bluuebunny/crossref_metadata_2025_split huggingface dataset:
1961 – HCV As a Traumatic Experience, Ptsd And Quality Of Life
Authors: Morais-de-Jesus M. , Rocha-Leite C.I. , Pettersen K.M. , Daltro-de-Oliveira R. , Dias A.D.D. , Amaral L.D.-D. , Cavalcanti-Ribeiro P. , Santos C.T. , Borges-de-Oliveira R. , Quarantini L.C. 
Published: July 2013

IntroductionThe HCV has been associated with significant impairment of quality of life, irrespective of the degree of liver injury. The association of this disease with psychiatric comorbidities, especially depression, has been well described in the scientific literature. However, despite also significantly affect the quality of life of individuals, the Posttraumatic Stress Disorder (PTSD) has not been well studied in this population.Objective/aimEvaluate whether individuals perceive the liver disease as a potentially traumatic experience and investigate the impact of PTSD diagnosis on health-related quality of life in hepatitis C virus-infected subjects.MethodsWe conducted a cross-sectional survey of 127 consecutive hepatitis C-infected outpatients. We investigated Traumatic Experiences and the subject's perception about the disease using the Trauma History Questionnaire. PTSD and others psychiatry diagnoses were assessed trough M.I.N.I. PLUS. Quality of life was assessed by the Short-Form 36.ResultsApproximately 38.6% of the patients perceived the hepatitis C as a traumatic experience, 60.7% had PTSD diagnosis. It were no associate with the disease severity (been eligible for transplant), however there was a significant association with diagnosis of PTSD (p = 0.003). Roughly 22% of the sample showed PTSD diagnosis. PTSD imposed a significant impairment in quality of life of individuals in seven of the eight domains in the bivariate and multivariate analysis. This difference remained significant after adjustment for covariates such as major depressive disorder comorbidity.ConclusionThe results suggest high prevalence of PTSD diagnosis in VHC infected patients and it impose impairment in their quality of life.
1963 – Difficulty In The Psychopharmacological Approach Of Fronto-temporal Dementia- Case Report
Authors: Araújo F. , Falcão de Almeida T. , Rodrigues J.D. , Venâncio A. , Horta A. , Lapa G. 
Published: July 2013

IntroductionThe clinical syndromes related to fronto-temporal lobar degeneration are the second most common cause of pre-senile primary dementia. There are three distinct clinical variants: behavioral-variant fronto-temporal dementia (BvFTD), semantic dementia and progressive non-fluent aphasia. BvFTD is characterized by a significant change in the patients personality and social behavior, and impaired executive function.ObjectivesReview the current literature on both the pharmacologic and nonphar- macologic management of fronto-temporal dementia.AimsBrief literature review.MethodsCase report and literature review.ResultsWe describe case of a 65-years-old male with hyperactivity, desinhibition, aggressive, stereotyped and persevering behaviors with continuous walking and changes in eating habits (hyperphagia). He also presented distractibility, poor speech with loss of spontaneity, an indifferent attitude, mental rigidity, inflexibility, and lack of insight for his condition. This condition developed within one year, with a change in his personality and the appearance of an inadequate social conduct, with an insidious onset and gradual progression. He has family history of dementia. Computerized Tomography scan shows lobar fronto-temporal atrophy. During hospitalization no drugs has had effect, apart from paroxetine (partial response).ConclusionConcerning therapy, several drugs were used without proved effect in controlling the symptoms, highlighting the difficulty in the psychopharmacological approach of this disorder. The selective serotonin reuptake inhibitors have shown some effect on behavior.
1968 – Improving The Retention Rates Of Two Evidence-based Smoking Cessation Trials Designed Through a Participatory Approach
Authors: Wagner F. , Sheikhattari P. 
Published: July 2013

IntroductionSmoking cessation services targeted for underserved populations usually have lower retention and higher relapse rates.Objectives/aimsThis study reports the results of two consecutive randomized trials aimed at improving smoking cessation rates through better adherence to the intervention plan among residents of low income urban community in the United States.MethodsWe compare the effectiveness of a behavior change and pharmacotherapy intervention across participants in the clinic-based and the community-based interventions. A total of 543 participants were recruited. Participants in both trials received training on smoking cessation for twelve weeks, but the second intervention was delivered by peer motivators and included use of more motivational techniques, based on lessons learned from the first trial using principles of a participatory approach.ResultsThe smoking cessation rate in the first trial was relatively low (i.e., quit rates of about 10%), with a high level of attrition (i.e., only 14% attended 6-12 sessions). Preliminary data show a very significant increase in the proportion of participants in second trial who quitted smoking, as compared to participants in the first trial (OR=4.4; 95%CI= 2.4, 8.3; P< 0.001) with significantly higher level of retention rate (53%).ConclusionCommunity based smoking cessation programs in underserved communities can be more successful if they include proper incentives to retain participants and are supported by community organizations. The process of how the new intervention is informed by the previous trial will be described with special attention to a new incentive program that includes non-monetary club membership awards and status.
1969 – Psychopathological Representation And Treatment In Asperger's Syndrome In Polish Out-patients
Authors: Sumiła A. , Buczny J. , Burkiewicz A. 
Published: July 2013

Asperger's Syndrome often comorbid with depression, anxiety, seizures, sleep problems, ADHD, OCD, and oppositional disorder. Pharmacological interventions are used because of particular symptoms. The purpose of the study was to evaluate symptoms of Asperger's Syndrome and treatment rendered according to patient's age.The goal was to advance a comprehensive understanding of changing symptoms in Asperger Syndrome during life and choosing medications in situations of comorbidity.The subject group consisted of 72 patients aged 5-45 (mean age = 13.90, SD = 6.75) diagnosed with Asperger's Syndrome according ICD-10. Symptoms were estimated with the Australian Scale for Asperger's Syndrome (ASAS, reliability α = .81), BPRS-C (α = .77), BPRS (α = .77), CGI-S (single-item scale), CGI-I (single-item scale).There were no differences in psychopathological symptoms of Asperger's Symptoms in subgroups aged 5-12 (51.4% all patients), 13-18 (30.6% all patients), above 18 (18.1% all patients) (ANOVA, F(2, 69) < 1, p = .857). The mean score in ASAS correlated with the mean score in BPRS-C/BPRS and CGI-S (r = .36 p = 0.031). There was no differences in the mental state between age groups (5-12 vs. 13-18 vs. above 18 years old), (2, 69) = 2.75, p = .110. Most often the comorbidity was Attention deficit hyperactivity disorder (observed in 51% of patients). Polipharmacotherapy depended on the mean score in ASAS and was indifferent on age, χ2(12) = 13.08, p = .367.Mental state, comorbidity, and medications were connected with social and emotional abilities and specific interests in ASAS indifferent on age.
1974 – Integrative Model Of Psychoeducation In The Treatment Of Patients With Schizophrenia
Authors: Kozhyna G. , Korostiy V. , Gaichuk L. 
Published: July 2013

IntroductionThe fight against discrimination and stigmatization of consumers of mental health services is a priority for the WHO and WPA. The purpose of the psychoeducation - destigmatisation of mental disorder and mental health care, an understanding of the society daily living of the consumers of psychiatric care and their families.ObjectiveComprehensive survey of 97 patients with schizophrenia in a period of stabilization. The main group - 67 patients in whom therapy used psychopharmacotherapy, psychoeducation and training. Control - 30 patients receiving psychopharmacotherapy.AimsTo estimate the effectiveness of psychoeducational programs in the treatment of patients with schizophrenia.MethodsTrainings were conducted in closed groups, the number of participants from 6 to 12 people. Each cycle consisted of 12 psychoeducation sessions lasting 2.0 hours with a frequency of 2 times per week. In our work we used an integrative model of psychoeducation includes information modules, techniques of cognitive-behavioral therapy, problem-oriented discussion, family therapy.ResultsAnalysis of the dynamics of social functioning and quality of life of patients with schizophrenia before and after psychoeducation showed that they increased in the intervention group significantly greater and more sustained than in the control group, especially in areas such as the general welfare, health, performance, family relationships and social contacts.ConclusionsPsychoeducation not only increases the volume of knowledge increases confidence in combating the disease, but it solves the problem of social reintegration of the patient.
1982 – Depression In Childhood And Adolescence - Family System From The Clinical Perspective
Authors: Sumiła A. , Radziwiłłowicz W. 
Published: July 2013

IntroductionThe description of clinical features of depression among children and adolescents in clinical research still remains insufficient. Better understanding of the family system and home relationships can contribute to the development of high-quality health care services for clinical patients.ObjectivesThe purpose of the study was to evaluate children's perceptions of the quality of their parents' relationship and the level of their family systemic resources.AimsThe goal was to advance a comprehensive understanding of families with children suffering from depression, the depiction of various processes within the family, and ultimately, attempt to define the major predictors of depression.MethodsThe subject group consisted of 46 children and adolescents aged 9-19 with diagnosed depressive episodes. Symptoms of depression in children and their parents were evaluated with the Beck Depression Inventory. The qualitative assessment was conducted with the use of the Assessment and Documentation of Psychopathology Scale - AMPD.ResultsClinical group assessed their parents’ marital relationship as lower quality than the control group. Girls diagnosed with depression, perceived their parents’ relationship as more dysfunctional (t = 5,87; p < 0,01). A higher rate of commitment in the relationships of parents with depressed children coexisted with a higher rate of depression in their mothers (r = -0,40; p < 0,05).ConclusionsDepression in children and adolescents is connected with negative representation of parent - child and marital relationships and the systemic resources of the family as various sources of emotional security for the child.
1984 – Burnout Syndrome And Quality Of Life Among Intensivists Physicians Residents In Salvador, Bahia, Brasil
Authors: Andrade-Mascimento M. , Barros D.S. , Nascimento Sobrinho C.L. 
Published: July 2013

IntroductionThere are few studies on burnout doctors in Brazil.Objectives/aimsDescribe prevalence of the Burnout syndrome in intensive care physicians of Salvador, and evaluate if there are correlation between aspects of Life Quality and the Burnout Syndrome.MethodsA cross sectional study assessed the correlation between Life Quality and Burnout Syndrome in a population of 333 Intensive Care Physicians from Salvador, Bahia, Brazil. An individual, self-report questionnaire evaluated the Life Quality' domains, using the WHOQOL-Bref and their mental health, using the Maslash Burnout Inventory (MBI).ResultsThe present study found a Burnout' prevalence of 63,6% (presence of high levels in at least one dimension of Burnout) and 7,4% (presence of high levels on the three dimensions of Burnout) in this population. It was founded a moderate correlation between psychological domain and the emotional exhaustion dimension of the Burnout syndrome (r = - 0,58). Physicians who had high level in anyone of the tree dimension of MBI presented low scores in the domains of the WHOQOLBref indicating association between both variable.ConclusionThere was a negative correlation between scores in Quality of Life and MBI.
1993 – Evolution Of The Fatigue Impact Scale (fis): a Historical Review
Authors: Pettersen K. , Cavalcanti-Ribeiro P. , Quarantini L. 
Published: July 2013

Objectives/aimsTo review the historical evolution of the Fatigue Impact Scale (FIS), presenting its main features and modified versions.MethodsTwo independent reviewers performed a search in PubMed for articles, available since the development of the scale until June 2012, looking for those studies that used the FIS or any of its modified versions as an instrument for data collection. The terms used for the search were “Fatigue Impact Scale.” After individual analysis and consensus procedure, 201 articles were selected for the data basis of this study. Data were extracted using standardized forms with the following information: version of the scale, year and country where the study was conducted, the methodological study's design, language in which the scale was applied, and how many patients responded to any one of the versions.ResultsThis review found 4 validated modified versions of FIS and 2 reduced forms, in 27 different countries. The largest concentration was in United States, followed by other English-speaking countries. The FIS was the version most commonly used, followed by the Modified Fatigue Impact Scale (MFIS). Approximately 46,483 individuals have been evaluated with one of the versions of FIS in 29 different pathologies. Most of these studies used a cross-sectional design.ConclusionThe number of studies using the FIS and its modifications has grown substantially. However, this study evaluates methodological limitations which still hinder the synthesis of the scale's performance through meta-analysis. Still, the FIS has been used in relevant studies that contribute to understand fatigue broadly.
1996 – Facticious Disorder With Hallucinations - a Case Report
Authors: Esteves-Pereira M. , Rodrigues D. , Guimarães G. , Bouça J. , Ribeiro-Silva R. 
Published: July 2013

IntroductionFactitious disorder (FD) is defined by the intentional production or feigning of physical or psychological symptoms with the objective of assuming the patient role. It's frequently difficult to adequately diagnose this disorder when the faked symptoms are those of a psychological or a psychiatric disorder. In these cases, there is often high comorbidity with other mental disorders, thus making it difficult to differentiate between real and factitious symptoms.ObjectivesTo present a case-report of FD with hallucinations and a review study regarding the theme available in Medline.AimBrief literature review.MethodA case report is presented and literature of this theme shortly reviewed.ResultsThe case involves a 23-year-old female, a psychology student, born in destructured family. She had attempted suicide many times since she was 16 years old, one of them with high lethality. One month before her admission to our inpatient clinic in order to allow a clear diagnosis to be made, she began active auditory hallucinations, persecutory delusional ideation with disorganized behavior and consequent social isolation. A suitable dose of atypical antipsychotic drug was administered but Psychotic disorder was ruled out and she was dignosed with FD. After the factitious symptoms that prevented any type of therapeutic approach disappeared, the real symptoms of the patient were those characteristic of a borderline personality disorder.ConclusionsThis case emphasizes the need for the careful observation of these patients in order to establish the diagnosis and to improve a specific management strategy for them.
2003 – Dual Diagnosis In a Local Prison In Uk
Authors: Igoumenou A. , Critchlow G. 
Published: July 2013

AimsThe prevalence of mental disorder and addiction in any prison population is higher than for the general public. Mental health in-reach and addiction services were developed to treat this complex population. We identified the need to evaluate the service provided in a local prison, and make suggestions for improvement.Our main aim was to investigate the need for dual diagnosis services in a local male community prison.MethodsOur data collection tool consisted of five parts;1)Demographic Data,2)Addiction problems and input received,3)Psychiatric diagnosis and input received,4)Physical health including medical problems related to substance use5)Other comments including risks identified.The data were collected from the prison's patient record system.ResultsFrom the 134 inmates that were under the care of the addictions service in January 2012, 26 had a dual diagnosis (19%). From the dual diagnosis population, 24 inmates (92%) were mainly addicted to opiates. The main substitute prescribed was methadone (n=14).The most common psychiatric diagnoses was schizophrenia (35%) and anxiety disorders, with or without a personality disorder.CommentsWe found a big proportion of the addictions population with a psychiatric diagnosis (19%). As both illnesses can be interlinked and affecting prognosis it is important that we treat both simultaneously. The distinction between addictions and mental health services can bring difficulties in communication and care provided. A dual diagnosis service is therefore needed to assure quality and continuity of care in prison and to assist smooth transition after release.
2005 – Sexual Dysfunction In Patients With Schizophrenia Treated With Antipsychotics
Authors: Mendonça C. , Brás A. 
Published: July 2013

IntroductionThe relationship between sexuality and schizophrenia is complex. The prevalence of sexual dysfunctions is higher in persons with mental disorders and may be related to both the psychopathology and the pharmacotherapy. On one hand the negative symptoms of schizophrenia limit the capability for interpersonal and sexual relationships; on the other hand several mechanisms can cause sexual dysfunction during antipsychotic therapy. Although it is a troublesome side effect, information on antipsychotic-induced sexual dysfunction is limited. The aim of this study was to evaluate the sexual dysfunction and its impact in patients with a psychotic disorder treated with various antipsychotics under routine clinical conditions.MethodsSubjects included were sexually active male and female patients 18 years of age or older with the diagnosis of Schizophrenia, Schizophreniform disorder, Schizoaffective disorder or other psychotic disorder. In addition to sexual functioning, was recorded demographic data, psychiatric diagnosis and medication history. The instrument of evaluation used was the Pyschotropic-Related Sexual Dysfunction Questionnaire (PRSexDQ-SalSex).ResultsAll the analyses were performed in the 101 evaluable patients. Most patients were males (76%) and the most common diagnosis was Schizophrenia.Overall, the patients exhibited sexual dysfunction according to the assessment with the SalSex. Among the patients exhibiting sexual dysfunction, a third reported to have poor tolerance to the disturbance.ConclusionsSexual dysfunction is very common in patients receiving long-term treatment with antipsychotics and it is associated with a great impact in a substantial proportion of patients.
2007 – An Item Response Theory Analysis Of Post-traumatic Stress Disorder Symptoms Measured With Two Instruments In 6,733 9/11-exposed Youth
Authors: Geronazzo-Alman L. , Spratt A. , Shen S. , Guffanti G. , Lord E. , Duarte C.S. , Musa G.J. , Wicks J. , Fan B. , Hoven C.W. 
Published: July 2013

IntroductionItem Response Theory (IRT) allows for dimensional scaling of the severity of a disorder, and comparison of symptoms’ properties across different measures of the same trait and across groups. IRT has never been applied to Posttraumatic Stress Disorder (PTSD).ObjectivesTo determine discrimination and severity parameters of PTSD symptoms measured with two instruments, and to examine gender- and age-related Differential Item Functioning (DIF) of PTSD indicators.AimsTo inform the dimensional scaling of PTSD in youth.MethodsIRT was applied to PTSD items measured with the DPS and the PTSD-RI in 6,733 9/11-exposed youths. DIF analysis was performed in the sample stratified by gender and age (8-13; 14-21).ResultsDPS and PTSD-RI items are most informative at intermediate and severe levels of PTSD, respectively. Across instruments, discrimination was greatest for insomnia and nightmares, and lowest for 9/11-related thoughts. Severity parameters were highest for avoidance and numbing symptoms, and lowest for 9/11-related thoughts. The majority of PTSD symptoms showed significant DIF across subgroups.ConclusionDPS and PTSD-RI criteria are informative at different levels of PTSD severity. PTSD symptoms differentially discriminate among individuals along the PTSD continuum, and are most informative at different levels of PTSD severity. These results could inform dimensional scaling of PTSD, and allow for flexibility in assigning cut-off points for facilitating clinical decision-making. PTSD criteria do not provide the same information across subgroups defined by gender and age, suggesting that symptoms differ in the way they represent severe post-traumatic stress reactions across groups.
2010 – Mental Illness And Risk Of Violence
Authors: Pereira S. , Garrido P. , Colón M. 
Published: July 2013

In Forensic Psychiatry, the expert is often asked to comment on the risk of violence in a patient with mental illness. The classical patterns of relationship between crime and mental illness include the response to psychotic symptoms,“compulsive desires” and personality disorder (impulsivity, intolerance to frustration, antisocial behaviors, …).Over the decades, there have been changes, and nowadays it is assumed that: there is a relationship between mental illness and violence, the majority of psychiatric patients is not violent, violent behaviors occur usually in acute episodes, the greatest risk of violence in these patients is the occurrence of co-morbidity with alcohol and drugs.The aim of this retrospective study is to describe the pattern of the relationship between mentall illness and violence, in subjects who may have committed a crime and were submitted to a forensic assessment, in the Central Region of Portugal in 2011. To achieve this aim, we consulted the reports of Forensic Psychiatric expertises, from the Center Delegation (Coimbra) of the National Institute Forensic Medicine.Following variables were collected: gender, age, marital status, education, occupation, residence, type of crime, kind of victim, previous psychiatric diagnosis, prior psychiatric follow-up, previous psychiatric hospitalization, prior violent acts, existence of psychopharmacological treatment when the crime occured, psychopathology found during the forensic evaluation, existence of comorbid substance use, maladaptive personality traits or diminished IQ. Data analysis was performed with SPSS and Student ‘s t-test.Our results are in concordance with the available data regarding the weighting factors in assessing the risk of violence.