bluuebunny/crossref_metadata_2025_split huggingface dataset:
879 – Psychological Stress Causes Relative Infertility Through Direct Change In The Frequency Pattern Of Gnrh Release From The Hypothalamus
Authors: Pirkalani K.K. , Talaee Rad Z. 
Published: July 2013

IntroductionThe mechanism of psychological stress induced infertility is unknown.ObjectivesEvaluation of oscillation pattern of GnRH release by the hypothalamus in different mental states.AimTo clarify whether hypothalamic oscillation is the target of stress.MethodsTwenty two patients were evaluated on four different sessions (day 6 and 14) within two consecutive cycles in addition to the MCMI-III and the Hamilton's depression scale.ResultsThe pattern of oscillation was indirectly correlated with Hamilton scale and the anxiety state and showed statistically significant lowering of frequency during anxiety and depression states. Besides, the slope of GnRH between two consecutive sessions (d0GnRH0/GnRH1dt) showed also a prominent reduction and even flattening. In addition the time to ovulation was also postponed in cycles with prominent anxiety.Conclusions1.Psychological stress exerts its effect through a reduction of pulsation frequency in GnRH release.2.The pattern of GnRH pulsation changes in the range of ¼ to 1/15 of baseline by external stimuli.3.Patients with borderline, schizoid, dependent, depressed and passive aggressive personality suffer most from irregularity of menstruation cycles.4.Patients with chronic major depression are subject to menstrual irregularity highest during stabilization of disease and in the early phases of recovery due to drug treatment with mostly SSRI.5.Treatment of depression of anxiety causes a reduction of menstrual cycles even to very short ranges.6.Measurement of GnRH, FSH, LH and Estradiol on two sessions one week apart is a nice marker for regularity and ovulation.
881 – Mutual Interaction Of Mood And Personality: a Transactional Model
Authors: Pirkalani K.K. , Talaee Rad Z. 
Published: July 2013

IntroductionSome personalities are more prone to mood disorders than others and treatment of mood disorders is more difficult in the setting of personality disorders.ObjectivesMany boots of depression attacks are without major life events. Personality disordered persons show earlier attacks of mood disorders in their life with a tendency to treatment resistance and early recurrence designing a model on mutual interaction of mood and personality might be very fruitful.AimsTo find more practical risk factors for chronic depression and improving the prognosis of these patients.MethodsThree hundred and fifty nine patients with major depression were evaluated with the MCMI-III and Hamilton's depression scale at diagnosis and 12 and 24 weeks after medical treatment. Two sixty patients group with comparable personalities were compared for receiving personality guided therapy or not.ResultsPersonality disordered patients have a double chance of developing major depression during their lifetime as compared to normal persons as exemplified by their reference to our center. Hamilton's depression scale was reduced significantly more in personality normal patients than their disordered counterpart (p< 0.04). Those who received personality guided therapy fared also much better after 12 and 24 weeks after treatment.ConclusionsWe conclude that personality is a major risk factor both in developing depression and in reduced responsiveness to conventional treatments. Patients with premorbid personalities should receive more intensive drug therapy in addition to personality guided therapies. Personality acts both cis (in the same side) and trans (in the opposite side) of mood.
888 – Quality Of Life In Bipolar Affective Disorder And Recurrent Depressive Disorder In a Romanian Sample
Authors: Romosan F. , Ienciu M.L. , Romosan R.S. , Papava I. , Enatescu V.-R. , Bredicean C.A. 
Published: July 2013

IntroductionQuality of life is negatively influenced in various degrees in both bipolar and recurrent depressive disorder, predominantly in the acute episode but also during remission.Aims and objectivesTo compare the degree of negative influence of the two nosological entities on quality of life of patients during remission.Methods78 outpatients diagnosed with recurrent depressive disorder, 67 outpatients diagnosed with bipolar affective disorder, according to ICD-10 diagnostic criteria and 73 healthy subjects were selected for this study. The assessment of the subjects took place during remission (euthymia), between june 2009 and june 2012. As work-instruments we used the SF-36 Scale for assessing quality of life and the HAM-D Scale (Hamilton Depression Rating Scale) and YMRS Scale (Young Mania Rating Scale) to confirm remission.ResultsThe bipolar group scored lower regarding quality of life than the recurrent depressive group. Both affective disorder groups showed significantly lower quality of life scores when compared to the healthy control group.ConclusionsBipolar affective disorder and recurrent depressive disorder have a significant negative impact on quality of life even during remission. Bipolar patients may have a lower quality of life than recurrent depressive patients. To improve quality of life, patients need social and familial support.
890 – The Correlation Of Depression And Anxiety With Burden In The Schizophrenia And Bipolar Disorder Patients' Caregivers
Authors: Barlas F. , Fistikci N. , Keyvan A. , Maner F. , Saatçioğlu Ö. 
Published: July 2013

AimIn the current study, it was aimed to investigate the correlation between the caregivers of schizophrenia and bipolar disorder (BD) patients in terms of burden, depression, anxiety and hopelessness.MethodBetween March and July 2011, 75 schizophrenia and 50 euthymic BD patients' primary caregivers at the outpatient clinic in Bakırköy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery participated in this study. Informed consent was obtained from all patients and their caregivers. Sociodemographic data form, PANSS, Beck Depression Scale, Young Mania Scale were applied to the patients. Sociodemographic data form, Zarit Caregiver Burden Scale, Beck Depression Scale, Beck Anxiety Scale and Beck Hopelessness Scale were given to the primary caregivers.ResultsThe burden level is found to be severe in the schizophrenia and BD patients’ caregivers. Seventy-two percent of schizophrenia patients’ caregivers and 62% of the bipolar disorder patients’ caregivers had depressive symptoms. The anxiety levels of the caregivers of the bipolar disorder patients were found to be significantly higher than that of the schizophrenia patients’ caregivers (p< 0.05). We found a positive correlation between the scores of the Zarit Caregiver Burden Scale in the caregivers of the schizophrenia patients and PANSS positive, negative, and general psychopathology scores in schizophrenic patients (p< 0.05). There was found a positive correlation between the depression levels of BD patients and their caregivers’ burden scores (p< 0.05).ConclusionHigh level of burden in both groups’ caregivers was found. Therefore, this situation can be making it difficult to cope with these diseases.
897 – European Federation Of Psychiatric Trainees (efpt) Exchange Programme: Building Links Across Europe
Authors: Casanova Dias M. , Orlova M. , Pinto da Costa M. , Saje M. , Trebbau H. , Jovanovic N. , Papanti D. , Pontarollo A. , Lugtenburg A. , Sjælland R. , Barrett E. , Pascan A. ,   EFPT Exchange Working Group
Published: July 2013

IntroductionThis is the first European psychiatric exchange programme and it aims to promote an intercultural professional exchange and cooperation among psychiatric trainees across Europe, with a focus on individual experience.ObjectivesTo provide trainees with the opportunities to:promote awareness of intercultural aspects of psychiatryengage in clinical, and/or research, and/or teaching activitiesbecome acquainted with different mental health systemsgain experience of different illness manifestations and treatment optionsexperience a different training programmesocialise with peer group, promote networking and discuss coping strategies regarding work life balanceMethodsThe programme was developed by the exchange working group of the EFPT in 2011 and it offers 2-6 weeks in observational placements across Europe in diverse areas.ResultsFeedback from pilot phase (January-July 2012) has shown excellent overall satisfaction of participants in the project. In the 2nd phase (August-December 2012) the programme has expanded offering more observational placements in 8 countries such as: Croatia, Denmark, France, Italy, Portugal, Slovenia, Spain and UK. In the 3rd phase (January-July 2013) it expanded further to include Ireland, Netherlands and Romania in a total of 11 hosting countries. Placements are offered in many subspecialties such as: psychotherapy, emergency psychiatry, child and adolescent psychiatry, eating disorders, family therapy, liaison psychiatry and psychosomatics, drug addictions, learning disabilities, forensic psychiatry and old age psychiatry.ConclusionsWe hope that the diversity of placements offered by this innovative programme will constitute a new approach to the improvement of psychiatric training and practice across Europe.
901 – Pump It Up; Is It Worth It?
Authors: Vizcarra J. , Alao A. 
Published: July 2013

IntroductionThe US Drug Enforcement Agency maintains a tight leash on drugs of abuse and has already banned newer designer drugs like Spice and Bath Salts. However, there is increase in the use of a new drug called pump it (PI). There is some evidence that it contains Geranamine Methylhexamine (DMAA). This is a report of a patient who exhibited unusual behavior after using PI.Case presentationA 40-yo male was brought to the Emergency Room after he stabbed himself in the abdomen using a knife sustaining laceration to the liver. Psychiatry consult was requested for attempted suicide. The patient had total amnesia surrounding the event. Collateral information from the wife revealed that his pupils were widely dilated and he appeared agitated, paranoid and diaphoretic just before stabbing himself. Six weeks prior, he began snorting to self detoxify himself from opioids. He experienced a 40 lb. weight loss, severe insomnia and impulsive behavior translating into dangerous acts like medication overdose and walking into oncoming traffic. He had no such symptoms prior to using PI.DiscussionGeranamine is a stimulant is presumed to act by releasing norepinephrine. It is used as a dietary supplement for weight loss and energy gain. It has been reported to produce paranoia, hallucinations, mood lability and seizures.ConclusionSubstance induced mood disorder should be considered as a differential diagnosis of suicide attempt and clinicians should be aware about the fact that some “dietary supplements” may pose severe danger to patients.
917 – Bipolar Disorder After Stroke In An Elderly Patient: a Case Report
Authors: Calvão de Melo R. , Lopes R. , Alves J.C. 
Published: July 2013

IntroductionThe onset of Bipolar Disorder secondary to a stroke event is a rare clinical entity, although few cases of isolated post-stroke depression or post-stroke mania have been reported.Clinical reportA 65-year-old male patient without previous psychiatric history presented symptoms of mania, with desinhibition, agitation, insomnia and elevated mood after 6 months of a stroke located to the left side of the brain. The patient was treated efficaciously with mood stabilizers and antipsychotics and his symptoms resolved gradually after 3 months. The patient maintained in remission several months, but then almost a year after the manic episode he presented depressive symptoms indicative to start an antidepressive treatment and the remade of diagnosis to Bipolar Disorder secondary to a stroke.MethodsA non-systematic review of PubMed articles since 2000.ConclusionsNumerous emotional and behavioral disorders occur following cerebrovascular lesions. There is higher ‘cerebrovascular risk’ in elderly patients with late onset Bipolar Disorder, compared to those patients with an early onset. This suggests that cerebrovascular risk may be an important factor for the expression of bipolar disorders in later life, and has significant management implications for older bipolar patients.
922 – Increased Frequency Of Sdb And Plms Is Associated With Lower Rem-sleep Amount In Common Child Psychopathology And Normally Developing Children
Authors: Kirov R. , Uebel H. , Albrecht B. , Heckel L. , Banaschewski T. , Rothenberger A. ,   Sleep in Child Psychiatric Disorders
Published: July 2013

IntroductionSleep problems in children with common psychiatric disorders present a considerable challenge for clinicians in developing effective diagnosis and treatment strategies. Whilst sleep-disordered breathing (SDB) and periodic leg movements in sleep (PLMS) are very frequent in children with attention-deficit/hyperactivity disorder (ADHD) which can deviate sleep architecture, their co-existence in Tic disorder (TD) and ADHD/TD co-morbidity is less well understood.ObjectivesTo investigate the frequency of SDB and PLMS across children with ADHD, TD and ADHD/TD co-morbidity compared with healthy peers.AimsWe asked whether and how the frequency of SDB and PLMS relates to sleep architecture.MethodsTwenty-four children with ADHD, 21 with TD, 21 with ADHD/TD co-morbidity and 22 healthy controls underwent a two-night polysomnography supplemented by monitoring of apnea-hypopnea (AH) and PLMS events per hour of total sleep time.ResultsCompared with controls, only ADHD children displayed a significantly higher AH and PLMS indices. Yet correlation analyses showed significant and negative association between AH and PLMS indices and rapid eye movement (REM) sleep amount in all, the ADHD, the TD (Fig. 1), the co-morbid, and the control (Fig. 2) groups. No such associations with the other sleep stages were found for all the groups.[Figure 1]ConclusionsOur preliminary results suggest that(1)presence of co-existing sleep-related disorders may partially explain the contradicting sleep results found so far in children with ADHD,(2)high frequency of SDB and PLMS could be associated with REM sleep reduction regardless of psychopathology.
927 – Countertransference And Supervision In Cognitive Behavioral Therapy
Authors: Vyskocilova J. , Prasko J. 
Published: July 2013

IntroductionMany experts claim that transference and countertransference analysis has no place in cognitive behavioural therapy (CBT) and should be used solely in psychodynamic psychotherapy. However, attention paid to emotional and cognitive reactions to the patient or supervisee is the basic component of cognitive behavioural therapy and its supervision, especially if work with difficult patients is supervised.ObjectivePubMed, Web of Science and Scopus databases were searched for articles containing the following keywords: “countertransference”, “cognitive behavioral therapy” and “supervision”. No language or time constraints were applied. The resources were confronted with our own experiences with psychoeducation in bipolar patients and only most relevant information was included in the text.ResultsCountertransference reaction may be observed especially in our behaviour, but also in our thoughts, emotional experiences and physical symptoms. The essence of countertransference is usually previous experiences of the supervisor which were not adequately processed and thus tend to be projected into current relationships. They may be recognized in work with core schemata and derived rules themselves. They lead to behaviour which may be avoidance (e.g. lack of openness or congruence) or compensatory (e.g. excessive help, competition, showing off). Self-reflection or realizing countertransference during supervision aids in overcoming countertransference reactions and may be crucial for establishing a more real relationship and more objective work in both therapy and supervision. Adequate self-reflection and supervision of one's own work is one of prerequisites for adequate development of the supervisor's competences.This paper was supported by the research grants IGA MZ ČR 10301-3/2009
930 – Transference And Countertransference In Cognitive Behavioral Therapy
Authors: Vyskocilova J. , Prasko J. 
Published: July 2013

Both patients and psychotherapists can experience strong emotional reactions towards each other in what are termed transference and countertransference within therapy. In the first part of this review, we discuss transference issues. Although not usually part of the obvious language of cognitive behavioral therapy (CBT), examination of the cognition. Both the literature and our experience underscore the importance of careful and open examination of both transference and counter-transference issues in CBT and their necessary incorporation in the complete management of all patients undergoing CBT.s related to the therapist, is an integral part of CBT, especially in working with difficult patients. In the second part, we cover countertransference issues. We describe schematic issues that give rise to therapist counter-transference and explain how this interacts in different types of patient therapist encounter. We also examine ways in which the therapist can use CBT to help him/her modify the countertransference and, in the process, assist the patient.Our work studied the self-reflection about transference and counter-transference in 52 cognitive behavioral therapy students and practitians using both qvalitative reseach (structure interview) and quantitative approache (using questinnaire). Differences between students of CBT who start the training, before finish the traning and CBT supervisors are analyzed.This paper was supported by the research grants IGA MZ ČR 10301-3/2009
932 – Survey Of Quality Of Life Among Patients With Bipolar Disorders In Shiraz Ebnesina Psychiatric Hospital
Authors: Kavari S.H. , Norouzi K. 
Published: July 2013

ObjectivesBipolar disorder or bipolar affective disorder (historically known as manic-depressive disorder) is a psychiatric diagnosis for a mood disorder in which people experience disruptive mood swings that encompass a frenzied state known as mania (or hypomania) and, usually, symptoms of depression. Bipolar disorder is defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or more depressive episodes. The Maine Purpose of this descriptive -analytic study is assessment of QOL In Persones with BD.Aims60 out of 200 persons with BD who were member o Ebnesina Psychiatric Hospital in Shiraz City selected randomly classified as the sample.MethodsData gathering was conducted through a questionnaire in three parts and collected data was analyzed by SPSS software.FindingThe finding of the study demonstrated that 81.3% of clients with BD rated their quality of life at high or intermediate level equally.ResultsThe study indicate that there is a significant difference between the mean of quality of life score with regard to sex in this group, so that the mean of quality of life in Men is more than Of quality of life in the women and there was significant difference between the mean of quality of life score type and duration of BD and no significant difference between the mean of quality of life score to age.
934 – Evaluation Of Death Anxiety Among Staffs Of a State Hospital
Authors: Masoudzadeh A. , Setareh J. , Modanlookordi M. 
Published: July 2013

AimConsidering the excessive contacts of the hospital staff with death and the ability of death anxiety to reduce functional ability in an individual.the aim of this study was to evaluate the prevalence of death anxiety among a state hospital staff.MethodsThis is a descriptive study that conducted in an overall of 612 individuals received a questionnaire at a state hospital in Sari(Iran) during spring 2008. The questionnaire was consisted of two parts; demographic part and Templer Death Anxiety Scale (DAS; Templer, 1970). The data were analyzed by SPSS software version 16.0 using t test and chi-square test.ResultsThe range of age was 20-53. About 42.2% of the participants had mild death anxiety while 57.8% had severe death anxiety. The mean scores achieved by the individuals was 7.70 ± 3.133 in women and 6.19 ± 2.552 in men. The severity of death anxiety had a significant correlation with sex while having no correlation with age, marital status, having or not having children, educational level and occupation.ConclusionDue to high levels of death anxiety among the staffs, mental Health interventions are recommended to the same population in order to improve the mental health Quality. Additionally, performing comprehensive studies in the general population is needed.
937 – Chronobiological Aspect Of Insomnia In Case Of Depression
Authors: Andruskevicius S. , Stigiene A. , Vindasiene G. 
Published: July 2013

ObjectiveTo investigate the role of chronobiological disorders in the pathogenesis of insomnia in case of depression.Methods38 patients have been studied (F 31.3 - 31.4, F 32.0 - 32.2, F 33.0 - 33.2). Severity of depression was determined in accordance with HAMD-17. The patients have been divided into two groups: group 1 (HAM-D: insomnia early + insomnia middle + insomnia late - 0-4) - 10 patients (HAM-D - 27.5±4.2) and group 2 (HAM-D: insomnia early + insomnia middle + insomnia late - 5-6) - 28 patients (HAM-D - 31.7±5.9). The spectral analysis of heart rate variability was applied. The power spectrum density of LF (low frequency) and HF (high frequency) range was established. The patients were examined at 1 a.m., 7 a.m., 1 p.m., 7 p.m. prior to the beginning of treatment.ResultsPrior to the therapy de-synchronization of the circadian rhythms of the parameters of spectral analysis of heart rate variability and the “sleep-wake” rhythm has been observed. This manifested itself in the shift of the phase of the circadian rhythms of the parameters under study towards the earlier time of the day. The phase shift to an earlier time was more pronounced in group 1.ConclusionsInsomnia in severe depression may depend rather on the usual nocturnal hour position change after phase displacement in the circadian curve, than on the severity of de-synchronization of circadian rhythms. In these hours the change (increase or decrease) of sympathic/parasympathic activity may be of greater importance.
939 – Young Psychiatrists' Network: Development Of a Forum For International Collaboration
Authors: Bezborodovs N. , Krupchanka D. , Butwicka A. , Baessler F. , Bendix M. 
Published: July 2013

IntroductionThe Young Psychiatrists' Network (YPN) is an international group of young psychiatrists (YP) from Eastern and Western European countries organizing annual meetings to facilitate the exchange of knowledge and experience between YPs from different backgrounds, promote networking and development of leadership skills.ObjectivesTo evaluate the YPN Meetings in Eastern Europe.MethodsThe 3rd YPN Meeting, was held in September 2012 in Minsk, Belarus. 74 YPs from 21 countries participated. At the end of the conference anonymous evaluation surveys were distributed.Results52 participants from 14 countries returned the survey (70%). In contrast to the previous meeting in Riga where ⅔ participants received grants, in Minsk all participants attended self-funded. It was the first YPN meeting for 60% of them. The meeting was evaluated positively by all participants and 44% expressed a wish to actively organize a consecutive meeting. Majority of participants thought that the meeting would have positive influence on their professional career (81%) and personal development (88%). Some questions addressed 21 participants who had attended the previous meeting in order to measure effects on YPs' activities in the past year. ⅓ of participants stated that the meeting changed their clinical practice, 90% reported indirect and 86% direct personal contact with international colleagues after the meeting. As the result of previous meeting 81% of them became involved in national and 62% in international trainee/YPs organizations. 52% established international research contacts.ConclusionsYPN Meetings seem to be valuable, and have major impact on personal growth, networking and collaborative research.