants’ background information. Interviews were completed, focused on the contributors to SU. Complete data were available for 109 English and Portuguese older adults, aged between 65–87 years (M = 71.6, SD = 6.95). Data was subjected to content analysis. Representation of the associations and latent constructs were analyzed by a Multiple Correspondence Analysis.ResultsThe most frequent response of these participants was ‘lack of intimacy and affection’ (25.1%) whereas ‘poor sexual health’ was the least referred indicator of SU (11.2%) A two-dimension model formed by ‘poor affection, intimacy and sexual health’, and ‘poor general health and financial instability’ was presented as a best-fit solution for English older adults. SU for Portuguese older adults were explained by a two-factor model: ‘daily hassles and health issues’, ‘poor intimacy and financial instability’.ConclusionsThese outcomes uncovered the perspective of older adults concerning SU and the need of including these factors when considering the sexual well-being of older samples.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The Study and Comparison of the Severity of Coping Strategies and Defense Mechanisms in Prostate Cancer Patients, Healthy Individuals and Patients with Similar Localization Oncology
Authors: Gardanova J. , Abdullin I. , Chernov A. , Khritinin D. 
Published: June 2017

This project deals with the problem of emotional response to their disease in prostate cancer patients compared with healthy people and patients with similar localization of oncology diseases. As a result, it was found that in patients with prostate cancer pronounced such defense mechanisms as repression, denial and reaction formation, which may lead to psychosomatic disease. The coping strategies of the system in patients with prostate cancer is most pronounced, such a mechanism as a “distancing”. The results may contribute to the creation of a specific psychological rehabilitation for this group of patients the program.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Severe Mental Illness and Cancer – A Program for Psychiatric Patients in a Cancer Center
Authors: Graça J. , Silva Carvalho F. , Ramos Coutinho R. , Ribeiro A. , Monteiro L. 
Published: June 2017

IntroductionThe prevalence of severe mental illness (SMI) is estimated to be 4%. There are increased risk factors for cancer in SMI patients. People with SMI have deficient access and referral to routine cancer screening and psychiatric illness is often associated to late oncological diagnosis.ObjectivesCharacterize the population of SMI patients that undergoes oncological treatment; establish a comparison with the general population in terms of stage at the time of diagnosis and the type of follow-up that ensued; characterize the psychiatric care available to these patients; propose the necessary changes to ensure adequate healthcare for SMI patients.AimsTo assess and improve the quality of oncological care for SMI patients in our hospital.MethodsWe analyzed the data from SMI patients suffering from SMI observed by our group during a 12 month period.ResultsLow percentage of SMI patients being treated in our center regarding general rates; surprisingly high referral time to psychiatry unity; good compliance with treatments and appointments; have mostly been submitted to the standard oncological protocols of treatment.ConclusionIn spite of serious psychiatric co-morbidity and psychosocial deficits, our SMI patients are able for standard cancer treatment and present sufficient compliance. We value the help of family members and social workers. We have to insist in educational sessions and psychiatric screening procedures for oncological teams. It is also fundamental to implement educational programs for mental health centers in Lisbon in order to sensitize for cancer risks among SMI and alert for the pivotal role of mental health staff, namely the psychiatrists.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Chemobrain and Anxiety in a Patient with Hodgkin's Lymphoma: Case Report and Literature Discussion
Authors: Silva M. , Roque M. , Macedo P. , Fornelos A. 
Published: June 2017

Impaired cognitive function is a common complaint among oncologic patients. Chemotherapy-induced cognitive impairment (CICI), also called “chemobrain” or “chemofog” is currently recognized as a relatively common adverse effect of chemotherapeutic agents and is defined as the impairment of patients’ memory, learning, concentration, reasoning, executive function, attention, and visuospatial skills during and after discontinuation of chemotherapy. In particular, it is apparent that a subset of chemotherapy-treated haematological malignancy survivors experience cognitive impairment. On the other hand, the emotional distress associated with the disclosure of cancer diagnosis and/or the administration of chemotherapy represents a strong reason for psychosomatic manifestations in patients with cancer. The authors report a case of a patient with Hodgkin's lymphoma, cognitive impairment and symptoms of anxiety and they propose to discuss the controversies around the factors implicated on cognitive impairment in oncological patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Postnatal depression: Can visual media and dramatisation of a young woman's experiences, enable student health care professionals develop knowledge to enhance clinical practice skills?
Authors: Lyons A. , Church S. 
Published: June 2017

IntroductionSince the presentation of the symptoms of postnatal depression (PND) can vary; healthcare professionals must receive the appropriate level of training to develop the knowledge required for the effective assessment and referral of women. Yet, healthcare professionals may have limited knowledge in perinatal mental health and students may lack practice opportunities to develop the knowledge and clinical skills. For these reasons, the use of alternative learning resources within perinatal mental health education is vital.ObjectivesTo explore the use of visual media in perinatal mental health education.AimsAgainst the background of increasing concerns about the ability of professionals to assess women with PND, this paper will consider how using dramatisation as a teaching approach can enable students to develop their knowledge and guide clinical skill development.MethodsThree separate groups of senior student midwives and health visitors were asked to evaluate a dramatisation developed from women's lived experience of PND. Pre and post verbal evaluation of the drama were undertaken with the use of focus groups guided by semi-structured questions. Ethical approval was granted by the university.ResultsFollowing thematic analysis three issues were identified:–the role of the healthcare professional;–improvements needed in care;–issues of education and training.ConclusionsAgainst the background of limited placement experience and opportunity for assessment of PND, the use of visual media can improve student healthcare professionals’ learning; with the use of structured facilitation, there is a great potential for multidisciplinary learning.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Characteristics of 23 cases of animal hoarding in Catalonia (Spain)
Authors: González C. , Calvo P. , Bowen J. , Bulbena A. , Cirac R. , Holloway A. , Fatjó J. 
Published: June 2017

IntroductionAnimal hoarding is considered an under-reported problem, which affects the welfare of both people and animals. Few reports on animal hoarding are available in scientific literature, particularly outside North America.ObjectivesWe designed a study to analyse cases of animal hoarding in Catalonia.AimsWe wanted to expose the presence and consequences of this disorder in our area and to check for cross-cultural similarities with previous studies in other countries.MethodsData was obtained retrospectively from 23 case reports of animal hoarding in Catalonia collected by city councils and the Catalonian police from 1992 to 2015.ResultsThirty-three people (20 women and 13 men) and 1521 animals, mainly dogs and cats, were involved. Most cases (n = 13) involved a sole animal hoarder. Most cases (n = 14) were chronic (lasting longer than 5 years). Object hoarding co-morbidity was found in most cases (n = 17). All hoarders were over 40-years-old, with half of them aged over 65. Only in 4 cases was an intervention by the healthcare system reported. Most of the hoarders (9 out of 13) actively opposed animal removal. In more than 50% of cases, the hoarder's personal care, health and financial situation were precarious. No awareness of the impaired welfare of the animals was found in most cases.ConclusionsTo the author's knowledge, this is the first study on animal hoarding in Catalonia and one of the few available in Europe. Our results are aligned with previous research, adding evidence of cross-cultural common elements of animal hoarding.Disclosure of interestThe authors have not supplied their declaration of competing interest.