bluuebunny/crossref_metadata_2025_split huggingface dataset:
1746 – A Case Of Isoniazid-induced Delirium
Authors: Demartini B. , Ranieri R. , Gambini O. 
Published: July 2013

ObjectiveTo report a case of isoniazid-induced delirium.Case summaryA 56-year-old man affected by alcoholism and hepatic cirrhosis was admitted to hospital for a suspected pneumonia with pleural effusion and thickenings. A Mantoux skin test was positive. A core biopsy of the pleural nodules revealed a tubercular granulomatous pleuritis. An isoniazid, ethambutol and rifampicin therapy was then started. Subsequently the patient developed a state of delirium. A diagnostic work-up was carried out considering different hypothesis: hepatic encephalopathy was ruled out because of lack of response to appropriate treatment; negative encephalic CT scan, liquor examination and EEG excluded a tubercular involvement of the central nervous system or other neurologic etiologies. Haloperidol and delorazepam were administered under the suspicion of Wernicke-Korsakoff syndrome, without any benefit. Finally a toxic etiology was considered. Among isoniazid side effects psychosis is described, though rare. Isoniazid therapy was then stopped and substituted by moxifloxacin, with progressive improvement of the state of consciousness.DiscussionCases of isoniazid-related psychiatric disorders reported include psychosis, obsessive-compulsive disorder and mood alterations. Two mechanisms are generally considered as responsible: pyridoxin deficiency and isoniazid toxicity, a molecule chemically near to iproniazid, a powerful monoamineoxidase inhibitors. This is the first report of a case of isoniazidinduced pure delirium, with all clinical features according to DSM-IV criteria. We also confirmed successful resolutions of symptoms only by discontinuation of therapy.ConclusionsIn the work-up of a state of delirium, when investigating the toxic hypothesis, clinicians should consider neuropsychiatric side effects of isoniazid.
1747 – Recovery-orientation And Peer Support For Mothers With Mental Health Problems
Authors: Amering M. 
Published: July 2013

ContextRecovery is currently the guiding principle for mental health policies in English-speaking countries with growing influence internationally.Key messagesRecovery is defined not only by symptom reduction but mainly by opportunities for inclusion and success in social roles. Recovery means leading a meaningful life after and despite mental health problems and disabilities. Being a mother is an integral part of what constitutes a meaningful life for many women.Peer support is an essential ingredient of recovery-oriented services and the evidence on its feasibility and positive impact is growing.Peer support for mothers during pregnancy and the perinatal period has a long tradition in most societies. Examples of groupbased as well as individual peer support programs with direct contact or telephone based interventions have been described and evaluated mainly for breastfeeding and for the prevention of postpartum depression.Recently, peer support programs especially designed for mothers with mental health problems have been developed. First experiences are encouraging. More research is needed and will include recovery-dimensions as outcome variables as well as qualitative and user-led designs. Areas of special interest in the development of recovery-oriented interventions are the need for ongoing support while children grow up, the prevention of unnecessary custody loss, issues of disclosure and assistance for children as supporting relatives.ConclusionRecovery-orientation and peer support offer new insights and new ways of support for mothers with mental health problems and disabilities.
1749 – Psychometric Properties Of The Eating Disorder Examination Questionnaire In a Portuguese Sample Of Overweight Women
Authors: Peixoto C. , Pereira A.T. , Soares M.J. , Bos S.C. , Marques M. , Nogueira V. , Valente J. , Madeira N. , Roque C. , Macedo A. 
Published: July 2013

IntroductionThe Eating Disorder Examination Questionnaire (EDEQ; Fairburn & Beglin, 1994) is a widely used measure composed of 28 items derived from the EDE Interview. The questionnaire has been considered an adequate measure of eating related psychopathology, including with overweight samples. EDEQ also assesses frequencies of eating disordered behaviors in terms of the number of episodes in the past four weeks (6 items not contributing to scores).ObjectivesTo investigate reliability and factorial structure of the EDEQ in a large sample of Portuguese overweight women.MethodsThe EDEQ was administered to an outpatient sample of 276 women (Mean age = 43.85 ± 11.89; Mean BMI = 32.82 Kg/m2 ± 5.43) attending a weight loss treatment consultation in a public medical center.ResultsThe EDEQ Cronbach a was .88. All items contributed to the internal consistency. A three factors structure (variance explained = 50.37%) was selected: Factor (F) 1 “Weight and shape concern/dissatisfaction” (a = .91); F2 “Eating concern” (a = .71) and F3 “Restraint” (a = .63). The mean total score was 2.36 (± 1.07). The regular occurrence of overeating episodes, selfinduced vomiting, laxative misuse and excessive exercise was reported by 10%, 1.5%, 4.1%, and 8.9% of participants, respectively.ConclusionsThe EDEQ Portuguese version showed adequate psychometric properties in a sample of overweight women. Its factorial structure, mean scores and specific eating disorder behaviors frequencies are in accordance with other studies with obese participants. The EDEQ Portuguese version could be very useful to clinical and epidemiological purposes in a broad range of eating disturbances.
1757 – Perfectionism, Eating Behaviours And Affect In Overweight Women
Authors: Peixoto C. , Pereira A.T. , Soares M.J. , Bos S.C. , Marques M. , Maia B.R. , Nogueira V. , Valente J. , Madeira N. , Roque C. , Macedo A. 
Published: July 2013

IntroductionKnowledge about the mechanisms underlying the relationship between perfectionism and eating behaviors in overweight/obese women is very scarce.ObjectivesTo investigate the relationship between perfectionism, eating behaviors and affect in overweight women.MethodsThe Portuguese validated versions of the Eating Disorders Examination Questionnaire/EDEQ, the Multidimensional Perfectionism Questionnaire and the Profile of Mood States were administered to an outpatient sample of 276 women (Mean age = 43.85 ± 11.89; Mean BMI = 32.82 ± 5.43) attending a weight loss treatment in a public hospital.ResultsCorrelations between Social Prescribed Perfectionism/SPP and EDEQ total (T) and its dimensional scores (Weigh and Shape Concern and Dissatisfaction/WSCD, Eating Concern/EC, Restraint) were all moderate (r > .30) and significant (p > .001). Self-Oriented Perfectionism/SOP was also significantly correlated with EDEQ-T, WSCI and Restraint (r = .20). Positive affect/PA was negatively correlated and Negative affect/NA was positively correlated with all EDEQ dimensions (r > .25; p > .001). SPP, but not SOP, was significantly correlated with PA (r = −.27) and NA (r = .34). Participants with high (>M+SD) vs. low (< MSD) SOP and SPP had significantly higher means in EDEQ-T, WSCI, EC and Restraint (all p < .001). Linear regression showed that SPP, PA and NA were predictors of EDEQ-T and WSCI; SPP and NA were predictors of EC; NA was the unique predictor of Restraint (all p < .001). Controlling for NA/PA, SPP still being a significant predictor of all EDEQ, WSCD and EC, accounting for significant increments of variance (4.4%, 2.9% and 4.3%, respectively; p < .001).ConclusionsAs in studies with other type of samples, SPP is related to disordered eating in overweight women.
1768 – Sick-leave Due To Psychiatric Disorder Among Women
Authors: Ben Ammar H. , Bel Arbi A. , Robbana L. , Moula O. , Bouasker A. , Ghachem R. 
Published: July 2013

IntroductionWomen take sick-leave more often than men, in general and especially because of psychiatric disorders.ObjectiveThe aim of the present study was to describe and analyse sick-leave due to psychiatric morbidity and its relation to age and occupation, with a special focus on sex differences.MethodWe conducted a retrospective and descriptive study in external consultation of the psychiatric hospital Razi. We collected the records of patients seen between 01/07/2011 and 30/09/2012 and who received sick leave for psychiatric illness.Results92 patients were included (78 female, 14 male) with mean age of 43,6 years. Sick-leave duration was longer for women. The greatest gender differences were found in the youngest and oldest age-groups. Women had higher incidence also in the longest spells (86% vs 14%).Depressive disorders were found among 73% of cases. Highest incidence of sick-leave was found among those with a combination of psychiatric and physical morbidity.ConclusionPsychiatric disorder is an important factor in sick-leave among women, especially regarding length of absence. Further studies on the influence of sex integration on sickness absence need to be done.
1773 – Alexythymia And Narratives In The Psychotherapy Of Eating Disorders. Correlations Between Psychometric Scales And The Narrative Indices Of The Referential Process
Authors: Caslini M. , Mariani R. , Rivolta L. , Pini E. , Bartoli F. , Zappa L.E. , Clerici M. 
Published: July 2013

IntroductionThis study presents the first results of a project on alexythymia and emotional connections in a sample of 8 patients with EDs. The project aims to evaluate changes in emotional expressions through the language used, by means of the Italian measure of the referential process. Changes in the alexithymic condition will be examined through the outcome and qualitative analysis of the psychotherapeutic process.Method25 verbatim transcribed psychotherapeutic sessions were analyzed and correlated with TAS20, EDI-2, PBI, BUT, SWAP200, and between these and the narrative indices of the IDAAP.ResultsThe relation between TAS20 and PBI supports a link between alexythymia and parenting styles: neglect and overprotection seem to contribute to difficulties in forming emotional connections. The positive correlation found between the TAS20 and some EDI2 subscales indicates a tendency to express misunderstood stimuli by means of the body. A positive correlation between MHIWRAD2 and TAS20 may suggest strong phases of emotional activation due to emotional dysregulation. The analysis of the significant correlations between the PBI and the RA measures indicate that parenting styles are related to language. A positive correlation between the IWRAD indices and maternal overprotectiveness was found: maternal overprotectiveness may be associated to strong emotional activation which is in turn characterized by emotional dysregulation. The associations between the narrative indices and the high functioning measure of the SWAP200 suggest that the reflexive components is related to high functioning; emotional dysregulation, as expressed by the variability in RA peaks, seems to be connected to low functioning.
1777 – Is Management Of Borderline Personality Disorder In Female Psychiatric Intensive Care Unit (picu) Appropriate?
Authors: Bennett L. , Dixon R. , Gintalaite-Bieliauskiene K. 
Published: July 2013

IntroductionThere are above 170 PICUs in the UK, most of them being gender mix or male only. There is no specific data available about management of patients diagnosed with Borderline Personality Disorder (BPD) in PICUs.ObjectiveReview of sociodemographic, clinical, outcome characteristics, care pathways and financial implications when managing BPD population in Female PICU.AimsTo measure rates of compliance with NICE guidelines using such criteria as: comprehensive care plan provided on admission to PICU and at discharge from PICU; patient being involved in discussion about discharge plans; specialist assessment / treatment started before admission to Female PICU was continued during the admission; referral for psychological therapies was considered/made during stay in Female PICU; prescribing practice by referring and admitting teams; availability of specialist Personality Disorders (PD) services locally.MethodsRetrospective cross sectional review of patient records.Results76% of patients are admitted to Female PICU with a comprehensive multi-disciplinary care plan. 80% of patients transition from ECH was discussed carefully with the patient beforehand. Specialist assessment/treatment started before admission to ECH was continued during the admission 100%. Most of the patients would receive treatment by various psychotropic meds prior and during the admission. Referrals to psychological therapies were considered for 19% of patients. There is a lack of specialist PD services.ConclusionsBPD is the most costly population in comparison with other patient groups in Female PICU which requires multidisciplinary team input, specialist services involvement, better adherence to NICE guidelines, support and training for MDT.
1778 – Suicide In Portugal: Comparison Between Coastal And Inland Regions
Authors: Castanheira G. , Lopes A.C. , Cordeiro C. , Silva B. , Corte-Real F. , Vieira D.N. 
Published: July 2013

Suicide is the act of intentionally causing one's own death. It is often committed out of despair, the cause of which is attributed to a mental disorder, alcoholism, drug abuse or stress factors such as financial difficulties or troubles with interpersonal relationships. In the 20th century it is possible that more people have died from suicide than in the two great wars ocurred in the same century. The World Health Organization estimates that it is the 13th leading cause of death worldwide.This study aimed to describe the situation of different regions of central Portugal with regard to suicidal behavior in the general population, comparing different data from coastal and inland regions. The intention was also to compare these realities with nacional and european standards.The authors present a retrospective study of over 8000 forensic autopsies performed between 2006 and 2010 in the portuguese regions of Aveiro, Castelo Branco, Coimbra, Covilhã, Figueira da Foz, Leiria, Viseu and Tomar, of which around 15% were related to suicide. Several variables were characterized in order to establish the profile and circumstances of suicide in these regions.As the portuguese legislation predicts a forensic exam in cases of violent death, the continuous raise of the number of autopsies from suicides means that this trend shows an alarming increase. Data collected from forensic post mortem exams may prove essential to understand this phenomenon, which is a source of economical and social impoverishment.
1786 – Perfectionism, Self Esteem And Depression In a Portuguese Sample Of Adolescents
Authors: Bento C. , Pereira A.T. , Marques M. , Saraiva J. , Macedo A. 
Published: July 2013

IntroductionIn adolescents, Socially Prescribed Perfectionism/SPP has been consistently associated with depression. Findings on Self-Oriented-Perfectionism/SOP and depression are equivocal. Self esteem/SE has been found to play a significant role between SPP and depression.ObjectiveTo analyse the relationship between perfectionism, SE and depression in a Portuguese adolescents sample.Method963 adolescents (59.2% girls), aged 15.80 ± 1.510 answered the Portuguese versions of the Children Depression Inventory/CDI, Rosenberg Self-Esteem Scale and Child and Adolescent Perfectionism Scale.ResultsCDI and SE mean scores were significantly different between genders (CDI-Girls:10.84 ± 6.025 vs. Boys:8.90 ± 6.477; SE- Girls:20.11 ± 4.953 vs. Boys:20.48 ± 4.856; p < .001). SOP was not significantly correlated with CDI and SE in both genders. In both genders SPP was positive correlated with CDI and negatively correlated with RSES (r = .20, p < .01). RSES was negative correlated with CDI (Girls, r = -.70; Boys, r = -.63; p < .01). Girls with high SPP (>M+1SD) had CDI total mean scores significantly higher than girls with low SPP ( < M-1SD) (12.61 ± 6.79 vs9.75 ± 5.24, p=.003). Gils and boys with high SE vs. low SE had significantly higher CDI total mean scores (Girls:18.49 ± 5.98 vs. 4.91 ± 3.05; Boys:17.02 ± 7.65 vs.5.80 ± 5.62; p < .001). Linear regression showed that the model composed by SPP and RSES explained 49.5% of the CDI variance in girls and 40.0% in boys (p < .001). In both genders, SPP and SE were significant CDI predictors (p < .05). The mediation analysis revealed that in the Girls sub-sample SE partially mediated the relationship between SPP and CDI (IC 95% .036-.126).ConclusionsHigh SPP and low SE are associated with depression in adolescence.
1788 – Hypnosuggestive Psychotherapy Of Psychosomatic Patients
Authors: Mykhaylov B. , Kashpirovsky A. 
Published: July 2013

Contemporary, a high level of psychosomatic disorders in Ukraine fixed on.The clinical longitudinal comparative investigation was perfomed with 1103 patients.The representation of nosological diseases were: blood system - 8%, endocrinous system - 11%, psychic and behaviorale disturbances - 9%, nervous system - 11%, cardiovascular system - 20%, gastrointestinal system - 12%, urinary system - 21%, other - 8%. The emotional disturbances of all thease patients were investigated with the clinic and pathopsychological methods. The high level of anxiety was shown. Pathopsychologically the high level of personality anxiety and low level of neurotism and depression were identified. Our experience showed the necessity of the integrative models of psychotherapy provided, parted on stage. The complex system of psychotherapy, based on rational and hypnosuggestive models has been developed, with the multimodal approach.The cathamnestic investigation the high efficasy in 65% cases, and middle range efficacy in 20% cases was chown.
1790 – Impact Of a New Antidepressant Drug Treatment On The Occurrence Of An Antipsychotic Prescription In The General Population
Authors: Tournier M. , André M. , Gaudron Y. , Bégaud B. , Lepouriel H. , Verdoux H. 
Published: July 2013

IntroductionAn antidepressant drug treatment (ADT) may be associated with adverse effects such as manic switch or chronic irritable dysphoria. These adverse effects have been highlighted in patients with bipolar disorder but never in the general population. They may lead to prescription of sedative treatment, particularly antipsychotic drugs.ObjectivesTo assess whether the prescription of ADT is subsequently associated with an increased probability of prescription of an antipsychotic treatment, in the general population.MethodsA nested case-control study was carried out in a cohort of subjects initiating a new ADT registered in the national insurance database (n = 28,145). Cases were defined as subjects receiving a new antipsychotic drug treatment. Controls did not receive any antipsychotic drug until the index date. They were compared for the probability of receiving an ADT during at least two weeks in the four weeks prior to antipsychotic initiation.Results2558 subjects received an new antipsychotic drug over the follow up. After adjustment for gender, age, chronic disease status, welfare benefit, specialty of the ADT prescriber, co-prescription of other psychotropic drugs, a new antipsychotic dispensing was associated with exposure to ADT during at least two weeks in the four weeks (OR 1,42 ; IC95% 1,29-1,58 ; p < 0,0001).ConclusionsThe dispensing of ADT increases the risk of receiving an antipsychotic treatment, which may be a proxy for manic switch, in the general population.
1795 – Course Of Dependent Patients With Buprenorphine High Dosage: About 32 Cases
Authors: Robbana L. , Moula O. , Guermani M. , Bouasker A. , Ghachem R. 
Published: July 2013

IntroductionDiscussions about the limitation of the prescription and dispensing of buprenorphine hight dose (Subutex ®) emphasize the need for a systematic and formalized cooperation between the various contributors in health.ObjectiveDescribe the course of caring for patients addicted to Subutex followed at the outpatient service of Razi hospital.MethodsA retrospective study was conducted on the records of patients who consulted the outpatient service of Razi hospital during a six-month period and whose diagnosis of dependence to Subutex was retained.ResultsTwenty three patients were addicted to Subutex. 100% male. The mean age of the patients was 32.13 years. Almost 82.6% of patients had a low socioeconomic level and 78.3% of them did not have insurance. 16 were unemployed. A history of incarceration was found in 82.6% of patients. The duration of use of Subutex ranged between 2 and 168 months. Places of acquisition of this molecule were precised only by 26% of consumers. Fifteen consultants do not have any history of detoxification cure and 8 of them had 1 or 2 cures. In addition, 78.3% of patients reported being motivated to stop their addiction. Regarding collaboration of physicians, 8 patients (34% of the patients) were referred by generalist physicians, 7 patients by specialist physicians, 4 patients by emergency and 2 by psychiatrists.ConclusionThe management of patients addicted to Subutex in our country is deficient. These results argue for the necessity of general measures of support dependent on psychoactive substances.
1801 – The Prognosis Of Specific Phobia In The Elderly Population: a 5-year Follow-up Study
Authors: Sigström R. , Skoog I. , Karlsson B. , Östling S. 
Published: July 2013

IntroductionSpecific phobia (SP) is prevalent in the population but its clinical relevance is unclear.ObjectivesThere are few prospective population studies of SP.AimTo study the prognosis of SP in a sample of elderly with special reference to SP as a risk factor for depression.Material and methodsA representative sample of 70-year old men and women (N=558) without dementia were examined by psychiatric nurses, using a semi-structured interview based on the Comprehensive Psychopathological Rating Scale (CPRS). Symptom algorithms were used to diagnose SP and other disorders of mood and anxiety according to DSM-IV. At a 5-year follow-up 418 (74.9%) persons were re-examined.ResultsThe prevalence of SP had declined significantly from 10.2% to 6.1% at follow-up. Of those with SP at baseline, 28.6% met diagnostic criteria also at follow-up, 52.4% had sub-clinical symptoms and 19.0% had no symptoms at follow-up. The prognosis of SP was not influenced by psychiatric comorbidity or type of fear. SP at baseline increased the risk for depression at follow-up in a logistic regression model also including gender and other anxiety disorders.ConclusionLess than a third of those with SP meet criteria at a 5-year follow-up, indicating substantial fluctuation of symptom levels of SP. The marked reduction in prevalence of SP over time suggests that age in itself may have a positive influence on the prognosis. The increased risk for depression in this study calls for more prospective studies in younger samples.