bluuebunny/crossref_metadata_2025_split huggingface dataset:
2264 – Portuguese Mental Health Plan: Where Are We Now?
Authors: Xavier M. , Mateus P. , Marques C. , Carvalho Á. 
Published: July 2013

IntroductionFollowing the principles and recommendations of international institutions and documents (e.g., WHO, European Union, WHO 2001 Global Mental Health Report and the Helsinki European Declaration), the Portuguese Government launched a new Mental Health Plan (MHP), to be implemented from 2007 to 2016.Objectivea)To evaluate the current situation of mental health facilities in Portugal,b)assess the feasibility of national training programmes andc)to ascertain the key obstacles of the execution of the Mental Health Plan.MethodLevel of achievements was appraised by i. A full assessment piloted by the Portuguese National Coordination for Mental Health and ii. a cross-sectional evaluation conducted by a task force from WHO-European Regional Office.ResultsSo far the MHP has been moderately executed. Relevant accomplishments include: closing of psychiatric hospitals (40% of chronic patients deinstitutionalized), creation of 20 mental health services for adults, children and adolescents, training of 650 professionals, sponsoring of 46 community mental health projects, launching the residential and supported care network with the Health and Social Affairs Ministries.ConclusionsSignificant challenges persisting are:a)To increase provision of crisis services and residential places,b)To strength the role of primary care services regarding common mental disorders,c)To reinforce the role of non-medical professionals in MHS andd)To change the financing system that has disincentives to establish community based services.
2265 – Duloxetine-induced Syndrome Of Inappropriate Antidiuretic Hormone Secretion In An Elderly Patient
Authors: Lee K.H.J. , Tan P.L.L. 
Published: July 2013

BackgroundThe syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the most common cause of euvolemic hyponatremia in hospitalized patients. The syndrome is an osmoregulatory disorder, consisting of hyponatremia, decreased serum osmolality, inappropriately elevated urine osmolality, excessive urine sodium in a patient who is euvolemic.The selective serotonin reuptake inhibitors (SSRIs), a frequently prescribed class of antidepressant, have been well reported to cause SIADH. This often poses a clinical challenge to psychiatrists in the consultation liaison and psychogeriatrics setting, where patients are at a higher risk of developing hyponatremia. Other classes of antidepressants should be considered if clinically indicated.AimsTo report an elderly psychiatric patient who was diagnosed with SIADH induced by duloxetine, which belongs to a class of antidepressant known as the serotonin-norepinephrine-reuptake inhibitors (SNRIs).ConclusionsPatients developing antidepressants induced SIADH present a clinical dilemma to clinicians. Future studies evaluating the incidence of SIADH attributed to the different classes of antidepressants would be helpful to clinicians. Close monitoring of sodium level should be considered when antidepressant therapy is started for patients who are at high risk of developing SIADH.
2267 – Treatment Effect Of Agomelatine On Depressive Symptoms And Patients' Compliance: Results Of The Non-interventional Study Vital Over 6 Months
Authors: Lemke M. , Barthel B. 
Published: July 2013

IntroductionAgomelatine, a melatonergic agonist and 5-HT2c-antagonist, has demonstrated antidepressant efficacy in clinical trials.AimsAim of VITAL was to document treatment with agomelatine non-interventionally in daily practice over 6 months.ObjectivesEvaluation of the effectiveness of agomelatine on depressive symptoms, daytime activity, tolerability and compliance in depressed patients under routine conditions.Methods3005 outpatients aged>18 years were observed by 1169 psychiatrists and general practitioners in Germany over 6 months, treated with agomelatine 25-50 mg once daily. Antidepressant effectiveness was evaluated by Beck Depression Inventory (BDI-II), effects on daytime activity by two questions of Circscreen (patient questionnaire), compliance by standardized questions. ADRs were documented every visit.ResultsIncluded patients (BDI-II total score 31.9) improved during 6 months treatment with agomelatine (BDI-II 9.6). Responder rate (≥50% reduction of BDI-II) rose steadily from 11.7% (2 weeks), 62.0% (12 weeks) to 79.0% (6 months). 55.3% of patients were classified as remitters (BDI ≤9) after 6 months. According to CGI, 20.7% had responded after 2 weeks, 81.6% at study-end (CGI-I≤2). At baseline 53.2% were markedly impaired in normal daily activity compared to 16.1% of patients at the end of study. 64.5% at baseline versus 9.1% after 6 months felt sleepy during daytime (Circscreen). 89.6% of 2511 patients at study-end documented good compliance (regular intake). Adverse drug reactions (mainly headache, dizziness) were reported by 3.6%, 0.6% of patients had reversible ALT/AST>3ULN (n=12).ConclusionAntidepressant effectiveness of agomelatine, improvement of daytime activity, good tolerability and good compliance were observed in unselected depressed patients over 6 months.
2272 – Art And Psychiatry a Discourse Between Psychoanalytic Thought And Cinema
Authors: Tzavaras N. , Krasanakis S. , Giannoulaki C. 
Published: July 2013

Last five years the Hellenic Psychiatric Association (HPsA) organizes every year a film festival on a psychiatric subject, and we go on.The themes that we have mentioned are psychosis, depression, violence, psychopathology and artistic creation, mass and power, and fear.These presentations gave us the chance to communicate with a big audience and to have a productive discussion after every meeting.During these dialogs we had the opportunity to observe how the art can approach and describe the pathological behavior and the mental illness.We can refer such examples and to share with our colleagues our experiences from those events.A very rich and fruitful experience which offers not only to our scientific knowledge, but also our esthetic development.The screen in the darkened theatre serves as a container for the projection and identification of our most private and often unconscious feelings.As with all forms of art, when we study film, we study ourselves.
2274 – A Three Year Review Of Delayed Discharges From a Learning Disability (ld) Assessment And Treatment Service (2008–2011)
Authors: Gazizova D. , Sathanandan S. , Oxley C. , Fitzgerald B. , Puri B.K. 
Published: July 2013

IntroductionInpatient facilities for people with LD are highly specialised services that are a valuable, but expensive, component of mental health services. Although there are no national data describing these services, commissioners need good quality data to inform their contracting and pricing strategies for LD psychiatric inpatient care. To help fill this information gap, we carried out a review to explore the general characteristic of inpatients population, duration of admission and delays in discharge in the inpatient LD unit.AimsTo analyse admission trends including the reasons for delayed discharges to a LD unit from 2008 to 2011.MethodA retrospective review of the case records of all inpatient admissions to the LD Unit (Seacole) between 2008-2011.ResultsThere were 41 admissions made to the service in the time period from 2008 to 2011. More male patients (76%) were admitted compared to females (24%) (p=0.073). Male patients (55%) were more likely than female patients (20%) to be admitted from a residential home (p = 0.075).There was no statistically significant difference between the male and female sexes regarding diagnosis of challenging behaviour or psychotic or affective disorder. 59% of discharges in 2008–2011 were delayed. The main reason for the delayed discharge was social and was significantly more likely to result from difficulty in finding appropriate placement (p=0.008).ConclusionsSocial problems were the main cause of delayed discharges. Early identification of social issues, better utilization of community resources and robust discharge planning should be done to avoid delay in discharge.
2276 – The New Model Multimodal Psychotherapy Based On Hypnosuggestive Approach Of Psychosomatic Patients In Internet Application
Authors: Burmaka N. , Mykhayloov B. 
Published: July 2013

On present time a high level of psychosomatic disorders in Ukraine fixed on as well as in world in general. This is a reason of our investigation.The system of distantion TV and PS organized psychotherapy was established.The clinical longitudinal comparative investigation was perfomed with 1103 patients.The representation of nosological diseases were: blood system - 8%, endocrinoush ystem - 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 shown. The first step was TV application, the second step was CDRW application the contemporary application - internet use application.
2284 – Suicide Indifferent Political Systems - Suicide Rates In Magdeburg/germany In a Two-period Analysis
Authors: Krause T.J. , Lux A. , Bogerts B. , Genz A. 
Published: July 2013

IntroductionAs German reunification took place in 1990 Eastern Germany as a former socialist country (GDR) became part of democratic Germany. It underwent dramatic changes influencing all parts of society.ObjectivesOur objective was to analyse all suicides in the Eastern German City Magdeburg based on all relevant police files.AimsLittle is known about the former GDR and its suicide rates since no official data existed. Our aim was to investigate differences in suicide rates by age and sex in one city of the former GDR before and after reunification.MethodsAs part of GDR-time the period 1985 - 1989 (A) and as post-reunification time the period 1999 - 2004 (B) were analysed. Basis of our investigation were all police files. Absolute suicide numbers were counted. Suicide rates were calculated per 100.000 persons, sex and year. Different age structures became comparable by using the old standard population of Europe (WHO 1976).ResultsWe identified 470 suicides in period A and 206 suicides in period B. For both sexes suicide rates were significantly higher in period A and increased with age. Women had generally lower suicide rates. Age-standardized rates show a reduction for males of about 50% and for females of two thirds in comparison of the two periods.ConclusionsSuicide rates decreased in our analysed city dramatically. Women in general and particularly elder groups have lower suicide rates and thus benefited most. There are various contributing factors such as positive changes in health care and social support.
2290 – Socio-demographic Characteristics Of Hospitalized Patients With Shizophrenia
Authors: Paunović G. , Nenadović M. , Janković Z. , Vojvodić P. 
Published: July 2013

IntroductionOne of the problems of the contemporary psychiatry is, certainly, hospitalization, because the freedom of an individual, altogether with the right to life and personal safety, is a basic human right. Hospitalization of patients with schizophrenia interferes with their psychological and social integrity, which is of high importance for their lives.ObjectiveIs to determine whether the socio-demographic characteristics (gender, age, education, work and marital status) influence the decision making regarding the form of hospitalization.MethodologyIn purpose of the investigation, we used the closed-type questionnaires that were composed for the needs of this paper. In order to fill the questionnaires, we used the case records of hospitalized patients with schizophrenia during 2010. In order to analyze the obtained data we used the methods of descriptive statistics.Results597 schizophrenic patients with diagnosis F20.0 - F20.9 hospitalized during 2010, of which 472 (79.6%) voluntarily, and 125 (20.4%) involuntarily. Among socio-demographic characteristics, the differences between the voluntarily and involuntarily admitted patients are observed by: occupation, working status, number and cause of hospitalization (first and repeated), while there are no differences regarding the level of education and marital status. By gender, there are no differences in type of hospitalization.Voluntarily admitted patients are the predominant in the group of age 41-50, and the involuntary in the group of 31-40.ConclusionAccording to the presented analyses of results of socio-demographic characteristics of involuntarily and voluntarily hospitalized patients with schizophrenia, we came to a conclusion that the specified characteristics influence the form of hospitalization.
2301 – Emotional And Social Loneliness In Etiology And Therapy Of Mental Illness
Authors: Tylova V. , Ptáček R. , Kuželová H. 
Published: July 2013

IntroductionLoneliness is a distressing feelings, described as an individual experience of lack of satisfying relationships. There are a number of causes of loneliness: a loss of significant persons in life, divorce; it may occurs after the birth of a child or after marriage. Loneliness is common experience, most in adolescence and older adults. Many studies shows that loneliness is a predicting factor of mental and health illnesses and as such is associated with elevated blood pressure, increased risk of cancer and stroke, impaired sleep, impaired immune function, alcoholism, depressive symptoms and suicide.The aimof this pilot study is to describe the relationship of loneliness in four groups of psychiatric disorders (depression, dementia, schizofrenia and anxiety disorders).MethodsLoneliness is measured by UCLA Loneliness Scale - R (N=50 for each group).ResultsThe people with psychiatric disorders have higher level of loneliness (p< 0,01), especially with dementia and depression (p< 0,1), in comparison with the control group.ConclusionsThis pilot study, hand in hand with the relevant studies, demonstrates higher level of loneliness among people with specific psychiatric disorders. Therefore loneliness can be an important factor in etiology and therapy of mentall ilness.
2310 – Suicides In Kosovo In Five Year Period 2008–2012, An Overview For Possible Social Motives
Authors: Drevinja F. , Berisha B. , Serreqi V. , Statovci S. , Haxhibeqiri S. 
Published: July 2013

IntroductionIt is distinctive for Kosovo population that before the war of 1999 Kosovo has had the lowest rate of suicides in Europe. Now, after the war the data and findings tell us for a considerate increase of number of suicides.ObjectivesPresentation of suicide cases in Kosovo in period from 2008–2012 analyzed from aspect of social reasons that has influenced an increasing number.AimsIdentification of social factors and their possible direct/indirect impact in phenomena of suicides and as well the reflection in their prevention.MethodsData on cases were collected retroactively, by the Internal Affairs of Kosovo and Psychiatry Clinic. Analysis of data was done with Excel and SPSS 14.ResultsIn the period 2008–2012, 270 persons were found to have committed suicide. This is an increase compared to before the war. In over 80% of cases come to the expression of social factors: unemployment level (44.9%), low income per capita, the population on average 26 years old, enormous growth of drug users and alcohol (20.000), low budget for mental health, dominance in rural settlements, debt, domestic violence, inability to buy drugs, the inability of the education of the children, war trauma/PTSD, large number of people who are missing or dead after the recent war in Kosovo (8 cases).ConclusionThe number of suicide cases has increased. Social factors play a major role in this.
2325 – Cognitive Function, Clinical Characteristics And Aggressive Behavior Of Inpatients With Schizophrenia In Forensic Unit- Clinic Of Psychiatry In Prishtina
Authors: Ibishi N.F. , Kola V. , Musliu N.R. , Haxhibeqiri V. 
Published: July 2013

BackgroundSchizophrenia is related with high risk of aggressive behavior and poor cognitive performance.The aimTo study the relationship between cognitive performance, clinical characteristics and history of aggressive behavior in inpatients with schizophrenia.MethodsIn this two year follow-up study 65 inpatients with schizophrenia diagnosis according to ICD-10 criteria were evaluated using neuro-cognitive test WAIS and MMSE, clinical characteristics were based on PANSS and PCL tools and aggressive behavior was assessed based on HCR-20 and medical records. Inpatients were divided in two groups: nonrecidivism group (N-28) and recidivism group with aggressive behavior (N-37). Both groups were compared in terms of difference of means and correlation between socio demographic data, clinical symptoms and cognitive performance.Results37 in patients with schizophrenia or 56,9% were recidivist with aggressive behavior (≥1 incident) while 28 of them or 43,1% weren’t recidivist. We find significant difference between groups in age at first violence p < 0,023, past history of treatment p < 0,05 and social status with p < 0,018 level of significance. ANOVA test showed group difference in PANSS test (p < 0,001). Recidivism group of inpatients shows significantly poor cognitive performance in WAIS (p < 0,029) and MMSE (p < 0,025) test. Based on Pearson correlation matrix cognitive variable were significantly correlated with positive and negative clinical symptoms of schizophrenia features.ConclusionPoor cognitive performance was related with aggressive behavior recidivism and using the methods of behavioral-cognitive programs of rehabilitation is priority for the treatment of inpatients with schizophrenia under measure of psychiatric mandatory treatment.
2327 – Emotion Processing Across Psychiatric Disorders - a Dimensional Approach
Authors: Hägele C. , Friedel E. , Schlagenhauf F. , Sterzer P. , Beck A. , Bermpohl F. , Stoy M. , Ströhle A. , Heinz A. 
Published: July 2013

IntroductionA dimensional approach in psychiatry strives to identify neurobiological signatures of core (dys)functions such as responses to emotional stimuli across nosological boundaries.AimWe compared responses to emotional stimuli between major psychiatric disorders and investigated whether there is a psychopathological correlate irrespective of diagnostic group.MethodsWe used functional magnetic resonance imaging (fMRI) to assess the functional correlates of responses to unexpected pleasant and aversive emotional pictures in n=175 subjects suffering from alcohol dependence (n=29), schizophrenia (n=37), major depressive disorder (MDD; n=25), bipolar disorder (acute manic episode; n=12), panic disorder (n=12) or attention deficit/hyperactivity disorder (ADHD; n=20) and in healthy controls (n=40). The level of anxiety was measured in all diagnostic groups with the State-Trait Anxiety Inventory, and severity of depressive mood was measured with Beck's depressions inventory in all diagnostic groups with the exception of bipolar patients.ResultsOver all diagnostic groups, a significant activation of BA10 was observed during the presentation of unexpected pleasant pictures, whereas a significant activation of the left amygdala and left insula was found during the presentation of unexpected aversive pictures. We did not find significant effects of group, nor a correlation of neuronal activation with depressed mood or anxiety.ConclusionsIn spite of reported alterations in emotion processing in different psychiatric diseases, responses to emotional pictures did not differ across nosological boundaries in our study. However, a dimensional approach that targets e.g. personality traits or basic learning mechanisms and their neuropsychological correlates across traditional disease categories may be more promising.
2331 – Gender Identity Disorder In a Patient With Boderline Personality Disorder
Authors: Ramos J.S. , Ribeiro J. , Morins M. , Parente J. , Luis A. 
Published: July 2013

IntroductionThe Gender Identity Disorder (GID) is characterized by a strong sense of identity with the opposite gender, by a persistent discomfort with the one's gender and with a feeling of inadequacy to the social role of the biological gender.The possibility of a higher presence of Borderline Personality Disorder (BPD) in patients with GID has been a subject of research in several studies.The diagnosis criteria of the BPD includes a global disorder in the individual identity.Both BPD and GID are associated with a high risk of self-mutilation and suicide.AimsTo analyze and discuss a case report, addressing subjects related to the psychopatology, differential diagnosis and prognosis and therapeutic implications.MethodsOur discussion is focused on a case report, that led us to a non systematic review of the literature.ResultsOur case report is related to a 20 year old man with GID and BPD. This situation is lived in a great social isolation and frequent self-mutilation episodes and suicide attempts.The clinical outcome is aggravated by a severe instability in the personal relationships, self-image, ambitions and the future projects.We have discussed the differential diagnosis, psychopatology, prognosis and the identity disorder that the subject presents.ConclusionThe biologic gender, age and the treatment phase are factors that influence the risk of suicide and self-mutilation in these patients. We did not found a higher probability of BPD in a patient with GID.
2335 – Art Therapy In The Treatment Of Patients With Depressive Disorder
Authors: Korostiy V. , Hmain S. 
Published: July 2013

IntroductionRelevance of the topic is due to the difficulty of understanding the true causes of the own experiences of patients with depressive disorder, as well as providing the opportunity to work deeply with these factors as for the patient and therapist.AimsThe role of art therapy (AT) in the treatment of patients with depressive disorder.Objectives40 patients - men and women aged 18 – 30 years.Tasks: note the extent to which an objective interpretation of the content of the picture with his patient's subjective experience: comparison of results of treatment between patients who had sessions of AT and patients who didn’t have it; determine the regressing symptoms after sessions of AT.MethodsClinico-diagnostical method; picturesque method, Hamilton Depression scale; Hamilton anxiety scale.Results90% of patients have drawn interpretation of the content of their subjective experiences, 70% of patients reduced the level of anxiety, 75% of patients experienced improvement in mood between sessions, 77% of patients self-esteem has increased, 80% of patients had sustained remission, and 68% - a positive outlook for the future has appeared. Thus, this study indicates that AT is a powerful aide in treatment of depression, helps patients cope with depression, returning to their lives a sense of internal control and order, and facilitating the psychodiagnostic work of physician, allowing him to carry out the appropriate psycho-correction, which improves the quality of treatment and rehabilitation of patients with depressive disorder.