bluuebunny/crossref_metadata_2025_split huggingface dataset:
The singular therapeutic project as an interdisciplinary care strategy to the alcohol and/or other drugs user
Authors: Vasconcelos S.C. , Correia A.S.B. , Gouveia B.G. , Silva I.J. , Mendes M.S.G.C. , Neves M.J.S. , Ribeiro E.C.O. , Castro A.L.G. 
Published: June 2017

IntroductionAmong the psychosocial care network services and devices, highlights the Center of Psycho-Social Attention (CPSAad) aimed at building a comprehensive, regionalized care, based on the extended clinic and from Singular Therapeutic Project (STP).AimsReport a successful experience of building a Singular Therapeutic Project in Center of Psycho-Social Attention.MethodsThis is a descriptive/reflective study type experience report, held in CPSAad from experiences of Mental Health's Multidisciplinary Residency members linked to the Center for Studies in Public Health, João Pessoa, Paraíba, Brazil.ResultsIt was noted that the STP assists practitioners in the planning of interventions from the needs highlighted by the user and it promotes the knowledge exchange and the co-responsibility of those involved in the care. Therefore, was built a STP of a homeless alcoholic user who initially attended the service as its basic needs refuge (food, hygiene and rest) without showing any interest in participating of activities, little interaction with professionals and other users, difficulties in expressing himself, besides often arriving at the service under alcohol influence. The residents planned the STP from the user's admission through the qualified hearing and construction of bonds.ConclusionsThe Singular Therapeutic Project operationalization allowed the user to feel cared, attended in his needs and recognized by the staff; favoured its treatment co-responsibility, leading him to participate in the proposed activities, medical appointments and examinations, and consequently the improvement of his interpersonal relationships.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Increased intake of monosaccharides and disaccharides in opioid-addicts
Authors: Gorzelańczyk E.J. , Szponar A. , Walecki P. 
Published: June 2017

IntroductionPersons dependent on opioids often characterized by the coexistence of a whole range of dysfunctional behaviors, which may also lead to eating disorders.ObjectivesImpulsive and risky behavior, conducive to the formation of polysubstance dependence, including food addiction, which manifests itself in the uncontrollable craving substances, that are quickly metabolized and turned into sugar in the bloodstream.AimsAim of the study was to assess the nutritional status and carbohydrates consumption in opioid-dependent individuals treated with methadone substitution therapy.MethodsFourteen opioid addicts during methadone maintenance treatment were examined. Eighteen healthy individuals matched for age and gender were included to the control group. The 24 hour hour diet recalls interview was used. After the dietary recall, a special questionnaire was administered to ascertain frequency of refined carbohydrates consumptions during the past 30 days.ResultsIt was found the nutritional deficiencies in the diet and poor nutritional status in opioid-addicts compared to healthy ones. Opioid-dependent individuals significantly more often snack between meals. It was found increased consumption monosaccharides and disaccharides in foods and beverages in opioid-addicts compared to healthy ones (P < 0.05).ConclusionsInvestigation of dietary behaviors may facilitate understanding of dynamics of addiction, so that we can use more effective methods of treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Impact of childhood trauma on co-morbidity among alcohol dependent patients: Controlled study
Authors: Gulec Oyekcin D. , Gurgen A. 
Published: June 2017

IntroductionChildhood trauma has been found to be prevalent in treatment-seeking alcoholics.ObjectivesWe aimed to investigate the childhood trauma prevalence among alcohol dependent patients and the prevalence of psychiatric co-morbidity.MethodsA total of 61 participants were assessed; 35 treatment-seeking alcohol dependent patients and 26 age-gender matched controls in the addiction division of psychiatry department of Çanakkale Onsekiz Mart University. After describing the study and obtaining informed consent, participants were assessed with demographic questionnaires, followed by the structured clinical interview for the DSM-IV-TR and childhood trauma questionnaire (CTQ-28).ResultThe 91.4% of the patients were male, mean age was 42.03 ± 12.9. The overall prevalence of CTE of the alcohol dependent patients was (88.6%) higher than the control (42.3%) group. Respectively the prevalence of physical neglect was 80%, emotional neglect 74.3%, emotional abuse was 51.4%, physical abuse 40% and sexual abuse 28.6%. For psychiatric disorders 96.8% of the alcohol dependent patients with childhood trauma reported any of the psychiatric disorders, 64.5% ever having a mood disorder with 25.8% ever having any anxiety disorders, and 16.1% ever having attention and hyperactivity disorder. The most common psychiatric co-morbidity was found to be as depression (58.1%).ConclusionsIn conclusion alcohol use disorders are thought to be associated with childhood trauma. Patients with alcohol use disorders are exposed to have more childhood trauma. Childhood trauma is associated with psychiatric co-morbidity especially depression. We have to ask for childhood trauma in alcohol dependent patients with psychiatric co-morbidity.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Tobacco cessation failure: Predictive value of BDI score
Authors: El kefi H. , Guetary Y. , Bouzouita I. , Bechikh Brahim C. , Krir W. , Eddif S. , Oumaya A. 
Published: June 2017

BackgroundSmoking is a major healthcare issue. Evidence shows considerable comorbidity between nicotine dependence and depressive disorders.ObjectivesWe are interested in the correlation between Beck's depression inventory (BDI) scores and smoking cessation outcomes.MethodsRetrospective, transversal and analytical study. Data were collected from 95 patients followed in the smoking cessation consultation of The military hospital of Tunis. The BDI was used to assess depressive symptoms and nicotine dependence evaluated by Fagerstrom test for nicotine dependence (FTND).ResultsPopulation was composed of men (92%), married in 65% of cases, with a mean age of 45 ± 13 years. The mean age of smoking initiation was 18 ± 4.5 years. Regular smoking average was 37 ± 20 Packs/Year. The mean cigarette consumption was 30 ± 15 per day. Forty-two percent patients reported at least one attempt to quit smoking, with an average of 37.26 days of abstinence. The mean score of FTND test was 7 ± 2.31. The BDI score was higher than 3 in 86% of cases. Patients with severe depression (BDI > 15) had never attempted a withdrawal in 71% of cases (P = 0.009), had a high or very high dependence in 85.7% of cases (P = 0.016). The average of cigarettes per day was 40 (P = 0.035) and they had failed withdrawal in 79% of cases (P = 0.53).ConclusionThere was a fairly consistent association between presence of depression and smoking severity. This suggests that for individuals with nicotine dependence who are interested in quitting smoking, assessment and treatment of depressive symptoms may improve smoking cessation outcomes.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Addictology consultations: Experience of the outpatient department of the Razi hospital
Authors: Jihene J. , Olfa M. , Haifa Z. 
Published: June 2017

IntroductionThe addiction is a social and universal phenomenon. Its coverage is quite recent in Tunisia. It requires a facilitation of the access to healthcare, with broadcasting of the policy of reduction of risks.ObjectivesRaise a current situation of the addicting conducts of our patients.MethodsRetrospective descriptive study, concerned the patients having an addiction in psychoactive substances followed in the external consultation of the hospital Razi between November 2014 and September 2016.ResultsThe average age was 34 ± 10.23 years.Among the patients, 93.7% was of sex male.Almost half immigrated in secret in Europe.Seventy-five percent had criminal record.The most used product was tobacco followed by alcohol, cannabis, benzodiazepines, Trihexyphenidyl and the opiates.The buprenorphin is the most consummate opiate in misuse.Target substances of the request of weaning are respectively: the buprenorphin (58.87%), benzodiazepines (12.63%), the trihexyphenidyl (7.71%), the alcohol (5.61%), the cannabis (5.26%).A pathological personality was raised in 17.5%.A psychiatric comorbidity was found to 8% of the patients.The coverage is made on 3 shutters: biological by the symptomatic treatment of the weaning and the comorbidities, psychological and social by the social and occupational reintegration thanks to non-governmental organizations.ConclusionAddictology is a stigmatized speciality in Tunisia, by the peculiarity of the patients and the slowness of the results. Nevertheless the number of consultants does not stop increasing where from the interest to create more specialized services and structures of rehabilitation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Therapy workshop: Experience of the senses
Authors: Lira E.M.B. , Vasconcelos S.C. , Piagge C.S.L.D. , Luna S.O. , Silva Nascimento V. , Silva F.P. , Oliveira A.G.M. , Ribeiro E.C.O. , Frazão I.S. 
Published: June 2017

IntroductionThe psychoactive substances consumption modifies the users’ sense-perception.ObjectivesDiscuss the therapeutic workshop as a stimulation strategy of the sense organs.MethodologyThe activities were developed at a Center of Psycho-Social Attention for alcohol and other drugs – CPSAad, located in north-eastern Brazil. The therapeutic workshop was divided into six sessions; being worked a sense organ in each meeting. Initially, the sessions were explained and they entered the room in silence. At first, vision and lastly, taste. The taste dynamic session was initiated by the pool where users experienced different flavours and made distinctions between them, including a food without flavour, experiencing feelings of pleasure and displeasure. This dynamic was finalized in the institute's kitchen with different ice cream flavours. The participants freely served themselves, being led to reflections on their choices of pleasure. The sixth session was constituted by listening about all Therapy Workshop Experience of the Senses, on which participants reported emotions and feelings experienced during the sessions, such as: fear, anxiety, craving, denial, pleasure and displeasure.ResultsIt was identified a universe of sensations that can be translated into a sense-perception reframing about themselves and their surroundings.ConclusionThe participants presented a sensory dullness, relating the experienced stimuli to the consumption of psychoactive substances, demonstrating a strong equivalence between the proposed activity and substance dependence. This activity enabled an interdisciplinary approach, through knowledge and interventions exchange.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Cognitive status and addiction denial in the early stages of alcohol addiction
Authors: Ponizovskiy P. , Gofman A. 
Published: June 2017

IntroductionDenial is a common feature of alcohol addiction that is apparent in the early and late stages of the disease. Defensive psychological mechanisms and cognitive failure have been reported as reasons for addiction denial. Effective therapeutic approaches should consider the reasons for anosognosic denial.Aims and objectivesThe study investigates the correlations between the degree of denial of alcohol addiction and cognitive status of people in the early stages of alcohol dependence.MethodSubjects were identified using clinical interview the AUDIT questionnaire investigating compulsive drinking, impaired control of drinking, alcohol tolerance, and symptoms of withdrawal.ResultsForty-nine alcoholic patients at early stage of alcohol dependence were identified. At assessment, all had been abstinent for at least 7 days. They reported compulsive drinking, impaired control over it, increased alcohol tolerance, but no withdrawal symptoms followed by relief drinking. The level of denial was defined by summing up the quantitative ratings of awareness of alcohol addiction and its harmful effects. Three groups emerged of non/mild, moderate, and severe levels of addiction denial. Neuropsychological evaluation of verbal memory, logical memory, visual-motor coordination, and motor and mental speed was conducted.ConclusionThe identified cognitive deficiencies in the 3 groups were mild. Correlation between the poorer test performance and higher levels of denial was not significant. In the early stages of alcohol addiction, the anosognosic denial appears to be an unconscious ego defense mechanism leading to rejection of all the addiction-related problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Modafinil: A smart drug with psychiatric implications
Authors: Saiz Garcia H. , Montes Reula L. , Portilla Fernádez A. , Pereira Sanchez V. , Olmo Lopez N. , Mancha Heredero E. , Rosero Enriquez A.S. , Martinez Parreño M.E. 
Published: June 2017

IntroductionModafinil is approved to treat excessive somnolence but it is also off-spec used as a treatment for ADHD and as a cognitive enhancer. Research on the effects of modafinil on cognitive function have yielded mixed results. Modafinil interact with dopamine, noradrenaline, serotonin, glutamate, orexin, histamine and GABA levels. The regulation of these neurotransmitters is widely known to be implicated in most of the neuropsychiatric disorders.MethodologyA review was conducted aiming to clarify the biological mechanisms of action of modafinil; its effects on attention, learning, executive functions and creative thinking; as well as possible neuropsychiatric disorders associated to its intake. The literature search was conducted in PubMed data reviewing articles dating between 2015 and 2016.Results(1) Empirical evidence for cognitive enhancing effects of one of the most frequently used substances, modafinil, is sparse. Studies suggest that with more protracted and complex testing, more benefits are associated to modafinil use.(2) Modafinil may be implicated in alterations of reward-related behaviour. Compared to placebo, modafinil leads to an enhanced tendency to make previously rewarded choices compared to the avoidance of previously punished choices. This pattern of altered choice behaviour is probably induced by an increase of the dopamine level and a potential contribution of elevated noradrenaline.ConclusionsSome people share information about this drug in social network. Off-label use of this drug may be implicated in alterations of reward-related behaviour and patients with previous psychiatric disorders should be aware of its possible adverse effects.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Methamphetamine-induced choreoathetosis: A case report
Authors: Turk M.L. , Smith J. 
Published: June 2017

We describe the case of a 23-year-old male with a past psychiatric history of Obsessive Compulsive disorder, Generalized Anxiety Disorder, Cannabis Use Disorder, and a reported history of Bipolar II Disorder and ADHD, and no past medical history, who presented to the hospital for a psychiatric evaluation of erractic behavior. Per his family's report, the patient has not been attending to his activities of daily living and has had poor sleep and significant weight loss for the past month. In the days preceding his presentation, he has experienced worsening irritability and rapid speech, and has been responding to internal stimuli and displaying odd repetitive movements of his extremities. On interview, the patient reported non-compliance to his prescribed Lithium and Paroxetine for the past three months. He also noted recently smoking methamphtamine on a daily basis for the past month and intermittently abusing cannabis, benzodiazepines and cocaine. His urine drug screen was positive for cannabinoids and amphetamines and the rest of his medical workup was within normal limits. On physical exam, he exhibited involuntary writhing and twisting movements of his extremities. An atypical antipschotic was prescribed, after which his choreoathetotic movements resolved within 24 hours. The purpose of this poster is to highlight the possibility of developing chorea as a result of methamphetamine use, given the rarity of such cases, and to discuss whether the resolution of his neurological symptoms were a result of antipsychotic administration or were simply due to the natural course of methamphetamine discontinuation during hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.
characteristics of suicidal behavior in a rural population
Authors: Chauca Chauca G.M. , Carrión Expósito L. , Jaén Moreno M.J. 
Published: June 2017

IntroductionSuicidal behavior is defined as any behavior of self-harm with intent and knowledge of what is done. Suicide ranks among the 10 leading causes of death in the statistics of the world health organization.ObjectivesThe main objective of the study is to determine the sociodemographic characteristics of patients who have attempted suicide and the characteristics of this behavior.MethodsIt is a descriptive cross-sectional study.ResultsThe sample consisted of 70 patients, with a mean age of 41.17 years, most of them were women (58.5%). In relation to employment status, 31.4% were working, 21.4% unemployed, 14.3% were retired and 32.9% had other employment status. Among the characteristics of suicidal behavior characteristics, mode, forecasting rescue, previous suicidal behavior, previous outpatient follow-up and consumption of toxic evaluated. The most frequent method chosen was the voluntary intake of drugs (77.1%). The 67.1% were diagnosed with depressive disorder followed by personality disorders (20%).ConclusionsIn total there is a predominance of women in achieving some suicidal behavior, as well as a higher percentage among single, divorced or widowed (60%) versus married (40%). Also a higher percentage of patients unemployed, pensioners and others who do not receive income (68.5%) versus the occupationally active (22%). Another condition that must be evaluated in the suicide risk is having previously made a suicide attempt, in our study 54.3%. Since subjects with previous suicide attempt are four times more likely to try again. The results are also consistent with other studies that the most common disorder associated with suicide attempt is depressive disorder (67.1%).Disclosure of interestThe authors have not supplied their declaration of competing interest.
Road traffic accidents and suicide rates in Europe
Authors: Kandrychyn S. , Razvodovsky Y. 
Published: June 2017

IntroductionRoad traffic death and suicide may have some similarity in their psychological correlates; furthermore, road traffic should be considered as a suicide method.AimsThe present study aims to explore the relationship between road traffic deaths and suicides in Europe.MethodsRates of road traffic accident deaths and suicides and gross national income (GNI) per capita for 40 European nations were obtained from the world health organization official database. The total sample was divided on 22 eastern European nations and 18 western European nations.ResultsMortality rate from road traffic accidents in groups of all European nations is associated positively with suicides (Pearson r = 0.45, two-tailed P < 0.01) and negatively with GNI (r = −0.64, P < 0.0001). At the same time suicide rates does not reveal a significant correlation with GNI. In the groups of eastern European nations road traffic deaths is associated positively with suicides (r = 0.57, P < 0.01) and relationship with GNI is not significant. As a contrast, in the groups of western European nations road traffic deaths is associated negatively with GNI (r = −0.69, P < 0.01) and shows any significant relationship with suicides. Although in this group, suicides show some positive correlation with GNP (r = 0.45, P < 0.05).ConclusionsThe present data indicate, therefore, that mode of ecological association between three studied indices is various in the different group of European nations what suggests the multifactorial complexity of violent death etiological mechanisms. At the same time, the data allow to suggest that socioeconomic factors are more essential in prevention of road traffic mortality than suicides.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Is prior suicide attempt a reliable indicator of short-term suicide risk amongst patients admitted to an acute suicide inpatient intervention unit in India?
Authors: Mishra S. 
Published: June 2017

IntroductionTraditionally past suicide attempt is considered a strong reliable factor in predicting an immediate or short-term suicide risk. Considering the complex interplay of different variables associated with suicide, the absence of past attempts may not prove to be of lesser risk for a consequent attempt.AimTo compare sociodemographic and clinical correlates within high-risk suicidal patients who have made a recent suicide attempt in the presence versus absence of past suicide attempts.MethodsRetrospective review of patient's records admitted to intensive care unit, applied suicide intervention and supportive treatment (ASIST) between 1st January 2015 and 31st May 2016 was conducted. Data was extracted for all consecutive admissions to ASIST, of adults (16 to 60 years) male patients with high risk for suicide.ResultsOut of 109 at risk inpatients, 31% were recent attempters without past attempts and 13.5% were recent and past attempters. Rest included past attempters without recent attempt and non-attempters. Except for poor coping skills, which were significantly higher (Chi2= 13.97; P = 0.001) in the group consisting recent and past attempters, all other relevant sociodemographic and illness related correlates were comparable across these groups.ConclusionSuicide risk may be associated with multiple factors. Apart from past attempts, a faulty coping style can be associated with risk for further attempts. Other correlates like age, marital status, employment and illness profile did not follow the traditional pattern in our study which makes them equally important while addressing suicide risk in Indian men.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Fear from freedom, tendency to suicide
Authors: Mohammadi M. 
Published: June 2017

The growth of social activities for women in Iran has had a two-sided outcome for women. The worst, the women have encountered the phenomenon of prison, which is a great problem in traditional and Islamic societies. The change of role expectations after the release from prison has imposed many restrictions on women so that there is not any vivid future for them. Lack of enough education and skill has deprived the prisoner women from retaining their pre-prison situation. The high number of suicide among prisoner women shows that subculture of encountering with prisoned women in Islamic societies is based on sin approach in that the women are sinners who will be sent to hell in the other world and they must see the punishment of their sin to be ready for the extreme heat. Disinterestedness in the interaction with other people and loving isolation are two characteristics of style life for these women. The efforts of authorities to return these women to normal life, unfortunately, have failed to work. This paper investigates the reasons and roots of exclusion for prisoner women in Iran and Islamic societies.Disclosure of interestThe author has not supplied his declaration of competing interest.