bluuebunny/crossref_metadata_2025_split huggingface dataset:
1656 – Experiece With Our Ambulance Of Mentaly Retarded People, With Psychiatric Disorders Since 1992 In The Christian Doppler Clinic Salzburg/austria
Authors: Sonnleitner K. 
Published: July 2013

A helpfull longterm ambulant treatment of mentaly retarded outdoor-patients with multiple psychiatric disorders in a region of Salzburg, Upperaustria,Styria,Tyrol and Bavaria.The problematic subject needs a special treatment with continue amulant contacts.The aims are not to change the envirement of our patients and to help the professional outdoor teams to cope with the different problematics.The Method is a team of psychiatrist and pedagogic professionalist to help the patients in contact with parents and outdoor institutions (called par example “Lebenshilfe”) to cope with their special needs.Till now are ˜; 500 patients in our ambulant treatment and the numbers are still encreasing.The necessity of special ambulances with a high grade of networking.I hope for a helpfull discussion.
1657 – Component Structure Of The Positive And Negative Syndrome Scale (panss) In Patients With Schizophrenia Spectrum Disorders And Predominantly Negative Syndrome
Authors: Bobes J. , Rejas J. , Arango C. 
Published: July 2013

AimEarlier studies have examined the symptom dimensions of the PANSS (Positive And Negative Syndrome Scale) in patients with chronic schizophrenia, regardless predominance of symptoms. The aim of this study was to examine the component structure of the PANSS in patients with schizophrenia spectrum disorders and predominantly negative syndrome.MethodsData of PANSS were extracted from a cross-sectional and retrospective multicenter study in 1,704 adult psychiatric outpatients meeting DSM-IV criteria for schizophrenia, schizophreniform or schizoaffective disorder. We used 5 items of the PANSS negative subscale to individually determine the presence of a negative syndrome when the score on all of the 5-items were >3, with no extrapyramidal symptoms, anxiety, or depression and dose of haloperidol, when applicable, ≤15mg/day. Exploratory factor analysis was carried out using principal component analysis to extract domains. Eigenvalues above 1 according with Kaiser K1 rule were applied to extract factors. Items with a loading of ≥ 0.4 were considered to load on a component.ResultsA total of 307 [61% men, mean age: 41 (SD:12) years] fulfilled criteria for inclusion in the analysis. Principal component analysis of the PANSS revealed four components: positive, negative (all negative items of the original PANSS plus items 15 and 16 of the general psychopathology subscale), mood and disorganization, explained 58% of the total variance. Internal consistency (Cronbach-alpha) of these 4 domains was high: 0.897, 0.874, 0.819 and 0.833, respectively.ConclusionsThis analysis suggest a four component structure of the PANSS in patients with schizophrenia spectrum disorders and predominantly negative syndrome.
1663 – Alcohol And Tobacco Usage And Depressive Symptoms Among University Students
Authors: Salminen T. , Saukkosaari J. , Hakko H. , Räsänen P. , Jääskeläinen E. 
Published: July 2013

IntroductionSubstance abuse and mental health problems have been increasing among young population.AimsTo find out the prevalence of alcohol and tobacco usage and their association with depressive symptoms among university students.MethodsWeb-based questionnaire was sent to all 13397 university students of Oulu University, Finland in November 2011. 2167 (16,2%) replied, 31,5% were males and 68,5% females. The questionnaire included Alcohol Use Disorders Identification Test (AUDIT-C), questions concerning tobacco, and Symptom Check List-90 (SCL-90). We analyzed the prevalence of alcohol and tobacco usage and their association with depressive symptoms by gender.ResultsAmong males 46,0% had hazardous drinking habits (AUDIT-C score 4-7) and 21,3% had very hazardous drinking habits (AUDIT-C score 8-12). Among females 63,2% had hazardous drinking habits (AUDIT-C score 3-7) and 4,8% had very hazardous drinking habits (AUDIT-C score 8-12). 14,8% of males and 12,1% of females were smoking tobacco irregularly and 4,8% of males and 4,4% of females smoked regularly. There was no statistically significant association between usage of alcohol and symptoms of depression among males or females. Among males, but not among females, there was statistically significant positive association between tobacco smoking and depressive symptoms (p=0,001).ConclusionsThe prevalence of hazardous drinking habits in our sample was very high compared to earlier studies conducted among university students. Contrary to earlier studies there was no association between hazardous drinking habits and depressive symptoms. In the future factors associating to hazardous drinking and the prevention of this phenomenon should be studied in more detail.
1664 – Evaluation Of The Effectiveness Of Treatment Response Applying Panss, Gaf And Moca In Patients With Schizophrenia
Authors: Fisekovic S. , Memic A. , Burnazovic-Ristic L. 
Published: July 2013

IntroductionSchizophrenia (SCH) is considered the most serious psychiatric disorder with complex pathogenetic and pathophysiological mechanisms and inadequate treatments.ObjectivesGiven the association of psychotropic medication and cognitive, functional, and neuropsychiatric symptoms (NPS), the use of certain measuring instruments among patients who suffer from schizophrenia is important because the quantification of treatment effects is crucial for optimizing the management of patients with schizophrenia.AimsTo assess the efficacy of antipsychotic therapy in schizophrenic patients with predominantly negative and positive symptoms, cognitive impairment and social, occupational and psychological dysfunction.MethodsTwo main groups were selected for analysis: (N=34) included patients taking first-generation antipsychotics (FGAs) and (N=16) included patients taking second generation antipsychotics (SGAs). We used the Positive and Negative Syndrome Scale (PANNS), Global Assessment Functioning (GAF) and Montreal Cognitive Assessment Scale (MOCA).ResultsOut of the total number of examinees (n=50), 15/50 (30%) were males and 35/50 (70%) were females; the age of onset was 38.4±1.77; duration of illness (mean±SD) 32.5±5.00; SANS-Total (mean±SD) (23.82±9.962); SAPS-Total (mean ±SD) (28.6±9.74). Analysis of the PANSS scale bipolar index shows that patients on SGA, on average, had lower scores (2.37±12.5) compared to patients on FGA (5.91 ±9.61).ConclusionsPreliminary evidence showed that there are no significant advantages in the use of atypical antipsychotics compared with typical ones in a group of patients suffering from schizophrenia. It is important to realize what role the advancement of antipsychotics has played and what still needs to be accomplished to further improve the outcome of sch patients.
1669 – Correlates Of Postpartum Anxiety
Authors: Pereira A.T. , Marques M. , Soares M.J. , Maia B.R. , Bos S.C. , Azevedo M.H. , Valente J. , Nogueira V. , Madeira N. , Roque C. , Macedo A. 
Published: July 2013

IntroductionFactors associated with postpartum/PPT anxiety have been insufficiently investigated.ObjectiveTo identify correlates of PPT anxiety.Methods201 3-months postpartum women completed the Portuguese versions of Postpartum Depression Screening Scale (PDSS), Beck Depression Inventory/BDI-II, Profile of Mood States, Difficult Infant Temperament Questionnaire/DITQ, Multidimensional Perfectionism Scale and questions on sociodemographic variables, Lifetime history of insomnia/LTHD, Lifetime history of depressive symptomatology/LTHDS, Current insomnia, Health perception/HP, Stress perception/SP, Perceived social support/PSS, Quality of life/QOL, Health problem/complication postpartum, Sensibility to hormonal fluctuations, Type of delivery and Type of feeding. Postpartum anxiety was measured with the Anxiety/Insecurity (AI) subscale of the PDSS.ResultsAI significantly correlated with LTHDS (rS=.32), LHI (rS=.18), Current insomnia (rS=.32), BDI-II (r=.76), SP (rS=.38), PSS (rS=.25), Perceived QOL (rS=.37), Health perception (rS=.29), Health problem in the postpartum (rS=.26), Negative Affect/NA (r=.66), Positive Affect/PA (r=.58), Conditional Acceptance/CA (r=.29) and DIT (r=.38) (all p< .01). Mean comparisons revealed that women with vs. without LHDS, with vs. without LTHI, good sleepers vs. with insomnia syndrome, high vs. low SP, low vs. high PSS, bad/very bad vs. good/very good QOL, bad/very bad vs. good/very good HP, high (< M+1DP) vs. low (>M-1DP) DIT, CA, NA and low vs. high PA had significantly higher mean scores in AI (all p< .01). Linear regression model composed of all correlated variables explained 53.7% of AI variance and showed that NA, PA and DIT are significant (p< .05) predictors of AI.ConclusionOur findings are in accordance with previous research and contribute to the progress on this topic.
1674 – Phenomenology Of Combat-related Ptsd
Authors: Kolov S. 
Published: July 2013

ObjectivesMany researchers point out that combatants demonstrate various additional symptoms that do not fit into the PTSD classical clinical picture. Unfortunately, until present moment there has been a great need for a conception that will unite all the approaches.MethodTo achieve our goal we used traditional clinical-anamnestic and clinical-psychological methods which included clinical-psychological scales of multidimensional anger assessment, aggressive behaviour scale, depersonalization scale, the Mississippi PTSD scale. We examined 557 combatants, 109 of which had the full range of PTSD symptoms, whereas the rest demonstrated subclinical manifestations of the disorder in question.ResultsIt was discovered that compulsory PTSD symptoms in combatants have specific peculiarities. Anger, being part of PTSD hyperreactive cluster, here is associated with impulsive-hostile aggression. This explosive syndrome displays features characteristic only of combatants, also it negatively influences every aspect of a combatant's life (namely, physical and mental health, vital functions, social relationships). The mentioned above syndrome is closely related with personal relations and accompanied by such pathological coping mechanisms as social avoidance/restrictions, redirection of aggression onto self and others. The noted emotional violations of basic emotions of anger and anxiety, that are compensated by depression and depersonalization and that have protective-coping character, can be termed a syndrome of affective-stressed dysfunction. This explains high comorbidity in PTSD combatants with depressive disorders.ConclusionsThe revealed additional symptoms and syndromes function as a whole complex of combat-related post-stress disorders and single out combatants into a peculiar group among patients with other stress disorders.
1675 – Co-occurring Substance Misuse In Clients Presenting To a Psychiatric Unit In a General Hospital In Jamaica
Authors: Iballaboh H. , De La Haye W. 
Published: July 2013

IntroductionCo-Occurring Substance Misuse is associated with negative effects on psychiatric illnesses with implications for medication compliance, relapse and treatment outcome.AimsTo contribute to research in the area of Co-occurring Substance Misuse in the Caribbean in general and Jamaica in particular.ObjectivesTo determine the prevalence of Co-occurring Substance Misuse, associated demographic characteristics and reports of interpersonal violence.MethodA cross-sectional study design was used with consenting patients admitted to the Psychiatric Unit at the University Hospital of the West Indies, Kingston over the period March 2011 to September 2011. Data collection utilized a researcher administered Background Questionnaire. Data analysis was done using the Statistical Package for the Social Sciences Version 18.0 (SPSS 18.0).ResultsOf 100 consenting patients, 36 (36%) were diagnosed as having Co-occurring Substance Misuse, 31 (83.8%) males and 5 (13.5%) females, mean age 27.17 ± 9.6 years, range 14-59 years. Past year alcohol (86.5%), tobacco (86.5%), marijuana (89.2%) and cocaine (13.9%) use were reported, with the majority of patients (94.4%) reporting polysubstance use. The mean age of onset for alcohol was 14.3 yrs, tobacco, 14.8 yrs, cannabis, 16.5 yrs and cocaine 21.4 years. 70% were diagnosed with a Psychotic Disorder and 30% had a Mood Disorder. A high prevalence of interpersonal violence (77.8%) was reported.ConclusionThere is a high prevalence of Co- morbid Substance Misuse in this sample of patients. Patients should be screened on admission for Co-morbid Substance Misuse and a combined, integrated approach to the management of these patients should be established.
1677 – A Basic Protocol To Manage Patients With Personality Disorders In The General Hospital
Authors: Gonzalez-Torres M.A. , Bustamante S. , Vivanco E. , Trojaola B. , Fernandez-Rivas A. 
Published: July 2013

IntroductionPatients presenting Personality Disorders and specially Borderline Personality Disorder are often admitted to Psychiatry Units in General Hospitals. Their impulsivity, affective disregulation and difficulties in interpersonal relations complicate the therapeutic atmosphere and cause problematic interactions with staff and other patients.ObjectivesTo improve staff response to behavioural problems of patients presenting Personality Disorder in psychiatric units in the general hospital.AimsTo develop a protocol to guide staff interventions with these patients.MethodsAfter analyzing the patients flow from the emergency room to discharge and the current proposals in the literature on the subject, we create a protocol addressing more frequent problems using a task group composed of psychiatrists, psychologists and nurses involved in the daily care of these patients.ResultsA protocol is delineated guiding clinicians and staff on how to deal with assistance at the emergency room, entrance to the ward, initial contract and agreement, responses to specific problems during treatment and final discharge.ConclusionsA protocol to guide the staff dealing with behavioural problem of patients with PD in the general hospital can be developed and provides clinicians with a therapeutic frame that structures the different treatment interventions.
1687 – Social Cognition In Patients With Dissociative Amnesia
Authors: Markowitsch H.J. , Staniloiu A. 
Published: July 2013

IntroductionDissociative amnesia is triggered by psychological stress or trauma. Its hallmark is a severe (usually retrograde) memory impairment within episodic-autobiographical domain, occurring without evidence of significant brain damage on conventional structural brain imaging.ObjectivesThis work’s objectives are establishing greater recognition of possible relations between memory performance and social cognition in patients with dissociative amnesia.AimsWe review data on social cognition (affective and cognitive theory of mind, simulation, empathy, social judgment, moral judgment) from our own patients with dissociative amnesia.MethodsPatients were investigated medically, psychiatrically and with neuropsychological and neuroimaging methods.ResultsPatients with dissociative amnesia show variable degrees of impairments of components of social cognition, based on their comorbid conditions (e.g. concurrent clinical or subclinical depression), types of memory impairments (e.g. extent of retrograde amnesia, presence of autobiographical semantic deficits), pattern of brain metabolic changes, personality characteristics, neuropsychological profile (performance on executive functions or emotional processing) and testing paradigms.ConclusionsThe impairment in dissociative amnesia seems to go beyond the conscious mnemonic deficit, encompassing various aspects of social information processing. Knowledge about the pattern of metabolic and micro-structural brain changes in patients with dissociative amnesia as well as a fine-grained analysis of the neural correlates of various aspects of social cognition might provide an understanding of when and how episodic-autobiographical memory contributes to social cognition. As several studies emphasized, some structures involved in mnemonic processing may also play a role in social perception, cognition and behavioural regulation, including future-minded choice behaviour.
1692 – Obsessive-compulsive-bipolar Disorder Comorbidity: a Case Report
Authors: Ribeiro J.P. , Ribeiro Â. , Ribeiro B. , Silva J.C. 
Published: July 2013

IntroductionAnxiety disorders have been historically described as a feature of Bipolar Disorder (BD), and Obsessive-compulsive-bipolar disorder (OCBD) comorbidity has been referred in literature. A survey reports that 55,8% of obsessive-compulsive patients may develop BD in their lifetime. Another survey estimates it at 21%. Mania in Obsessive-Compulsive Disorder (OCD) can occur either as an independent comorbidity or as a result of an antidepressant-induced switch in a patient in anti-OCD drugs.Objectives/aimsThe aim of this poster is to describe and discuss some aspects of this psychiatric comorbidity, with emphasis on its diagnosis and management, based on a case report.MethodsThis case report describes a 38-years-old married male with 5 years history of OCD treated with an antidepressant, admitted at our psychiatric ward due to a manic episode. Its management and therapeutic approach are described.Discussion/conclusionA baseline of “neurosis” (versus “psychosis”) in some BD presentations has emerged from recent scientific evidence, which prompts its better understanding. As a complex comorbidity, OCBD represents a diagnostic and therapeutic challenge implying further systematic exploration.
1696 – Postictal Psychoses - The Importance Of Seizures Control a Case Report
Authors: Ribeiro Â. , Ribeiro B. , Ribeiro J.P. , von Doellinger O. 
Published: July 2013

IntroductionPsychiatric symptoms occur quite often in epilepsy and are an important prognostic factor in quality of life of patients with this neurological condition. The psychotic disorders occurring in epilepsy are classified according to their chronological relationship with the seizures. The peri-ictal psychoses occur before (pre-ictal), during (ictal) or after (postictal) the emergence of a seizure. Inter-ictal psychoses occur independently of seizures. Postictal psychosis (PP) episodes are typically of short duration.Objectives/aimsOur aim is to show the great importance of seizures control as a way to prevent the onset of psychotic symptoms, thereby improving patient’s prognosis and quality of life.MethodsIn this paper we describe a case of a 44-year-old man, with post-traumatic epilepsy and postictal psychotic symptoms.Results/conclusionThe search and the recognition of psychiatric symptoms in epilepsy allow a better understanding of the overall clinical case and, therefore, a more effective treatment.
1698 – Testing Routine Outcome Measurement In Outpatient Care In Satakunta Hospital District, Finland
Authors: Korkeila J. , Nevalainen M. , Horjamo K. 
Published: July 2013

BackgroundHealth-Related Quality of Life has been considered suitable for outcome measurements in chronic illnesses.MethodsFeasibility of collecting routinely data on health gains during treatment was assessed during a outpatient service development project in Satakunta hospital district. Finland. Patients contacting the outpatient services for the first time were asked to fill in scales during their first visit. The sacles were sent by mail three months, one year and two years after the first visit. The instruments used were AUDIT-5, BDI-21 and 15D. 15D is a scale developed for purposes of estimating QALY’s in health economic research. It has been widely used in Finland in general population and patient populations including psychiatric patients. Previous studies have defined a population standard (0.9402 out of a score of 1) for 15D assessments and a universal cut-point (change of 0.03) for clinically significant change.ResultsThe use of routine-based outcome measurement has been well feasible in outpatient care. So far 949 patients have undergone the first measurement point, 590 the second assessment point and 312 the third assessment point. The data collection is still on-going and numbers of responses at later intervals are likely to increase. At the first assessment the mean 15D score was 0.7616, at three months 0.7857 and at one year 0.7995. Scores increased especially concerning anxiety and depression, but considerably less regarding sleep.ConclusionRoutine measurement of health gains is feasible within the context of public psychiatric services. Measurement implied also need for development of insomnia treatment.
1699 – Long Lasting Personality Changes After The Onset Of Dissociative Amnesia
Authors: Staniloiu A. , Markowitsch H.J. 
Published: July 2013

IntroductionAcross various cultures, dissociative amnesia is triggered by psychological stress or trauma. Its hallmark is a severe (usually retrograde) memory impairment, occurring without evidence of significant brain damage (as detected by conventional structural brain imaging). In a substantial number of cases, the memory impairment follows a chronic course. Sometimes dissociative amnesia occurs on a background of a personality disorder (narcissistic or borderline). Other times, amnesia itself triggers long lasting personality changes.ObjectivesThis work’s objectives are establishing greater recognition among health care providers of the spectrum of the personality changes that may accompany chronic forms of dissociative amnesia.AimsWe review data from own patients with chronic forms of dissociative amnesia.MethodsPatients were investigated medically, psychiatrically, neuropsychologically and and neuroradiologically.ResultsChanges in personality dimensions occur after the onset of amnesia. These may involve affectivity, perception (e.g. impaired self face or face-emotion processing), cognition (e.g. social cognition) and behaviour (e.g. changing in eating, smoking, drinking or working habits).ConclusionsThe observed personality changes may represent a consequence of amnesia. Functional imaging studies show metabolic changes in dissociative amnesia in brain areas involved in conscious mnemonic processing. Several structures engaged in processing within episodic-autobiographical memory system were also implicated in self and reward-related processing. Alternatively, the personality changes may be viewed as being pivotal in the development and maintenance of dissociative amnesia; this personality shift may subsequently lead to enduring changes in ways of cognitive processing, self-processing, perception and affect.