bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of perceptions about COVID-19 disease in patients and in medical professionals during the pandemic
Authors: Deshchenko E. V. , Koniukhovskaia J. E. , Stepanova O. B. , Shishkova I. M. , Pervichko E. I. , Mitina O. V. , Petrenko V. F. 
Published: August 2024

IntroductionThe COVID-19 pandemic poses a serious threat to mental well-being both for patients who have suffered from coronavirus disease and for medical workers of this period. The difference in perceptions about COVID-19 in patients and those who care for them reflects the peculiarities of assessing the coronavirus pandemic and their own coping capabilities.ObjectivesThe aim of the research was to compare the perceptions about COVID-19 in patients and medical professionals during the pandemic.MethodsA Short questionnaire of Disease Perception (E. Broadbent) was used to study patients’ perceptions about COVID-19 disease. The same questionnaire was modified for the perceptions about the COVID-19 pandemic to study the peculiarities of the perceptions about COVID-19 by medical professionals.The study was conducted from January 2021 to November 2022. The sample consisted of 314 medical workers (57 men and 255 women), whose average age was 36.97±11.93, and 390 patients (64 men and 326 women), whose average age was 28.58±10.74. 35 people (11%) of the surveyed medical workers worked in the red zone.ResultsMedical professionals and patients tend to assess the impact of the pandemic on life in the same way. However, according to medical professionals, the COVID-19 pandemic will last longer than according to patients (4.93±2.81 vs 3.18±2.29, p=0.000). Doctors assess their ability to control the pandemic significantly worse than patients assess their disease as a result of coronavirus infection (2.82±2.28 vs 5.30±2.88, p=0.000). Medical workers have a worse assessment of the effectiveness of the measures taken to combat the pandemic (4.75±2.63 vs 5.50±2.67, p=0.000). Doctors are less likely to find symptoms of coronavirus (2.88±2.32 vs 4.98±2.75, p=0.000) and less concerned about the spread of COVID-19 (3.75±2.55 vs 4.20±2.63, p=0.023). Whereas patients have a worse understanding of what COVID-19 is (6.32±2.87 vs 5.52±2.83, p=0.000), and they believe that COVID-19 affects their emotional state to a greater extent than doctors did (3.60±2.66 vs 4.39±2.90, p=0.000).ConclusionsThus, the specifics of the perceptions about COVID-19 may largely depend on whether a person is faced with a coronavirus in the role of a patient or a medical worker. The emotional state of patients is more affected by the pandemic combined with a worse understanding of COVID-19, while medical workers feel less control and tend to regard the measures taken to combat the pandemic as less effective.Disclosure: Research is supported by the Russian Science Foundation, project No. 21-18-00624.Disclosure of InterestNone Declared
Incipient schizophrenia: a case-based introduction to psychopathology and differential diagnosis - Clinical case
Authors: Maravic V. M. 
Published: August 2024

AbstractThe first psychotic episode is often a moment of utmost importance for the patients and their families, as well as for the treating professionals who need to address several dilemmas. Findings suggest that Self-Disorders (SD) specifically aggregate within schizophrenia spectrum disorders, pointing to the possibility that they could be a central phenotypic marker of schizophrenia spectrum disorders across the different severity of their clinical manifestations. We will present and discuss a case report involving a patient’s first admission, where diagnostic uncertainties exist. The goal is to enhance our comprehension of the significance of contemporary clinical and phenomenological psychopathology, with a specific focus on SD, in order to achieve a more accurate and precise assessment of incipient schizophrenia.Disclosure of InterestNone Declared
Urdu Translation and Validation of the Penn Inventory of Scrupulosity-Revised
Authors: Ghayas S. , Noureen S. , Lewis C. A. 
Published: August 2024

IntroductionScrupulosity is an Obsessive Compulsive Disorder in which an individual experiences persistent doubts and fears about committing religious and moral sins. Researchers have extensively used the Penn Inventory of Scrupulosity-Revised (PIOS-R), which has been translated into various languages.ObjectivesThe present study translated and validated the PIOS-R into Urdu.MethodsThe PIOS-R was translated using the forward-backwards translation method. A sample of 443 Muslim University students (male 224 and female 119) with an age range of 18 to 33 years (M = 21.56, SD = 2.02) completed the Urdu version of the PIOS-R. Cross-lingual validity was established on a further 60 participants.ResultsConfirmatory factor analysis (CFA) confirmed the two-factor structure of the Urdu version of the PIOS-R. It provided an excellent model fit to the data with chi-square 238.72, CFI = .92, GFI = .93 and RMSEA = .03. The Cronbach’s alpha coefficient of total scale, Fear of God Subscale, and Fear of Sins Subscale was .84, .74, and .78 respectively were satisfactory. The convergent validity of the Urdu version of the PIOS-R was demonstrated with significant positive correlations with measures of anxiety (r = .21, p <.001) and depression (r = .26, p < .001).ConclusionsThe Urdu version of the PIOS-R is recommended for use by researchers and practitioners. The results indicated good reliability and validity information for the Urdu version of the PIOS-R, which supports the measure’s utility across cultures and faiths.Disclosure of InterestNone Declared
Attachment disturbance in women with depressive spectrum disorder, its connection with hostility
Authors: Enikolopov S. N. , Vorontsova O. U. , Medvedeva T. I. , Boyko O. M. , Oleichik I. V. 
Published: August 2024

IntroductionThe results of the study of psychological factors of hostility in depression are presented. The topicality of the study is due to hostility considered, on the one hand, as a property of depression, and on the other hand, as a risk factor, associated with the likelihood of auto-aggressive behavior.ObjectivesThe aim of the study was to analyze the relationship between hostility and attachment disorders in endogenous depression.MethodsThe study involved 49 patients with depressive disorder (mean age 19,8±4,5). All patients were assessed using the Hamilton Depression Rating Scale (HDRS-17 mean 21,03±6,02). All completed the following methods: Revised Experiences in Close Relationships (ECR-R); Symptom Check List-90-Revised (SCL-90R); Aggression Questionnaire by Buss and Perry (BPAQ); I-structural test by G. Ammon (ISTA). According to the “depression” parameter of the SCL-90R, the group was divided into subgroups with high and medium severity of depression. Analysis of variance (ANOVA) or Mann-Whitney test were. Correlation analysis (Spearman) and stepwise multiple regression analysis were also used.ResultsAt high levels of depression, the indicators of “hostility”, “destructive” and “deficit aggression” are statistically significantly higher. The severity of depression significantly correlates with the severity of “anxiety” in attachment (close relationships), as well as with pathological “narcissism”, “destructive external self-delimitation”, “deficient internal self-delimitation”.For the measure of depression, regression analysis showed that the regression model explained more than 76% of the variance, with the measures of “interpersonal sensitivity”, “deficit narcissism”, and “avoidance” in attachment making significant contributions. For the “hostility” the regression model explains about 62% of the variance, while a significant contribution is made, as in the analysis of “depression”, by the indicators of “interpersonal sensitivity” and “avoidance”, however, unlike “depression”, the contribution of the “destructive narcissism” is noted in contrast to the “deficit narcissism”.ConclusionsWith severe depressive symptoms, indicators of hostility are increased. Hostility in depression is associated with factors caused by a violation of early interpersonal relationships (anxious attachment), which causes increased sensitivity in relations with others, “building a barrier” between oneself and the external environment perceived as hostile in the narcissistic pathology, problems in emotional regulation. One of the targets of psychotherapeutic work may be the ambivalence between desire for symbiotic dependence and the experienced hostility.Disclosure of InterestNone Declared
Readmission predictors at three years after a manic episode.
Authors: Giménez-Palomo A. 
Published: August 2024

AbstractIn this section, the speaker will present the results from a recent longitudinal study performed by the work group, in which a cohort of 265 patients admitted with a manic episode were followed up during three years after hospital discharge to identify acute readmissions due to affective relapses. The study of different sociodemographic and clinical variables potentially implicated in a higher risk of readmission over three years is presented, including adherence to treatment, substance use, number of previous episodes, family history, predominant polarity, treatments used and number of visits to the Emergency Department.Disclosure of InterestNone Declared
Assesment of Generative AI abilities to diagnose and propose treatment in comparison with psychiatrists from Poland and Tunisa
Authors: Sinica M. , Malec A. , Sghaier H. , Kalkowski P. 
Published: August 2024

Introduction
Increasing popularity of Generative AI systems such as GPT provides us with new dilemmas concerning the future of diagnosis and novel tools to improve daily psychiatrits’s work.ObjectivesThe aim of the study was to assess the abilities of generative AI to diagnose and propose treatment in comparison with real psychiatrists and performing a Turing test.Methods
We examined the ability to diagnose and propose treatment of various Generative AI versions (CHatGPT/CHATGPTpro etc.) and then compare the results with 10 clinicians performing the same task. Then a group of 10 psychiatry specialists not involved in the first evaluation assessed wether the diagnose and treatment were established by Generative AI or a clinician.ResultsThe reults showed that the generative AI systems were able to provide valid diagnosis in most of the cases with favour to newer and most proficient version of CHATGPT. Proposed treatment results were less accurate. The comparison between human and AI group was hard to accurately acces, with tendency to favouring psychiatrists group assesment as the right decision.There is huge need to further explore the possibilites and limitations of Generative AI use in psychiatry.ConclusionsThere is huge need to further explore the possibilites and limitations of Generative AI use in psychiatry.Disclosure of InterestNone Declared
Determining specific profiles of patients at risk of relapsing
Authors: Andreu Gracia H. 
Published: August 2024

AbstractBased on the available literature and the studies presented by the previous speakers, Dr. Andreu will provide a summary of predictive and protective factors associated with mood relapse or recurrence in bipolar disorder, with a special focus on the distinction between modifiable and non-modifiable factors and on the identification of specific phenotypes at higher risk of relapse. The speaker will also mention the role of psychotherapeutic and pharmacological treatments, and will summarize the available evidence regarding lithium response.Disclosure of InterestNone Declared
Anorexia nervosa and hyperphagic episodes : About five clinical cases
Authors: Belabbes I. 
Published: August 2024

IntroductionEating disorders affect almost one million people in France. More than half of them have not been screened for the disorder, and are still unable to access treatment!ObjectivesTo shed light on the clinical characteristics and management of patients with eating disordersMethodsWe report on a series of clinical situations involving patients presenting with binge eating disorder at the adolescent unit of the Gonesse hospital.ResultsOur sample included 5 patients, all female, aged between 13 and 16 years. They presented with anorexia nervosa with or without hyperphagia. Comorbidities included depression, anxiety disorders, chronic illness and suicidality.In some cases, treatment is based on re-feeding via a nasogastric tube. In others, behavioral treatment was sufficient. Pharmacological treatment for comorbidities was prescribed.ConclusionsUntreated eating disorders can be a source of deterioration in patients’ quality of life and high mortality. Early detection and diagnosis is essential for better patient management.Disclosure of InterestNone Declared
Psychiatric emergencies and trauma : the impact of stress in emergency nurses
Authors: Baabouchi N. 
Published: August 2024

IntroductionMental health at work is increasingly an essential element to assess, especially in sectors with a high risk of psychological and physical stress. Working in a healthcare environment and particularly work in a psychiatric environment can constitute a psychological risk for workers. Among the risks faced by emergency psychiatric medical staff is the risk of developing PTSD (post traumatic stress disorder), which occurs after a traumatic event and results in moral suffering and physical complications that profoundly alter life:personal, social and professional life.ObjectivesScreening psychiatric emergency nurses for post-traumatic stress disorders.Methods
This is a cross-sectional study carried out in the psychiatric emergency department of the Arrazi University Hospital in Salé, using an anonymous questionnaire distributed to nurses. It includes a 1st part on sociodemographic and professional data, a 2nd part focused on the evaluation of mental health through the GHQ12 and a 3rd part which evaluates post-traumatic stress made by the scale of post-traumatic stress disorder (PCLS).Results60 pourcent of women are more able to have ptsd disorder40 pourcent men 95 pourcent are under the age of 30 and 5 pourcent have more than 30 years
80 pourcent have morked less than 5 years in the emergency hospitaland 20 pourcent have worked more 73 pourcent have scored more than 44 in pcls score23 pourcent have scored less than 44 in pcls scoreConclusionsThis work highlighted an extremely high rate of exposure to a violent event among psychiatric emergency nurses, even if in this study the prevalence of PTSD found among nurses is lower than expected, in this professional environment overexposure a violence requires special attention to protect and prevent the development of PTSD in professionalsDisclosure of InterestNone Declared
Descriptive study of patients admitted to a Psychiatric Home Hospitalization Unit in Santa Coloma de Gramenet and Badalona
Authors: Marti Bonany J. , Garcia Hernandez D. , Tolosa Merlos D. , Romar Navia R. , Sauras Quetcuti R. B. , Ambros Ghisilieri M. J. , Mateu Codina G. A. , Garcia Fuentes D. , Coratu A. M. , De Iturbe Catania G. , Sanchez Gonzalez R. , Campillo Sanz M. T. , Riera Soler A. 
Published: August 2024

IntroductionHospital at home for psychiatric patients is a new emerging resource of delivering acute mental health care in the community. The main objective of this program is to provide intense care to patients with severe mental disorders at home as an alternative to acute admission.Although home hospitalisation has begun to develop widely in recent years there is a notable lack of studiesThe CAEM Psychiatric Home Hospitalization Unit (HAD-CAEM) has been operating since 2018 and takes place in Santa Coloma de Gramenet; and from March 2022 also in a part of Badalona. Both are sociodemographically depressed areas near Barcelona.Objectives
The aim of this study is to describe the characteristics of patients attended at the Psychiatric Home Hospitalization Unit of our hospital and to study differences according to area and place of referral.MethodsSocio-demographic and clinical data were collected retrospectively at admission and discharge of all patients treated at HAD-CAEM between March 2022 to february 2023.Statistical analysis was performed by using SPSS program.Results85 patients were included in the study. 45.9% were women. The mean age was 45.5 years (SD 15.58 years). The main diagnoses of the sample were psychosis and schizophrenia (38.8%), Bipolar disorder (23.53%), Depressive disorder (21.18%), schizoaffective disorder (8.24%) and others (8,24%).54 (63.53%) patients were from Santa Coloma area and 35 (41.18%) from Badalona area.The total mean duration of admission was 40.22 days (SD 26.18 days), with a mean follow-up of 10.09 visits (SD 5.39 visits) and 2.41 teleassistence (SD 2.62).The mean duration of admission for Santa Coloma patients was 43.98 days (SD 28.59), and for Badalona patients 33.68 days (SD 20.13). Trend without significance is observed (t= 1.77, p=0.08)We found differences in the mean duration of admission according to referral location. Acute psychiatric unit 33.25 days (SD 18.06), Mental health Center 51.93 days (SD 33.45), Emergencies 34.28 days (SD 19.69) (F=5.1, p=0.008).ConclusionsSociodemografic and clinical característics obtained in our study are consistent with those reported in previous studies. The duration of admission of patients referred from the mental health center is longer than those referred from the acute psychiatric or emergency unit. Home hospitalization teams have been increasing in recent years, being an alternative to traditional hospitalization.Disclosure of InterestNone Declared
Stigma Associated with Mental Illness: Perspectives of Judges and Lawyers in Lebanon
Authors: Mroue R. , Cherro M. , Kassir G. , Dandan N. , Ghossoub E. 
Published: August 2024

IntroductionLegal professionals frequently encounter forensic mental health issues in the criminal justice system. These issues can significantly impact the outcome of cases, making it essential to understand the attitudes and perceptions of these experts towards mental illness. Despite a high number of individuals with mental illness in prisons, the availability of forensic mental health services is limited. While prior research has shown widespread stigma towards mental illness, there hasn’t been a study assessing the attitudes of judges and lawyers.ObjectivesThis study aims to investigate the stigma related to mental health among Lebanese legal professionals.MethodsAn online questionnaire was sent to judges and lawyers practicing in Lebanon. The survey included a section on demographics and personal data with the following scales: Reported and intended behavior scale (RIBS) which measures mental health stigma–related behavior and Perceived devaluation and discrimination scale (PDD) measuring the extent to which a person believes that most people will devalue or discriminate against someone with a mental illness.Results
A total of 215 participants, with a mean age of 38.69 and a mean 13.16 years of experience, completed the questionnaire. Most were female (62.8%) and worked as civil attorneys (47.4%). Only a minority received instruction on mental health or mental health law during training (10.7% and 8.8%). About a quarter believed their education on mental health issues was sufficient (27%). Participants with positive attitudes (RIBS) were more likely to have a family member with a mental illness (p value = .001), feel comfortable handling cases involving mental health (p value = .001), and have lived with someone with a mental illness (p value = .007). Feeling adequately educated about mental health issues was associated with lower perceived stigma (PDDS, p value = .021). No significant associations with stigma scores were found for factors like age, gender, occupation, years of experience, contact with a mental health professional, taking psychotropic medications, disclosing personal mental health issues to friends or co-workers, receiving education on mental illness or mental health law, or working with individuals with mental health issues.ConclusionsThe findings imply that enhancing mental health education and awareness within the legal profession could be a key strategy to reduce stigma and improve the overall treatment of individuals with mental health issues within the criminal justice system in Lebanon.Disclosure of InterestNone Declared
Dysmorphic physical appearance and psychosocial burdens in Klippel-Feil condition
Authors: Bouayed Abdelmoula N. , Rannen R. , Abdelmoula B. 
Published: August 2024

IntroductionKlippel-Feil abnormality (KFA) is an association of bone defects characterized by a triad: fusion of the cervical vertebrae and consequent short neck, low hairline and a limited motion in the neck. KFA may be a feature of another disorder, such as MURCS association. Familial mutations in the GDF6 (KFS1 8q22), MEOX1 (KFS2 17q21), GDF3 (KFS3 12p13) and MYO18B (KFS4 22q11) genes cause inherited KFA.ObjectivesThe aim of this study was to report dysmorphic features and psychological burdens in two sisters with Klippel-Feil condition.MethodsTwo sisters with amenorrhea and dysmorphic clinical features were examined at our genetic counselling. Assessment of dysmorphic and behavioral features and karyotyping using RHG banding were performed.Results
Familial history revealed consanguineous parents and seven other healthy sisters. Physical examination shown typical triad of KFA. Karyotyping showed 46,XX formula in both patients. The first 22-year-old sister had body asymmetry with size difference between the two sides at the level of bones, pectus excavatum of the sternum, an ascent of the left scapula, scoliosis, dental position abnormalities and facial dysmorphism. The second 28-year-old sister had size difference between the two legs and scoliosis, vitiligo and facial dysmorphism. Anxious and depressed, the two sisters had normal learning abilities but shared many personal psychological concerns regarding their physical appearance and their amenorrhea. They were also exposed to significant discrimination and stigma making them feel excluded and ignored because of their visible difference.Conclusions
Physical appearance has a profound impact on a person’s life. To our knowledge, there is no reports that describe specific psychological burdens of KFA. Self-esteem, body image, and quality of life is negatively impacted in the case of dysmorphic physical appearance, always associated to social discrimination. Patients with KFA should be assessed not only for associated congenital defects but also for psychological distresses.Disclosure of InterestNone Declared