bluuebunny/crossref_metadata_2025_split huggingface dataset:
2678 – Alcohol Use and Psychosocial Correlates Among Aborigine in Central Malaysia
Authors: Rashid R. , Munir M. , Habil H. , Abd Kadir R. , Md Haris Robson N. , Sulaiman A.H. , Ahmad Zahari M. , Amer Nordin A.S. , Wan Husin W.A.I. 
Published: July 2013

This study surveyed Malaysian aborigine people to determine the prevalence of alcohol abuse dependence, psychiatric morbidity and psychosocial correlates among Malaysians aborigines. Studies among minority group in developed nations repeatedly showed severe drinking problems (Lomnitz, 1976; Gordon, 1978; Karno et al, 1987; Yamamoto et al, 1993).Household survey with informed consent taken. Selected household were chosen and orang asli (aborigines) age 18 above were interviewed in Kuala Betis areas. Alcohol screening used AUDIT questionnaires and Psychiatric morbidity measured by MINI. Odds ratio was used as measures of the association for the variables. The data analysis was done using SPSS version. 276 orang asli were interviewed during the study. Majority are within age group of 18-29 years of age (37%) with the mean age 36.51 years old. The M: F (50.7% and 49.3%). Senoi ethnic group is the majority (97.8%). 28% has no formal education and 58% received primary school education.Majority are married (82.2%). Half of them are employed and more than half received less than RM 500 monthly (USD 150). Types of alcohol use mainly beer and whisky. 90.24% have AUDIT score less than 7.Multivariate analysis showed only those employed are significantly associated with alcohol problems, Odds ratio= 0.089, 95% CI (0.033-0.246), P< 0.001.Prevalence of alcohol use among orang asli is comparable with general population. Employed people may have more money to buy alcoholic beverages. Orang asli probably need more attention on awareness program and further interventions.
2687 – Effectiveness of Risk -Taking: A Step Towards Reducing Anxiety in Students
Authors: Seyednezhad Jeludar S. , Ahy Jeludar Z. , Ahmadi Gatab T. 
Published: July 2013

Introduction and aim:The present research aimed at determining the effectiveness of risk-taking on reducing anxiety level in students in Payam-e- noor University in the city of Babol.Method:This research had a semi-experimental and comparative design with pre-test and post-test tool. The sample size of the research was divided into groups, namely control and experimental ones, each including 15 students out of 30 individuals. Anxiety Inventory was used as an instrument for the present research. Statistical t-test for independent variables and SPSS spreadsheet were applied to analyze data.Findings:Results of this research demonstrated that the way of risk-taking training could increase risk-taking behaviorally and cognitively. in addition, risk-taking training through group-counseling could lead to the reduction of anxiety in university students. Accordingly, the more the degree of risk-taking increased, the less the anxiety level would be.Discussion:The use of expressive style training can elevate the risk-taking in anxious students. Moreover, when students learn how to answer courageously, this surely can decrease the stress and tension they have been experiencing in a certain situation in the past.
2692 – A Study on the Efectiveness of Electroacupuncture in the Management of Sleep Disorder among Methadone Maintenance Therapy Patients in Kajang: A Preliminary Investigation
Authors: Hasan S.I. , Mustafa M. , Abd Rashid R. , Mohd Ali A. , Mohamad Ishak M.K. , Said M.A. , Habil M.H. 
Published: July 2013

Introduction:High prevalence of poor sleep quality has been reported among Methadone Maintenance Therapy (MMT) patients. in order to reduce side effects and prevent relapse, new treatment approaches should be considered and recently, electroacupuncture (EA) has believed to have a therapeutic effect in the treatment of drug addiction.Aims:To investigate the effects of EA on sleep quality in patients receiving MMT.Methods:A prospective, open-labelled, parallel, randomized-controlled trial was conducted among MMT patients in Kajang, Selangor, Malaysia. A total of 22 drug misusers who met DSM-IV were randomly assigned into two groups. The treatment group was given methadone plus EA stimulation at 1.1+80Hz while the control group received methadone plus Sham EA without increasing the intensity of the stimulation. Both groups received the EA treatment 30 minutes per session for 14 days. Sleep quality was assessed by validated Pittsburgh Sleep Quality Index.Results:In terms of pre and post treatment comparison, we found that there were significant difference of mean sleep latency (p= 0.011), use of medication (p= 0.043) and global PSQI (p= 0.009) for the treatment group. However, only sleep efficiency (p= 0.014) showed a significant difference between pre and post treatment for the control group. in terms of group comparison, we found that there was significant difference of mean sleep latency (p= 0.004), sleep efficiency (0.004) and global PSQI (0.008) for post treatment. No significant difference was found for pre treatment.Conclusion:Electroacupuncture may have adjunct effect on sleep improvement and have potential to reduce Benzodiazepine use among MMT patients.
2693 – Fathers' Birth Experience and Postnatal Mental Condition
Authors: Dorsch V. , Rohde A. 
Published: July 2013

Research in labour and delivery from the new fathers’ point of view is still in its infancy, with studies being rare and heterogeneous.Birth experience and postpartum mental condition were investigated in 174 fathers in the maternity ward of a University Hospital. Lacking a validated instrument for describing fathers’ birth experience the German version of Salmon's Item List (SIL-Ger) which is validated for the birth experience of mothers was used as well as Edinburgh Postnatal Depression Scale (EPDS) to reveal associations of birth experience and the fathers’ postnatal mental health. One in ten men (11.4%, N=19) reported a stressful or frightening birth experience, nearly one third (28.1%, N=49) did not rate attending the delivery as a positive or rewarding emotional experience. Fathers being present at a spontaneous delivery - from a number of men in free answers phrased as “natural birth” - reached a higher score in the postnatal dimension of “fulfilment” than any other mode of delivery. in over half of the men (52.1%, N=75) birth experience did not meet the expectations, with childbirth education classes, number of previous children or previous attended births being of no significant impact. Unfulfilled expectations towards birth are a known risk factor for negative birth experience in women. We showed unfulfilled expectations to be associated with difficulties in coping, discomfort and anxiousness and a less rewarding birth experience in fathers. SIL-Ger could be shown to be an easy-to-use and reliable tool to assess birth experience in men.
2704 – Subtypes of Developemental Coordination Disorder: A Multivariate Investigation to Define Specific Impairments
Authors: Vaivre-Douret L. , Lalanne C. , Cabrol D. , Golse B. , Falissard B. 
Published: July 2013

Objectives:The DSM IV-R criteria for Developemental Coordination Disorder (DCD) involve a marked impairment in the development of motor coordination although visual-spatial, digital and visuo-motor perception, neuromuscular tone, qualitative and quantitative measures impairments related to of gross and fine motor coordination might be used to isolate three main subtypes of DCD/dyspraxia: Ideomotor, Visual-Spatial/Constructional, and a Mix group sharing common impairments with additional comorbidities. This study focus on isolating specific markers with high predictive discriminatory power from a wide range testing battery in a sample of DCD children.Methods:Data were collected on 63 children with DCD aged 5-15 years (median 8.1), enrolled on DSM IV-R criteria. Children were free of previous assessment, medication, and therapy followup-up. Each subject underwent a neuropsychological, neuropsychomotor and neurovisual testing batteries comprised of 49 milestones assessment.Results:The most salient markers with respect to the three subtypes of dyspraxia studied in this sample are digital praxia, imitation of gestures, digital perception, visual-motor integration, manual dexterity, visual spatial structuration, coordination between upper and lower limbs, and lego blocks. Clustering results suggest Ideomotor patients define a homogeneous group of patients and Mix group with specific difficulties in coordinating lower and upper limbs or poor manual dexterity.Conclusion:This study confirms the importance of some aspects of neurovisual processing of spatial information, and motor control in DCD. Less than 15 neurovisual, neuro-psychomotor and neuropsychological milestone tests might be required to provide a sensitive and specific diagnostic of DCD subtypes, and isolated markers allow a better understanding of DCD.
2728 – Evaluation of Self-Esteem, Body Perception and Social Skills in Individuals Diagnosed with Gynecomastia
Authors: Lapsekili N. , Lapsekili E. 
Published: July 2013

Objective:Gynecomastia is a medical condition that affects men. Physical symptom is an abnormal enlargement of the mammary glands. Men who have this condition often end up feeling too embarrassed to be seen and it can greatly interfere with their personal life and social skills. This study attempts to evaluate the hypothesis that surgical approaches to correct simply the view are not enough to improve the quality of patients’ lives.Method:30 patients who were admitted to general surgery outpatient clinic with complaints of large breast and diagnosed with gynecomastia were enrolled in this study. Social Skills Rating Scale (SSRS), Body Image Scale (BIS), Coopersmith Self-Esteem Inventory (SEI) were applied preoperatively to patients with grade 1 and 2 gynecomastia. Scales were repeated postoperatively on the third month.Results:Preoperative and postoperative scores of BIS were significantly different. in a similar vein, preoperative and postoperative scores of Coopersmith SEI were significantly different, too. Coopersmith SEI and BIS scores were low in the preoperative period and higher in the postoperative period. However, in terms of SSRS there was not a statistically significant difference between preoperative and postoperative period.Conclusion:Results indicate that presence of gynecomastia even at the level of grade-1 and 2 is effective on self-esteem, body image and social skills. The results also show that for the treatment of individuals diagnosed with gynecomastia surgical interventions alone can be inadequate. in these patients, after the surgical treatments, the addition of individual training programs to improve social skills may be useful.
2729 – Coping Strategies in Patients with Boxer's Fracture
Authors: Lapsekili N. , Öznam K. , Lapsekili E. 
Published: July 2013

Objective:The term boxer's fracture refers fifth metacarpal neck fracture. These people have problem with anger management and may be incapable of problem solving. in this study, it was aimed to determine their coping behavior and psychological symptoms and their relations with coping behaviors in patients with boxer's fracture.Method:36 male patients with diagnosis of fifth metacarpal neck fracture and 36 healthy male control subjects were included in study. Groups were evaluated with “Coping Orientation for Problem Experiences” (COPE) scale and Symptom Check List- 90 (SCL-90).Results:“Emotion-focused” coping strategies like “denial”, “substance abuse”, “use of emotional social support” and “avoidance” were seen to be used more often by patient group. in SCL-90 symptom check-list “obsessive-compulsive symptoms,” “interpersonal sensitivity”, “anxiety”, “anger-hostility” sub-groups were significantly different in patient group than control group.Conclusion:Coping strategies are divided in two categories as problem-focused and emotion-focused. The first targets main source of the problem. and latter targets the emotional impact caused by the main source. This may be only realistic option when the source of stress is outside the person's control. Sense of control directly reduces psychological disturbance. Feeling like you have control over smaller aspects of life could lead to a greater sense of overall control. in these patients, it can be predicted that to punch the wall can increase “sense of control”. It is evaluated that the higher scores of “obsessivecompulsive symptoms” subscale of SCL-90 symptom check-list in patient group when compared with control group is consistent with this result.
2736 – A 12Month Study of Smoking Prevention in a Psychiatric Department
Authors: Michopoulos I. , Tsaklakidou D. , Gournellis R. , Rizos E. , Christodoulou C. , Vasilopoulou K. , Apostolopoulos A. , Liappas I. , Douzenis A. 
Published: July 2013

Introduction:When compared to the general population psychiatric patients smoke at higher rates. in Greek psychiatric wards smoking has been “quietly” allowed up until 2011 and up to date there is no provision of nicotine dependence interventions.Objectives:The opening of offered a unique opportunity to establish the first psychiatric ward with a clear no smoking policy.Aim:To describe the effect of this intervention on the smoking behaviour of the inpatients.Methods:For a 12month period we conducted a prospective study of smoking avoidance measures in the 2nd Department of Psychiatry of Attikon University Hospital in Athens. We monitored the smoking habits of 330 inpatients before admission, during their hospitalization and at discharge.Results:From 330 patients, 170 were smokers (51.5%). 101 of them (59.4%) had made at least one effort to quit smoking in the past. Regarding diagnosis, patients with schizophrenia were smokers significantly more than patients suffering from mood disorders (83/177 vs. 56/138, x2=4.8, p=0.03). Concerning the smoking habits during hospitalization, only 12 of the 170 smokers (7%) admitted or were seen to smoke in their rooms despite regulations. The mean difference (before admission/at discharge) was -21.8 cigarettes per day (p< 0.001).Conclusion:Smoking avoidance measures are effective in a new psychiatric unit.
2737 – A Double-Blind, Randomized, Placebo-Controlled Study Evaluating the Efficacy and Safety of Quetiapine XR for Treatment of Major Depression and Fibromyalgia
Authors: McIntyre A.W. , Kouassi E. , Paisley D. 
Published: July 2013

Introduction:Fibromyalgia and major depressive disorder (MDD) frequently co-occur. Quetiapine XR has demonstrated efficacy in the treatment of MDD and has recently been shown effective in patients with fibromyalgia.Objectives:To evaluate the efficacy and safety of quetiapine XR in patients with MDD and comorbid fibromyalgia.Aims:To report on the antidepressant and analgesic effects of quetiapine XR in a sample of dually diagnosed patients.Methods:An 8-week double-blind, randomized controlled trial in 120 non-psychotic adult outpatients with a confirmed diagnosis of MDD and fibromyalgia. Quetiapine XR was administered once daily in the evening at a starting dose of 50 mg/d for 2 days then 150 mg/d for 2 weeks and up to 300 mg/d if needed. The primary efficacy endpoint was mean change from baseline to week 8 on the HAM-D17 total score. Secondary endpoints included other measures of depression, anxiety, pain, quality of life, global functioning and adverse events.Results:At week 8, mean change in HAM-D17 score from baseline was significantly greater in the quetiapine XR arm than placebo (-10.0 vs. -5.8, p=0.001). Improvements in the Fibromyalgia Impact Questionaire (FIQ total -11.1 vs. -3.9, p=0.022) and Brief Pain Inventory (BPI-Total -2.1 vs. -1.6, p=0.007) was significantly greater in the quetiapine XR arm versus placebo. Improvements in all secondary outcomes were significantly greater in the quetiapine XR with the exception of the Sheehan Disability Scale total score.Conclusions:Quetiapine XR demonstrated significant antidepressive and analgesic effects in this population of patients with MDD and fibromyalgia.
2743 – Why Do First-Episode Psychosis Patients Use Cannabis? Case-control Study
Authors: Gómez L. , Sabaté A. , Mané A. , Bergé D. , Merino A. , Bulbena A. 
Published: July 2013

Introduction:There is a high prevalence of cannabis use among patients with psychosis. Persistent cannabis use in firstepisode psychosis affects prognosis and recovery. Understanding the reasons of cannabis use may help improve psychosis outcome. Several studies suggest that cannabis is used to ameliorate symptoms related to the disorder (self-medication hypothesis). Comparing the reasons of cannabis use in first-episode patients with a control group, may help to acknowledge that question. So far few studies with a control group have been carried out.Aim:Identify the reasons of cannabis use in first-episode psychotic cannabis users and compare them to non-psychotic cannabis users.Methods:Thirty-two first-episode psychosis cannabis users and thirty-four non-psychotic cannabis users were included. They completed a self-reported reasons for use cannabis questionnaire, adapted from Dixon et al.Results:The amount and frequency of cannabis use was higher in patients with first-episode psychosis than controls (6.47+/- 8.2 patients vs 19.59+/- 27.7 controls; p=0.024). The two groups did not differ significantly in any of the reasons for cannabis use. The main factors attracting them to use cannabis were: relaxation, sleep better, getting high and pleasurable experiences.Conclusion:Both first-episode psychosis and controls seem to use cannabis for the same reasons, which does not support the self-medication hypothesis. However additional research would be necessary to further investigate cannabis use correlation with symptoms to discard that hypothesis. Recognition of the actual reasons of use should help prevention strategists to develop appropriate programmes to general and specific audiences.
2763 – Psychiatric Symptoms of Internet Game Addiction in the Child and Adolescent Psychiatric Clinic
Authors: Oh E.-J. , Bhang S.-Y. , Ahn J.-H. , Choi S.-H. , Choi S.-W. , Lee H.-K. 
Published: July 2013

Introduction:The prevalence of internet game use among children and adolescents has been increased in the recent years.Objectives:Internet addiction has been found to cause various psychiatric symptoms and psychological problems. Internet addiction has been found to cause various psychiatric symptoms and psychological problems.Aims:The aim of this study was to examine the association between problematic internet game use and psychiatric symptoms in a sample of the Child and Adolescent Psychiatric Clinic, Ulsan University Hospital.Methods:We analyzed data from 447 subjects who first visit the Child and Adolescent Psychiatric Clinic of the Ulsan University Hospital. The level of Internet addiction was categorized as either high-risk (≥108; group 3), potential risk (95 to 107; group 2), or no risk (≤94, group 1) based on the total score. Data were analyzed using SPSS version 17.0 and one-way ANOVA and multiple logistic regression method were used.Results:Thirteen adolescents met the criteria for high risk group of internet game addiction. in the high risk group, 10 were male and 3 were female adolescents. There was an mean difference among group 3 (high risk)< 1 (no risk),2 (potential risk) in AHI ; whereas group 3 (high risk)>1 (no risk), 2 (potential risk) in BDI, BAI, inattention, hyperactivity/impulsivity and K-ARS score. with multiple logistic regression analysis, K-scale was significantly related with male sex, BDI, ARShyperactivity/ impulsivity score.Conclusion:We conclude that having male sex, happiness and depressive symptoms is associated with the risk of developing internet use disorders.
2765 – Length of Breastfeeding in ADHD Children - A Factor in ADHD Development?
Authors: Ptacek R. , Kuzelova H. 
Published: July 2013

Introduction:Attention Deficit Hyperactivity Disorder (ADHD) is the most commonly diagnosed behavioural disorder of childhood. It affects about 3 - 5% of school aged children. ADHD may lead to cognitive and behavioural problems and further psychiatric symptoms and disorders. Current research shows possible changes of somatic development of ADHD children comparing to non ADHD children. Etiology of these changes is still unclear. It is hypothesized that it can be caused by ADHD specific endocrinologic changes, medication or a ADHD life style. The growth of children may be influenced by further external factors - i.e. length of breastfeeding.Objectives and aims:The aim of the study was to compare how long a group of ADHD children - comparing to non ADHD children had been breast fed after the birth.Methods:We assessed a group of mothers of ADHD children (n=100) and non ADHD children (n=100) with structured interview oriented to breast feeding.Results:In our pilot study we identified that ADHD children were breastfed substantially shorter time (avg = 2,5 month) than non ADHD children (avg = 7,8 month) at statistically significant level (p< 0.01).Conclusions:The presented study suggests that ADHD in very young children may influence mother's behaviour leading to shortening time of breastfeeding. This may lead to further developmental changes. The presented study proposes that developmental changes in ADHD - especially somatic ones may be caused by complex ethology and therefore it is necessary assess not only the child but also conditions of its development.
2779 – Patients with Obesity Hypoventilation Syndrome and Mental Disorders
Authors: Zawada K. , Burzynska-Kozmin A. , Krysta K. 
Published: July 2013

Objective:Obesity hypoventilation syndrome is a multifactorial clinical condition developing in obese people. The symptomatology of the disease is dominated by disorders of breathing during sleep, and hypoventilation leading to chronic hypercapnia with underlying metabolic and hormonal disorders leading to complications of the cardiovascular disease.Methods:Here we describe a case of a patient treated for many years because of pulmonary hypoventilation syndrome accompanied by obesity and metabolic syndrome followed by a reduction in blood oxygen tension.Results:Despite the exacerbation of the underlying disease (parameters on admission 66mmHg pCO2, pO2 29mmHg, SaO2 43%) our patient showed no signs of a mental disorder. Slight short-term memory problems, decreased mood and drive relevant to the degraded state of somatic were present. During the hospitalization, the use of oxygen therapy led to the improvement of blood parameters, however the mental state became more complicated. The patient started to develop symptoms of delirium with a delusional interpretation of reality. Despite administered pharmacotherapy and further improvement in respiratory parameters (at discharge pCO2 62mmHg, pO2 59mmHg, SaO2 89%) the patient's cognitive dysfunctions showed no further improvement and delusions of persecution were still present. This required further psychiatric care alongside with patient's somatic treatment.Conclusions:A strong link exists between disorders of cognition, and chronic respiratory failure (hypoxia with concomitant hypercapnia). This may be also accompanied by psychiatric symptoms, which may become difficult to treat even if the somatic parameters are successfully improved.