bluuebunny/crossref_metadata_2025_split huggingface dataset:
2554 – Cognitive Deficits Related to Alcohol Abuse: A Preliminary Study
Authors: Smeraldi C. , Movalli M. , Cavicchioli M. , Angelone S.M. , Maffei C. 
Published: July 2013

Objective:Cognitive deficits may compromise patients’ utilization of rehabilitative information. There is an increasing attention on the opportunity to integrate a specific support to cognitive functions in alcohol detox programme and the first step to program the clinical intervention is to have a complete overview of cognitive deficits in alcoholics clinical sample.Methods:62 patients who refer to alcoholism service were screened at admission time. Cognitive functions were assessed by trained psychologist with a specific neuropsychological battery. The impact of clinical features as age, gender, scholarship and concurrent polyabuse was evaluated for each function.Results:The 45,7% of our sample shows a generalized decline. Subtests shows impairment's different degrees (26,1% verbal memory; 32,6% working memory; 50,0% psychomotor speed and coordination; 30,4% verbal fluency; 58,7% selective attention; 13,0% tower of London task; 41,3% executive functions; 56,5% sustained attention). Clinical features have different impact on cognitive functions.Conclusion:Alcoholics patients shows a diffuse range of cognitive impairment. For this reasons a cognitive remediation programme could be a useful adjunctive intervention for the treatment of alcohol dependence.
2561 – A National Survey of Physician-Industry Relationship in Saudi Arabia
Authors: Alosaimi F.D. , Albahlal A. , Al-Abduljabbar M. , Alabdulkarim Y. , Alqahtani F. , Qadi M. , AlKabba A. 
Published: July 2013

Background:Relationships between physicians and pharmaceutical & other medically related industries have received considerable attention in recent years. We surveyed physicians all around Saudi Arabia (SA) to collect information about their knowledge, behaviors and attitudes regarding their relationships with the industry.Methods:A cross-sectional survey that used a 47-item, anonymous, self-administered questionnaire, was sent to all accessible doctors in SA. The questionnaire was developed based on literature review, discussed between authors and reviewed by experts. The surveyResults:600 doctors (physicians and surgeons), 15% of them were psychiatrists who filled in the survey. Preliminary results of only 15% of the total sample indicated that 40.9% (n = 38) of participants have encountered a pharmaceutical company representatives (PRs) at least once in their life. Psychiatrists were among the top specialties in accepting gifts and promotions presented to them by PRs. 4.3% (n = 4) of participants mentioned that PRs almost always offer a gift and promotion after every meeting. The most frequently mentioned gifts presented to participants by PRs are stationary such as pens or notepads (26.9%). Although 60.2% (n = 56) of participants had been educated about the ethics in physician industry relationships, 34.4% of participants accept gifts and promotions presented to them by PRs.The final results of this study will be ready by Feb 2013. It will be presented fully in the EPA 2013.Conclusions:The results of this survey indicate that relationships between physicians and industry are common and underscore the variation among such relationships according to specialty, practice type, and professional activities.
2566 – Chronobiological Thyroid Axis Activity and Suicidal Behavior in Depressed Patients
Authors: Duval F. , Mokrani M.-C. , Gonzalez Lopera F. , Proudnikova X. , Rabia H. , Erb A. 
Published: July 2013

Objectives:The aim of this study was to investigate the relationship between suicidal behavior and chronobiological thyroid axis activity in depressed patients.Methods:The serum levels of TSH, were evaluated before and after 8 AM and 11 PM TRH challenges, on the same day, in 230 medication-free DSM-IV euthyroid major depressed inpatients and 50 healthy hospitalized controls.Results:Compared to controls: 1) patients with a recent suicide attempt (n = 71) showed lower TSH response to TRH (ΔTSH) at 11 PM, lower ΔΔTSH values (differences between 11PM-ΔTSH and 8AM-ΔTSH) (p < 0.03 and p < 0.00001, respectively), and lower free thyroxine (FT4) levels (p < 0.00001); 2) patients with a past suicide attempt (n = 52) showed no major alteration of the HPT axis activity; 3) patients without a suicide attempt history (n = 107) showed both lower 8 AM-ΔTSH and 11-PM ΔTSH (p < 0.04 and p < 0.000001), and lower ΔΔTSH values (p < 0.000001), but no alteration of circulating thyroid hormone levels.Conclusions:Our results suggest that in patients without a suicide attempt history increased hypothalamic TRH stimulation (as evidenced by reduced TSH responses to TRH) might be a compensatory mechanism. in patients with a suicide history this compensatory mechanism is not effective. in patients with a recent suicide attempt the evening TSH blunting, associated with reduced FT4 levels, might be indicative of a decreased central TRH activity leading to a reduction in the TSH resynthesis in the thyrotrophs during the day after the morning challenge.
2574 – Relationship of Family Caregiver Burden with Quality of Care and Psychopathology in a Sample of Arab Subjects with Schizophrenia
Authors: Zahid M.A. , Ohaeri J.U. 
Published: July 2013

Introduction:Although the family burden remains one of the most important consequences of schizophrenia, no reports have addressed this important issue in the Arab world.Objectives:Determine relationship of family burden with the caregiver’s/patient’s socio-demographics, clinical features and the indices of quality of care.Method:Consecutive family caregivers of outpatients with schizophrenia were interviewed with the Involvement Evaluation Questionnaire (IEQ-EU). Patients were interviewed with measures of needs for care, service satisfaction, quality of life and psychopathology.Results:Amongst the 121 caregivers, the higher burden scores were associated with caregiver lower level of education, patient’s female gender and younger age; patient’s lower subjective QOL and needs for hospital care; and not involving the patient in outdoor activities. Disruptive behavior was the greatest determinant of global ratings of burden.Conclusion:Despite generous national social welfare provisions, results underscore the need for the community-based programs and continued intervention with the families in order to improve the quality of care.
2585 – The Effect of Teaching Program on Body Satisfaction of Burn Women
Authors: Seyedfatemi N. , Seyedooshohadaie M. , Shekarabi R. , Haghani H. 
Published: July 2013

Objectives:Disfiguring changes in appearance secondary to illness or injury such as burn injury lead to significant body image changes in both sex but particularly in Women. Carrying out educational program about physical appearance may improve their distress and reinforce them to think positively and doing positively throughout their lives. The purpose of this study was to examine the effect of teaching program on body satisfaction of Iranian burn women.Methods:This quasi-experimental one-group pre-post test study investigated the impact of teaching program on Body satisfaction of Burn Women hospitalized in Mottahari Burn Hospital in Tehran. A sample of 65 burn adult women participated in this study after giving information regarding the study objectives and filling in an informed consent. Data gathering was done by the satisfaction With Appearance Scale (SWAP). Study participants completed the questionnaire before intervention. An educational workshop regarding physical appearance and the way of improving was established for the subjects. Data were collected by the questionnaire one month after intervention.Results:Findings revealed that the age of most of women (60 %) was 20–40 years and 61.5% were employed. Degree of burning in most of participants was 21–40%. There was significant statistical difference between Mean scores of body satisfaction before and after intervention (P = 0.001).Conclusions:The teaching workshop seems to promote body satisfaction of burn women. The study hypothesis was accepted. These programs should be carried out for all kind of disfigurement.
2586 – French Adaptation of Cognitive Remediation Therapy for Anorexia Nervosa: Study Design and Preliminary Findings of a Multicenter Randomized Clinical Trial in Adolescents and Young Adults
Authors: Maria A.-S. , Ringuenet D. , Courty A. , Godart N. , Duclos J. , Bignami L. , Vindreau C. , Blanchet C. , Bourdier L. , Berthoz S. 
Published: July 2013

Objective:Individual Cognitive Remediation Therapy (CRT) for AN has been found to improve patients’ neuropsychological functioning and short term outcome. No French speaking country has tested its effectiveness. Moreover, the question whether it is similarly efficient for both restrictive and binge-purging AN remains unanswered. We thus designed a randomized clinical trial on the effectiveness of individual CRT in AN adolescents or young adults.Method:120 female AN [16-35 years old] (60 AN-R; 60 AN-BP) from three specialized care units (P.Brousse, IMM, Cochin- MDA). Patients of each AN type are randomly allocated to one of the two treatment arms: CRT or Sham Therapy (ST). The Sham therapy (ST) has been designed to match the CRT format: an individual manualised therapist-led 10-sessions long program (2 sessions/week). ST sessions have been designed so as to avoid set-shifting and central coherence training and rather tap 3 domains: soft physical activity, emotional expression and recognition and interpersonal functioning. Primary outcomes are neurocognitive improvement at the end of therapy (TMT, WSCT performances) and better clinical status (GOAS) at the end of therapy and at follow-up (6 months, 1 year). Secondary outcomes are changes in BMI, central coherence, selfreported eating disorders symptoms and cognitive flexibility, and motivation to change.Results:Inclusions started in September 2012. Preliminary findings (at least 15 participants in each arm are expected by then) on short term CRT effectiveness will be presented.
2589 – Reaction Time in Schizophrenia and Mood Disorder
Authors: Krag P.J. 
Published: July 2013

Introduction:In experimental psychopathology there is a long tradition of reaction time studies. Especially in schizophrenia there has reliably been observed deficits in attention and reaction time.Objectives:To examine if patients with schizophrenia can be differentiated from patients with mood disorder on the basis of their reaction time patterns.Aims:To evaluate if reaction time measures might be useful in the diagnostic process.Methods:58 patients with schizophrenia, 55 patients with mood disorder, and 30 healthy controls participated in a computerbased reaction time experiment. The stimuli were short visual and auditory stimuli presented in a randomized sequence. The subjects were instructed to press a button each time they saw or heard a signal from the computer.Results:The reaction times of the patients with schizophrenia and mood disorder to both light and sound stimuli were significantly slower than those of the control group. Furthermore, the patient groups’ reaction times were significantly less stable than those of the control group, and they made significantly more errrors. However, no significant differences in reaction times, stability of reaction times, and number of errors were found between the two patient groups. No clear or consistent differences were observed when comparing the reaction time patterns of subgroups of schizophrenia patients with positive, mixed and negative symptoms, and mood disorder patients in manic and depressive phases.Conclusion:On the basis of simple reaction measures it is not possible to differentiate between patients with schizophrenia and mood disorder.
2608 – Screening For Depression in Elderly Urban Population
Authors: Raul A. , Sagare S.M. 
Published: July 2013

Introduction:žDepression is a treatable medical condition and one of the most frequent causes of emotional distress in older adults žUntreated depression can delay recovery or worsen the outcome of other medical illnesses via increased morbidity or mortality žDepression is NOT a part of normal aging.Objectives:žTo determine the prevalence of depression among the elderly population žTo identify the risk factors with respect to depression in elderly.Material and methods:žStudy design: Cross sectional study žStudy setting: Community based žSample size: 216 žStudy area: Southern part of urban Pune city žInclusion criteria: Age more than 60 yrs of age žStudy tool: Predesigned Questionnaire including WHO 5 Well being index and Mastering depression in Primary care version 2.2 was administered.Results:The prevalence of ndepression was 21.2% in the geriatric population. Widowed stae, financial dependancy,living in nuclear family and medical illnesses were the major stressors.Conclusion:The present study found that widowed state,retirement,medical illness and residing in a nuclear family system are strong predictors of depression in the elderly.Recommendation:žSocial support programs for the elderly must be developed to ensure their well-being. Awareness about risk factors would help in designing appropriate strategies for prevention of depressive disorders in geriatric population.
2609 – Uems Proposed Strategies to Diminish the Burden of Mental Disorder
Authors: Hermans M.H.M. 
Published: July 2013

The “Union Européenne de Médecins Spécialistes” (UEMS), established in 1958, brings together general medical associations of 34 European countries. Delegates of national scientific and professional associations related to 39 different medical specialties work through specialty specific Sections and European Boards. The European principle of free movement from one country to another for all European citizens, patients and professionals, is the guiding compass.The UEMS tries to elaborate general common criteria applicable in all countries in order to get a high level of specialist training and delivery of care all over Europe. The first European Directive concerning medical doctors was largely largely inspired by the UEMS input.Three key issues inspire the activities of the UEMS: (1) postgraduate training, (2) continuous medical education and professional development, and (3) quality insurance in specialist practice.The presentation will illustrate how the Section and European Board of Psychiatry try to achieve these goals within the field of mental health.www.uems.netwww.uemspsychiatry.orgwww.uems-cap.eu
2615 – Status Post Meningitis and Encephalitis? 20 Years after Infection, Psychiatry Problems
Authors: Kaludjerovic S. 
Published: July 2013

Infects of CNS are very severe disorders, if not treated can lead to death. Nowadays we still noticed presence of them. in our study we traced psychiatric problems of 30 patients age 35±5, both sex, had survived meningitis and encephalitis in their early adolescence 12 to 14. 80% meningitis, other encephalitis. in day care hospital they came because of headache, depression, panic, anxiousness, compulsive behavior, emotional instability. CT of brain were observed. Before study 80% patients got drugs.Aims:Find out are exist significance and link between infection of CNS (duration, type bacterial or viral, seizures if had happen) and psychiatric problems 20 years after?Study-Follow up 30 patients during one year treated in day care hospital. eeg controlled. Ct brain if necessary. To measure depression used Beck, Montgomery A scales.To measure panic used Pais 3 scales.Results:20 years after severe infection CNS noticed that just 20% visible eeg abnormalities. No seizures, but 10 % got AE.50% dg as panic, felt better on clonazepam.20%depression mild, recovered on escitalopram.10% personae disorders on therapy.Evaluated study showed that duration of CNS infection and seizers in anamnesis after 20 years consequence in irritability eeg as well as behavior problems so needed drugs.Bacterial infection (pneumoccoc, enteroccoc) linked in depression. As difference, viral infection linked in anxiety, panic and personal disorders.Beck and Montgomery A scales significant improvement after therapy. Panic scales also.
2618 – Theory of Mind and Hypomanic Personality in General Population
Authors: Terrien S. , Blondel M. , Morvan Y. , Besche-Richard C. 
Published: July 2013

Introduction:Theory of Mind (ToM) is the ability to assign a set of mental states to yourself and others. in bipolar disorders, alteration of social relationship can be explained by the impairment of the functioning of ToM. Deficit in ToM can be a trait marker of bipolar disorder and people in general population who has high score of hypomanic personality will be more likely to develop bipolar disorders.Aims:The goal of this study is to study abilities in a ToM task in general population with different level of hypomanic personality.Methods:This study examines 323 participants (23.25 ±7.74 years). Measures of hypomanic personality were evaluated by the Hypomanic Personality Scale (HPS) (Eckblad & Chapman, 1986). It is a self-report scale subdivided in 3 factors: social vitality, mood vitality and excitement. ToM was explored using Yoni task (Shamay-Tsoory & Aahron-Peretz, 2007) French adaptation. This test permits to distinguish the affective and the cognitive components of ToM.Results:Forward multiple regression analyses were performed to examine the effect of components of the HPS on the total score of ToM task. in women’s group, no subscales of the HPS have been included in the model. Conversely, the analyses performed on men revealed that the mood vitality subscale was a significant predictor of ToM abilities.Conclusion:The ToM task’s score is linked to the hypomanic score but only in men sample and only for the Mood vitality subscale. This result supports that deficits in ToM can be a trait marker of bipolar disorder in healthy men population.
2630 – Intermed Training: The Experience at the Modena Medical School
Authors: Spattini L. , Ghidoni A. , Simoni E. , Landi G. , Visentini C. , Pingani L. , Boenink A. , Ferrari S. , Mattei G. 
Published: July 2013

Background:INTERMED is a patient-centered method designed to assess bio-psycho-social case complexity in general health care. It consists in a structured interview leading to definition of 20 variables by focusing on past, present and future health needs and risks of patients. The total score supports professional decision and guides to patient-oriented care.Aim:To describe the training process on INTERMED interview and to assess its effectiveness.Methods:A training group of 4 doctors and 4 6th-year medical students attended two-hour meetings twice a month (December 2011– March 2012). After introductory sessions on theoretical aspects and inter-trainee simulations on interviewing and scoring techniques, students were assigned the task of producing recorded clinical material, which was used to comment on interviewing skills and practice on scoring. Individual and consensus scores were collected at the end of every session and compared statistically by means of Cohen’s kappa.Results:Agreement between individual and consensus scores was already considerable at the beginning of the training and improved during the course (Cohen’s kappa raised from 0.39 to 0.65). The participants were interested and motivated. They expressed satisfaction for the skills acquired during the training.Conclusions:A five months 20-hour training period is a reasonable time not only for learning how to master the instrument, but also for gaining the basic skills required to build a structured interview. These skills would be useful in the whole participants’ career and allowed the implementation of INTERMED as a clinical and research tool in the Modena General Hospital.
2645 – Solicitors Assaults on Psychiatrics: Tantrums at the Tribunal!
Authors: Wise M. 
Published: July 2013

Introduction:Psychiatrist write reports for a variety of judicial processes; employment law, family law, and personal injury. For a variety of reasons the commissioning agents may object to the report and seek to undermine its utility or validity. Attacks can take a range of forms from impugning an experts expertise, their competence, impartiality, the validity of the material used, the tests used, or via proxies such as another expert. After the event a refusal to pay for services provided is not unusual.Objectives:To familiarise psychiatrists with some of the common tactics used, illustrated by real case.Methods:Analysis of papers submitted to Court and in the public domainResults, by order of frequency:Allegations of substandard work, or even negligence are common, a feature being a lack of specifics in the assertions made in the pre-action protocols and witness statements.Threats to report the expert to a governing body, a feature being a lack of specific details.Threat of counter-claim for financial loss due to an unfavourable report.Refusal to pay for the report, up to including until court proceedings for debt recovery have been issued.Conclusions:Outright attacks on the report are rarely successful, particularly where experts for each side meet to discuss the differences. However a refusal to pay fees is far more likely. Psychiatrists need to adopt a robust approach to Lawyers and learn which intimidatory techniques are probably hot air, and devoid of substance.
2651 – Behavioural Changes in Cocaine Dependent Patients after Group-Therapy
Authors: Di Paolo M. , Chiappini S. , Testa R. , Pettorruso M. , Di Cesare A. , Sabetta L. , Conte G. 
Published: July 2013

Introduction:Frequent and increasing relations among psychiatric and substance dependence disorders, have made, to date, more complex the treatment of this dependence, especially when the patient is facing the difficult task of maintaining abstinence, which requires a work of self-awareness, motivation to change and active modification of dysfunctional lifestyles.Objectives:Our study has the aim to detect patients’ changes in personality between the beginning of the rehabilitative therapy and its end, trying to get information on aspects of addiction on which the treatment affects the most.Methods:Our sample was formed by 153 patients, recruited at the Department of Psychiatry of Gemelli General Hospital, who were subjected to an integrated approach of treatment, both pharmacological and rehabilitative group-therapy, according to Minnesota rehabilitation model, that considers addiction as a bio-psycho-social problem.Patients, after a first psychiatric evaluation, were asked to fill out two psychometric tests, the SymptomCheckList-90 R and the Structural Clinical Interview for DSM-IV, in two times, at the first meeting and at the last one, after 20 meetings of group therapy.Results:At the end of the group therapy 39 patients dropped-out, 114 patients had a significant improvement in depressive symptoms (DEP item), greater responsibility perseverance and attention in their activities and habitual contexts (GSI, DIS, W/S items), as well as better management of compulsion and impulsivity (OC item) and a lower sense of inferiority, inadequacy and discomfort in interpersonal relationships (PAR, ANX, IS, SOC. A., PSY. A. items).