bluuebunny/crossref_metadata_2025_split huggingface dataset:
2164 – The Role Of Parental Rearing Styles In The Perception Of College Adolescents’ Anxiety Symptoms
Authors: Azevedo V. , Simões S. , Marques M. , Cunha M. , Espírito Santo H. 
Published: July 2013

The literature highlights the importance of the impact of parental behavior on the development of anxiety in children and adolescents. The aim of this study was to analyze the role that the adolescents’ perception about parental rearing styles have on the manifestation of anxiety symptoms.The sample involved 136 college adolescents, 48 boys and 88 girls aged between 12 and 15 years (M = 13,2 years). The research protocol included Sociodemographic Questionnaire, State-Trait Anxiety Inventory for Children (STAIC) and the EMBU-A.Results suggest that older adolescents (14–15 years) showed greater anxiety symptoms, significant at the level of state anxiety. The young people with more academic failure externalize more trait anxiety and perceive higher levels of mother's overprotection and rejection of father and mother. Adolescents who have a father with lowest educational level perceive greater maternal rejection, and are the children of mothers with less qualification who feel greater mothers’ overprotection and father's rejection. There was a association between paternal rejection and higher levels of anxiety symptoms. The predictive model confirms that parental rejection, together with the age of the adolescent, are significant predictors of anxiety symptoms. Specifically, parental rejection is evidenced as the best predictor of anxiety symptoms, being primarily responsible for the manifestation of anxiety in adolescents.These results suggest that father's rejection generates high levels of anxiety symptoms. Thus, this study shows that rejection is the paternal parental rearing style that has more influence on the manifestation of anxiety in adolescents, triggering high levels of anxiety.
2169 – Does Nicotine Have a Pro-cognitive Effect In Obsessive-compulsive Disorder?
Authors: Riva A. , Cavedini P. , Guerriero G. , Prestia D. , Grassi M. , Perna G. 
Published: July 2013

IntroductionPrevious studies suggested that cognitive enhancement associated with nicotine may be a form of “selfmedication” explaining high rates of smokers among patients with Schizophrenia or Mood Disorders. On the contrary, patients with Obsessive-Compulsive Disorder (OCD), though are characterized by cognitive impairment, do not show a higher tendency to smoking than general population and show a lower tendency to smoking than other psychiatric patients.ObjectivesOur pilot study aims to investigate the effect of cigarette smoking on cognitive performance in patients with OCD. No published studies investigated this issue.MethodsFifty-nine inpatients suffering from OCD (22 smokers and 37 non-smokers) were recruited. At the beginning of the hospitalization, we assessed different cognitive domains using a standard non-computerized neuropsychological battery (memory, attention and verbal fluency). In addition, 28 patients out of the 59 (12 smokers and 16 non-smokers) underwent a computerized neuropsychological evaluation specific for executive functions (CANTAB software). OCD-clinical symptoms were evaluated by Y-BOCS.ResultsSmokers and non-smokers did not differ for demographic (age, schooling) and clinical variables (Y-BOCS scores). Compared to non-smokers, smokers showed worse performances on the phonemic fluency test (non-computerized battery) and a tendency to risk higher amount of money on a decision making task (CANTAB).ConclusionsSmoking does not seem to improve cognitive performances of patients with OCD, whereas it seems to affect impulsivity, thus worsening decision making ability and flexibility, possibly by an effect of nicotine on dopaminergic neurotransmission in orbito-frontal cortex. This may explain the low rate of smokers in patients with OCD.
2187 – Migration And Acute Mental Disorders In Italy. a Comparison Study In a Psychiatric Intensive Care Unit
Authors: Maraone A. , Tarsitani L. , Pasquini M. , Zerella M.P. , Berardelli I. , Giordani R. , Polselli G.M. , Biondi M. 
Published: July 2013

IntroductionFirst-generation immigrants from developed countries appear to be particularly at risk of being diagnosed with a mental disorder after migration. Nevertheless, in Europe immigrated people appear less likely than their native counterparts to access community mental health care. Inequity in treatment may lead to enhanced severity of the disease and consequent emergency referrals.AimThe aim of this study was to explore demographic and clinical characteristics in immigrants patients compared to Italianborn patients admitted in a Psychiatric Intensive Care Unit (PICU) for an acute mental disorder.MethodsOne hundred first-generation immigrant patients were consecutively recruited and compared to 100 age-, genderand diagnosis-matched Italian-born patients. Subjects were diagnosed according to DSM-IV-TR and rated on the Clinical Global Impression - Severity Scale and the Global Assessment of Functioning. Medical history and demographic information were collected with a study-specific form and were abstracted from medical records.ResultsThe majority of patients were admitted to the PICU for an acute psychotic or manic episode. There were no differences in socio-demographic characteristics, in clinical severity scores and global functioning scores between immigrant and Italian-born patients. Despite no differences in age or diagnosis, immigrant patients were significantly more likely to be at the first psychiatric contact (32% vs 15%; p=0.007).ConclusionsOur results suggest a role of migration in the development of acute psychotic or manic episodes. Moreover, limited access for immigrants to community mental health services may lead to longer duration of untreated illness, increased disease severity and consequent emergency referrals.
2201 – The Diagnosis Of Neurological Conditions Using Electrovestibulography (evestg)
Authors: Lithgow B.J. , Moussavi Z.M. 
Published: July 2013

IntroductionDizziness is a defining condition of many pathologies within DSM4. There are many emotional and behavioural impacts on the balance system. EVestG is a purported test of the balance system that has been applied to the detection of schizophrenia. However, there is a need to show whether the EVestG recordings indeed contain vestibular signals.ObjectiveTo investigate a clear vestibular response in EVestG recordings by analysing the signals in response to whole body passive tilts.MethodsEVestG signals were recorded in the ear canals of 5 healthy controls (50-69yrs) and 3 unmedicated Schizophrenics (29-53yrs) in response to whole body tilts. The signals were bandpass filtered (700-4000Hz) to remove muscle interference. The Root Mean Square (RMS) of the filtered signals was measured across 0.5 sec running windows (one sample at a time) and compared between the background and tilting responses.ResultsA typical example of the RMS signal for control subjects is shown in Fig 1. During the movement phase t=20-23 and 40-43 sec wherein the vestibular is active the RMS signal showed a marked increase for all signals of all subjects. The typical Schizophrenic response had the peaks seen at t=20-23 skewed to the left.Fig. 1[figure 1]ConclusionsEVestG signals do show a vestibular component. When validated with larger sample size may be assistive in neurological disorder diagnosis.
2203 – Efficiency Of Ethical Management Style On Soldiers’ Adjustment Disorders: Findings From a Reflection On Stress
Authors: Duzan A.-C. 
Published: July 2013

Hans Selye was the first to conceptualize stress as a nonspecific biological response to different types of attacks that can mobilize the resources of an individual to enable him to adapt to the situation. “Stress is the spice of life” he said. Yet even a stressful event does not cause the same reactions in all subjects. According to Folkman and Lazarus, there is a sequential process of evaluation that allows the individual to construct personal meaning of situations. In doing so, stress can be a source of dysfunction and adjustment disorders in an individual. According to the DSM-IV, the adjustment disorders can manifest in different forms: with depressed mood, with anxiety, with mixed anxiety and depressed mood, with disturbance of conduct, with mixed disturbance disruption of emotions and conduct.In the military forces, the adjustment disorder with disturbance of conduct may be involved in the emergence of addictive behaviors, “moral disengagement” conducts or behaviors that lead the individual to get isolated from the group and military life. These issues are important regarding the three subjects of the military health, the social representation of the army and the maintenance of operational capability.The finding of the negative effects of stress is at the origin of many researches and models of the vulnerabilities that could explain those reactions. Their objective is to find an opportunity for potential intervention. Indeed several studies show that an upstream intervention through the exercise of an ethical management style has several positive impacts, especially within military institution.
2208 – Re-audit Of The Accuracy Of Drug Kardex Prescribing For Inpatient Of Working Age In Brooklands Hospital (specialist Hospital In Learning Disability)
Authors: Hojaili N. , Tayar K. , Baxter M. 
Published: July 2013

IntroductionAll elements of prescription writing and drug administration are susceptible to error. Drug errors are an important cause of morbidity and mortality.ObjectivesTo assess the accuracy and clarity of inpatient drug prescriptions within the Brooklands Hospital and their compliance with the Trust medication prescribing policy.AimTo reduce the number of drug prescription errors which will subsequently diminish drug administration errors.MethodThe currently used medication kardex of all adult inpatients were assessed in June 2010 (total 82 patients) and reassessed in September 2012 (total 74). An updated standard proforma obtained from the audit department was used to collect the data.ResultsThe patient ID number was present in 85% (vs 72%). The date of birth was noted in 95% of kardex. Allergies section has been filled in all kardex. The route, time and administration of regular medication were always written. All prescriptions were signed and dated. The number of charts were minimized in 97% (vs 87%). 100% of all multiple charts were numbered (vs 75%). All prescriptions for limited duration (eg: antibiotics) had an end date (vs 87%). The cancelled prescriptions were signed in 83% (vs 43%) and dated in 90% (vs 37%).ConclusionsA global improvement was observed. Most improvement was observed in writing patients ID number, clarifying the end date of prescribed medication with limited durations and cancelled prescriptions being signed and dated. The process of auditing itself, pharmacist amendments and requests for clarification in addition to widespread circulation of policy could explain the above improvements.
2210 – A Phase Ii Randomized, Double-blind, Placebo-controlled Trial Of Glyx-13 For The Rapid Treatment Of Major Depressive Disorder Using Central Ratings
Authors: Popp D. , Burch R. , Williams J.B.W. , Price L.M. , Detke M.J. 
Published: July 2013

IntroductionNMDA receptor ligands have been shown to rapidly treat depression but are associated with psychotomimetic effects. GLYX-13 is an NMDA receptor glycine site functional partial agonist with ~ 25% of the agonist activity of glycine or Dserine. Animal models suggest a single intravenous dose may produce long-term efficacy without psychotomimetic effects.ObjectiveA phase II randomized, double-blind, placebo-controlled trial was conducted to assess the efficacy of GLYX-13 with central raters.AimTo examine the effects of a single dose of GLYX-13 in subjects with inadequate response to previous treatment for MDD.Methods48 male and 68 female subjects received a single dose of GLYX-13 (1-/5-/10-/30-mg/kg) or placebo. Central raters assessed subjects via telephone using the HDRS-17 at Screening, Baseline, Days 1, 3, 7, 14, 21 and 28.ResultsThe a priori primary efficacy ANCOVA on pooled drug dose versus placebo was not significant for change from baseline to Day 1 on HDRS-17 total score. MMRM revealed a statistically significant reduction in HDRS-17 total score versus placebo at Day 3 for 5-mg/kg (−4.4; p < .05) and a trend at Day 1 for 5-mg/kg (−3.5; p = .068) and at Day 7 for 5 and 10-mg/kg (−4.0 for both; p's = .059 and .073). GLYX-13 did not cause psychotomimetic side effects at any dose studied.ConclusionThis study suggests that GLYX-13, an NMDA receptor glycine site functional partial agonist, rapidly reduces depression scores without eliciting psychotomimetic effects at therapeutic doses as assessed by central raters. Further study is indicated.
2213 – The Role Of Liaison Psychiatry In The General Hospital
Authors: Vasilian C.C. , Tamasan S.C. 
Published: July 2013

IntroductionFew data are reported in medical journals about physicians perception in optimal care of mental health disturbed patients accessing emergency departments in general hospitals.AimsTo investigate the subjective psychological burden and perception of proficiency in managing patients with somatic psychiatric comorbidities between physicians providing emergency care in County Emergency Hospital of Timisoara.MethodsAn anonymous multiple choice questionnaire was distributed to active medical personnel from emergency units in September 2012.Results105 doctors answered- emergency unit 27, ICU 12, neurosurgery 15, trauma and surgical services 51. 38,1% declared at least a lifetime burn-out episode, 19% an episode last year, 69,5% declared they should request professional help. Psychiatric disturbances estimated in emergency care: dementia 1 out of 5 patients, depression 1: 4. Confidence rates in diagnosing dementia(%): very good 7,6, good 35,2, satisfactory 41,9, unsatisfactory 15,2; depression: very good 8,6, good 42,9, satisfactory 41, unsatisfactory 7,6. 78,1 respective 7,6% of the responders declared that mental health issues is insufficiently or not at all addressed in an emergency department. Disturbed mental status in patients was considered responsible for communication 89,5%, and treatment 85,7% difficulties, poor compliance 88,6%, and outcome 66,7%. 80% would appreciate a screening mental health program. 98,1% valued liaison psychiatrist collaboration.ConclusionsBy acknowledging the increasing incidence in mental health disturbances among patients accessing emergency services and their medical care management challenges, as well as their own psychological needs, medical and surgical professionals in SCJUT appreciate the active involvement of the liaison psychiatry department in emergency care.
2216 – Depression In Chronic Hepatitis- c Egyptian Patients: Rate And Correlates
Authors: Radwan D.N. , Osman M.A.M. , Abdel Bary S.A. 
Published: July 2013

BackgroundEgypt has the highest prevalence of hepatitis C in the world (10–13%) yet understudied in terms of mental health services.ObjectivesTo shed light on depression among chronic hepatitis C patients in Egypt.Aim of the studyTo assess the prevalence of depression and it's correlates in a group of Egyptian patients with chronic hepatitis C infection.Methods150 chronic HCV infection non cirrhotic Egyptian patients enrolled in the study. Patients are without past history of psychiatric disorder, having neither alcohol nor substance dependence disorders, did not receive interferon therapy. Psychiatric caseness, and depressive symptoms were assessed using General health questionnaire, and BDI-II questionnaire respectively.ResultsThe study included 82 Males patients (54.67%) and 68 female patients (45.33%). Seventy three Patients (48.67%) were found to have current psychiatric morbidity with higher affection rates in younger (p < 0.001) and educated (p = 0.019) patients. Among those, 64 patients (42.67%) suffered from symptoms of depression (55 patients (36.67%) of them had mild depression, 6 patients (4%) had moderate depression and 3 patients (2%) had severe depression) with higher affection rates in younger (p < 0.001) and educated (p = 0.019) patients. Gender showed statistically non-significant difference.ConclusionThere is strong evidence of an association between chronic hepatitis C and psychiatric morbidity in the form of depression in relation rates recorded in general population. Depression is strongly positively correlated with age and level of education. It warrants the attention for providing specialized mental health services in such neglected population.
2235 – Personality Dimensions And Dissociation In a Portuguese Sample
Authors: Espirito-Santo H. , Pio-Abreu J.L. , Mota M.P. 
Published: July 2013

Dissociation, conversion and somatization are historically related with the concept of hysteria. The purpose was to examine and compare dissociation and the personality traits of three hysterical disorders and contrast them with other psychiatric disorders and non-clinical individuals. The aim of the present study was to understand the differences and relationships between those pathologies in a Portuguese sample. Sample characteristics are presented on Table 1. Groups answered the Dissociative Experiences Scale, Somatoform Dissociation Questionnaire, and the Eysenck Personality Inventory. Dissociative symptoms were significantly higher in DiD (M=38.33, SD=13.38) and CoD (M=38.54, SD=14.60) disorder than in SoD and controls (F=60.76, p< 0.001). Also, somatoform symptoms were higher in those two groups (M=29.63, SD=10.05; M=34.62; SD=11.81, respectively; F=14.70, p< 0.001). Finally, neuroticism was significantly higher in SoD (M=16.52, SD=3.91), CoD (M=14.69, SD=4.82), and DiD (M=13.69, SD=5.90) (H = 14.97, p< 0.001) than in NC. DiD and CoD were not different in dissociation and neuroticism measures. Neuroticism did not distinguish DiD, CoD from SoD. TotalAge (years)GenderMarital StatusGroupsnM±SDMale/FemaleMarried/SingleDissociative disorders (DiD)3934.0 ± 11.711/2823/16Conversion disorder (CoD)2627.4 ± 8.86/208/18Somatization disorder (SoD)4032.6 ± 12.814/2616/24Other psychiatric disorders4031.5 ± 11.314/2618/22Non-clinical3931.7 ± 11.512/2723/16Total18437.4 ± 12.757/12788/96Psychoform and somatoform dissociation positively correlated with neuroticism (r = 0.29, p< 0.01, r = 0.53, p< 0.001). In conclusion, there is a closer relationship between conversion and dissociative disorders, than conversion and somatization disorder.
2236 – Service Costs And Cost Factors Of Child And Adolescent Psychiatric Patients Treated With Antipsychotics In Taiwan
Authors: Chang H.-C. , McCrone P. , Su K.-P. 
Published: July 2013

ObjectivesWith the widespread of atypical antipsychotics used among children and adolescents, the treatment effectiveness has been of great interest alongside with the efficacy and safety in this population. The study was designed to assess whether second-generation antipsychotics (SGAs) are associated with lower service costs in the real world. Factors associated with service costs were also examined.MethodsThe claim data (PIMC) of 1996-2008 from the National Insurance Plan of Taiwan was used. Patients aged less than 20 with an incident use of antipsychotics and last for 12 months during this period were included for analysis. Comparisons were made between 8 SGAs and 2 first-generation antipsychotics (FGAs). Changes in service costs were examined with 95% confidence interval. Multivariate regressions with propensity scores adjustment were performed to explore factors associated with psychiatric service costs.ResultsA total of 343 treatment encounters were included and results showed no difference in psychiatric services costs in the SGAs group as the total service costs were offset to high antipsychotics costs of SGAs, though antiparkinsonian costs were not different between two groups. Factor positively associated with service costs were relapse (RR=4.0, p< 0.0001) and EPS incidence (RR=1.6, p< 0.008), while types of antipsychotics and diagnoses were not significant factors after adjusting for covariates.ConclusionsService costs were not different between FGAs and SGAs groups and medication costs were significantly higher in the SGAs group. Relapse and EPS incidence were factors of high costs among children and adolescents psychiatric patients treated with antipsychotics in Taiwan.
2244 – Maternal Prenatal Anxiety And Epigenetic Modification Glucocorticoid Receptor Gene: The Shaping Of The Biological Stress Response
Authors: Claes S. , Hompes T. , Verhaeghe J. , Freson K. , Demyttenaere K. 
Published: July 2013

BackgroundThe methylation status of the human glucocorticoid receptor gene NR3C1 in newborns has been reported to be sensitive to prenatal maternal mood. This study investigates both the association between maternal cortisol and emotional state during pregnancy and the methylation state of the promoter region of NR3C1 gene.MethodsWe examined 83 pregnant women. Psychological data and diurnal cortisol data were assessed to evaluate maternal stress once each trimester. DNA methylation at different loci of the NR3C1 gene, including exon 1B, 1D and 1F, was analyzed in genomic DNA from cord blood mononuclear cells.ResultsUnivariable analyses indicated pregnancy related anxiety to be the strongest psychological parameter throughout pregnancy. Most significant findings concerned 1F. Particularly the methylation state of CpG9 was significantly associated with maternal emotional wellbeing. In a multivariable model the proportion of variance in methylation state of F9 explained (PVE) by pregnancy related anxiety was 7.8% (p=0.023) during T1.Furthermore different CpG-units located at the nerve growth factor inducible protein A (NGFI-A) binding sites of 1F were associated with maternal anxiety [(F20.21: PC PRAQ and fear of integrity in T1: respectively PVE:8.9% and PVE:9.0%; Fear of delivery T2: PVE:8.0%, Fear of integrity T2: PVE:6.0% and STAI T2: PVE:5.9%) - (F12.13: PC PRAQ T1: PVE:6.9%, fear of integrity T2: PVE:6.0% and fear of delivery T2: PVE:8.0%)] and cortisol (F38.39: PVE: 8.9%) in T3.ConclusionThese data indicate that prenatal maternal emotional state, particularly pregnancy related anxiety, are associated with the methylation state of the NR3C1 gene in the child.
2248 – Going From Transfer And Counter-transfer To Interpersonal Dynamics Related To Psychoanalytical Psychoterapy (case Study)
Authors: Trifu S. 
Published: July 2013

This paperwork whishes to be a psychoanalysis psychotherapy case presentation based on a three-year therapy, with a frequency of two sessions per week. At the moment this therapy is on its course.Together with life history of the patient we present the history of this therapy emphasizing the inter-subjective perspective and the inter-personal dynamics of this phenomenology - based on the elements of transfer and counter-transference.This is the history of a psychoanalytical psychotherapy that meticulously describes the evolution of a young lady - from the generically named “cognitive intelligence”, “math brilliancy”, fascination for “authority”, “money”, “control”, “Super-Ego” to self discovery of her own capacity to understand, accept and take advantage of her emotional intelligence.