bluuebunny/crossref_metadata_2025_split huggingface dataset:
1517 – Sloreta Findings In Patients With Panic Disorder - Differences Between Responders And Non-responders To Combined Cbt And Pharmacotherapy
Authors: Kamaradova D. , Praško J. , Látalová K. , Grambal A. 
Published: July 2013

IntroductionPanic disorder is common disease characterized by spontaneous attacks of massive anxiety and fear. Anxiety is generally considered to be a condition in which the organism is increasingly aroused and EEG may therefore play an important role in the study of the biological basis of anxiety disorders. Standardized low-resolution electromagnetic tomography (sLORETA) is a new quantitative EEG method for determining distribution of neuronal electrical activity in the form of three- dimensional images of current density of the cerebral cortex.ObjectivesEEG may be usefull method in searching for predictors to the pharmaco and cognitive-behavioral therapy (CBT).AimsThe study aimed at finding electrotomographic differences between patients with panic disorder who respond to combined CBT and pharmacotherapy.MethodsThe study comprised 24 patients diagnosed with panic disorder with or without agoraphobia. The severity of symptoms was measured with the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Sheehan Anxiety Scale, subjective and objective Clinical Global Impression (CGI) and Dissociative Experiences Scale (DES). Based on final BAI score decreases by 25%, the patients were classified into two groups - responders and non-responders. 21-channel EEGs were recorded at baseline and after completion of therapy.ResultsIn non-responders, there were no statistically significant changes in sLORETA findings following therapy. Responders showed a significant decrease of alpha-2 sources (p< 0.05) in the occipital lobes and cuneus and a statistical trend for increased beta-3 sources (p< 0.10) in the posterior cingulate.ConclusionOnly treatment response was associated with significant changes of electric neuronal activity.
1523 – Suspicious Recurrent Child Abuse And The Intersection Field Of Psychiatry And Law: a Case Report
Authors: Barros I. , Santiago C.R.S. , Sudo F.K. 
Published: July 2013

IntroductionIn Brazil, children and adolescents are considered holders of Special Rights, as depicted in Article 227 of the 1988 Brazilian Constitution. Special Rights refers to a condition in which their rights should be respected, but also protected from physical, moral and psychological harm. Moreover, the Brazilian Child and Adolescent Statute (Law n. 8.069) specifically guarantees full protection of children and adolescents.ObjectiveThis case-report sought to discuss the intersection of Psychiatry and the Brazilian Law in a case of suspicious recurrent child abuse. AIM. To demonstrate the importance of protecting children from maltreatment by reporting the case of a suspicious recurrent child abuse.MethodCase-report: A 7-year-old child and her mother were evaluated by two psychiatrists, as requested by the Public Attorney Office of the State of Rio de Janeiro. Denouncements of possible recurrent negligent treatment by the parents had been referred to the Public Attorney Office since the child was one year old. Other family members were also interviewed, to better understand the family dynamics. RESULTS. The mother had no symptoms of mental disorder. The child had symptoms of possible child abuse, such as physical and school failure, emotional and social withdrawal.ConclusionsClinicians must pay attention to emotional signs and symptoms that can be indicators of child abuse, which must be reported to law enforcement. We also highlight the importance of evaluating and giving support to the whole family.
1525 – Ekbom Syndrome With Folie à Deux: a Case Report
Authors: Alves J. , de-Melo-Neto V.L. 
Published: July 2013

Delusional parasitosis (Ekbom Syndrome) was firstly described by Thirbierge in 1894 as acarophobia. Nowadays this syndrome is not considered an independent diagnostic category and is defined in DSM-IV-TR as a delusional disorder, somatic subtype. Folie à Deux is characterized by the “transmission” of delirious thoughts from a “primary patient”, the inductor to a “secondary patient”, the induced one. The association between delusional parasitosis and Folie ... Deux is an uncommon syndrome that was described by Skott in 1978.ObjectivesTo describe a case of Ekbom Syndrome with Folie à Deux, between mother and daughter, that has the mother as the “primary patient” even with borderline intelligence and the daughter as the induced patient, but without any cognitive deficits.AimsTo highlight that some cases of Folie à Deux can occur in a strictly affective dominance fashion relationship.MethodsCase report.ResultsMRC, 46 years old, illiterate, was referred to the outpatient psychiatric clinic of the University Hospital of the Federal University of Alagoas-Brazil, by a dermatologist of the same hospital because of hyperchromic scaly pruritic skin lesions in legs and back with no findings at skin biopsy that the patient attributed to “bugs” under her skin and that her daughter also believed that existed even when her mother showed her desquamative skin as being the bug.ConclusionsThe dominance between the primary patient and the induced one can be of affective nature only but not cognitive nature in Folie ... Deux with Ekbom Syndrome.
1528 – Factors Associated With Physical Domestic Violence Against Women In Countries Of Eastern Mediterranean Region (emr); a Systematic Review
Authors: Davoudi F. , Rasoulian M. , Ahmadzad Asl M. , Nojomi M. 
Published: July 2013

IntroductionPhysical domestic violence (DV) against women is associated with adverse health effects and great burden on victims, families and communities. The phenomenon, though prevalent in EMR countries, is not well defined regarding the determining factors.Objectives & aimsThis systematic review is to sum up evidences from the EMR countries, on factors associated with physical DV.Methods:Data sourcesPubmed, EMBASE, ISI, PsycInfo, IMEMR, Ovid, Global health, Cochrane Library, IranMedex, SID, IranDoc, Science direct, Elsevier, Proquest and Magiran were searched with no language limits up to December 30, 2011. The hand searching included papers’ lists of references and evidence list of “The National agenda for preventing domestic violence”.Study selectionQuantitative studies on ever partnered, not-pregnant women in the EMR countries, which referred to either predisposing or protective factors of physical DV, in each of victims, perpetrators and community domains, were selected. A criterion based critical appraisal was performed by two reviewers.Synthesis methodsThe Odds Ratios of all reported factors - regardless of statistical significance- were either directly extracted from the papers or indirectly calculated from provided contingency tables, and used to make summary tables.ResultsAccording to 16 finally selected articles, either partners’ lower levels of education, their witnessing /exposure to DV in childhood, personal/ family unfavorable socioeconomic status, rural residency and husbands’ alcohol / drug abuse were predisposing; while consanguinity, women’s age and employment were protective factors.ConclusionFindings are consistent with most international evidences. A meta-analysis will provide a more comprehensive understanding and evidence.
1529 – The Role Of Screening Instruments In The Detection Of Psychotic-like Experiences, Depression And Suicidal Behavior Among Young Adolescents
Authors: Serafini G. , Pompili M. , Ricci F. , Innamorati M. , Girardi P. 
Published: July 2013

IntroductionIn the last decades, the early intervention on individuals at risk of developing mental disorders became one of the most important and emerging issue not only in psychiatry but also in the overall evidence-based medicine. Subjects who reported severe psychotic-like experiences may be considered five times more likely to manifest psychosis in the following four years when compared to the general population. We aimed to conduct a general screening with the scope to detect subjects at risk for psychotic-like experiences, depression and suicide. Also, we aimed to evaluate the possible correlation between the screening evaluations, gender and early traumatic experiences.MethodsA total of 120 patients was screened using the TeenScreen Program, Community Assessment of Psychic Experiences, Beck Depression Inventory, Beck Hopelessness Scale, Childhood Trauma Questionnaire.ResultsAt the bivariate analyses, male subjects had significant lower total scores in several measures (p=0.001) than female. When multivariate analyses were performed to evaluate the association with gender and early traumatic experiences, we found that female subjects were 1.7 times more likely to be older (p< 0.01) and 1.52 times more likely to report depressive symptoms compared to male. Also, subjects with higher total scores at the CTQ were several times more likely to be older than those with lower total scores.ConclusionAlthough the small sample size did not allow to generalize the present findings, the detection of some subgroups of subjects at higher clinical risk may play a critical role in terms of prevention and early interventions.
1531 – Pain And Psychopathology: The Experience Of a Multidisciplinary Chronic Pain Unit
Authors: Ribeiro A.M. , Costa A. , Rebelo V. , Gomes A. , Coelho R. , Roma Torres A. 
Published: July 2013

Our modern understanding of pain has moved forward from a simplistic one, viewing pain as a one-dimensional, anatomical, physiological body process, towards the recognition of pain as a complex biological, psychological, social and existential phenomenon.Chronic Pain Unit of Centro Hospitalar de Sao Joao (in the North of Portugal) is a treatment center where both physiological and psychological aspects of pain can be addressed. It provides a multidisciplinary approach to patients with chronic pain, integrating health professionals of several intervention areas, always working in close collaboration. There, we can find Psychiatry/Psychology ambulatory clinic, with two major goals: uncovering any subjacent major psychiatric disorders and identifying emotional influences that underlie or exacerbate primary pain, offering an effective approach to enhance outcome.The authors start by characterizing sociodemographic and psychopathological data, concerning patients followed in this ambulatory clinic (4 year experience).Preliminary results show a preponderance of female adult patients, married, retired or in sick leave. Physical diagnoses are more often degenerative pathology of spine and/or fibromyalgia. Most frequent psychiatric diagnoses are adjustment disorder and dysthymia, as well as histrionic personality disorder. It seems that, in general, pain decreases when psycho-emotional equilibrium improves.Clearly, these comorbidities together require complex evaluation and treatment, in order to improve somatic and emotional pain, and enrich patients’ quality of life.Thereby, patients with chronic pain require careful, comprehensive and integrated multidisciplinary treatment, in which Psychiatry/Psychology definitely plays an important role for a successful outcome.
1535 – Language Disorders In Schizophrenic Female Patients, And Its Relation With Their Female Sex Hormonal Profile
Authors: Amin O.R. 
Published: July 2013

AimTo find out the language disorders in a sample of schizophrenic female patients. Also to explore the relationship between female sex hormone estradiol and language disorders in schizophrenic patients.HypothesisSchizophrenic females show language disorders as a part of their overall cognitive impairment. The female sex hormone, estrogen, acts as a neuro- active hormone that is assumed to have effects on the central nervous system and specifically on the cognitive functions.Subjects and methodsThis case-control study included 30 schizophrenic female patients who were admitted in Al Abasseia Psychiatric Hospital. It also included 15 healthy controls that were matched in age and education. They were assessed using: Psychiatric interviews, The Scale for the Assessment of Positive Symptoms, and Scale for the Assessment of Negative Symptoms, Serum estradiol level on 3 consecutive weeks and language and speech items of The Luria-Nebraska Neuropsychological Battery (LNNB). General and neurological examinations were performed as well.ResultsThere were statistically significant differences between both groups in all the clinical scales (receptive and expressive speech, reading and writing) of the LNNB, as well as most of the factor scales covering a wide range of linguistic abilities. High estradiol levels were correlated with poor performance in speech and language scales.ConclusionFemale schizophrenic patients had menstrual irregularities and hypo-estrogenism. They performed significantly worse on their linguistic abilities, receptive and expressive speech, reading and writing. Increased estrogen levels correlated with poor performance on the linguistic functions, including writing and reading domains in patients with schizophrenia
1538 – Reduced Gray Matter Volume In Orbitofrontal Cortex, Insula And Basal Ganglia Differentially Predicts Early Onset Of Cocaine, Tobacco And Cannabis Use
Authors: Faluyi Y.O. , Jones P.S. , Williams G.B. , Ersche K.D. ,   KD Ersche s Addiction Research Group
Published: July 2013

IntroductionDrug abuse is typically initiated during adolescence, which is a critical period of brain maturation and vulnerability to drug dependence. Accumulating evidence suggests that the early initiation of drug use is associated with altered brain structure compared to individuals who start taking drugs at a later stage in life, suggesting that these brain abnormalities might reflect neurobiological markers of vulnerability.ObjectivesOur objective was to identify neurobiological risk markers in the brain structure of cocaine-dependent individuals.AimsWe aimed to investigate the effects of onset of drug use on the brain abnormalities typically seen in adults with cocaine dependence.MethodsSixty cocaine-dependent individuals and 60 healthy volunteers underwent an MRI brain scan. We used whole-brain voxel-based morphometry to find grey matter abnormalities in the cocaine group. We then performed three whole brain analyses of grey matter volume in the cocaine group using the general linear model with a within-group correlation design, separately for the drugs cocaine, tobacco and cannabis. We identified variance in grey matter uniquely attributable to the age at which each of these drugs was first used; the regressors were orthogonalised to the duration that each drug had been consumed.ResultsThe age of first use was associated with a reduction in grey matter volume in distinctly different brain regions for cocaine, tobacco, and cannabis; irrespective of duration of use.ConclusionsWe identified neurobiological markers for three common drugs of abuse that may be associated with the risk for developing dependence.
1544 – The Portuguese Traumatic Experiences Checklist (tec): Psychometrics And Prevalence Of Traumatic Experiences
Authors: Espirito-Santo H. , Rocha P. , Gonçalves L. , Cassimo S. , Martins L. , Xavier M. 
Published: July 2013

The TEC is a validated measure that should integrate mental health assessment. We want to assess the psychometric properties of the Portuguese version, and examine the prevalence of traumatic experiences. Of the 248 participants (77.8% women, mean age = 31.12 ± 13.70), 36 had mood disorders (MD), 38 had eating disorders (ED), 29 had pain disorder (PD), 54 were substance and alcohol dependent (SAD), 20 were violence victims (VV), and 71 were non-patients. All completed the TEC, 55.2% completed the Dissociation Experiences Scale (DES), and 23.8% the Somatoform Dissociation Questionnaire (SDQ-20).Twelve per cent reported at least one traumatic experience to a maximum of 29 traumatic experiences (19.8%). The mean score of TEC was 9.37 ± 10.48, with the higher scores in SAD (27.22 ± 6.31), followed by VV (8.65 ± 3.82), MD (6.69 ± 3.12), ED (5.37 ± 4.83), PD (3.07 ± 1.46), and non-patients (2.06 ± 2.57). Reliability was high (Cronbach α = 0.93) in total sample, ranging from 0.94 (ED) to 0.44 (PD). In ED group, TEC significantly correlated with DES and SDQ-20. On the other groups (MD, SAD, VV), the correlations were not significant. An optimal cutoff point of 5.5 traumatic presences distinguished between clinical and non-clinical patients (AUC = 0.87, p < 0.001).Portuguese TEC is a promising reliable and valid screen and allows for measurement of traumatic experiences in clinical and non-clinical samples. However, the criterion validity should be established with other measures and involve larger clinical samples.
1547 – Psychoform And Somatoform Dissociation Severity In Eating Disorders (ed)
Authors: Espirito-Santo H. , Gonçalves L. , Marques M. , Rocha P. , Cassimo S. 
Published: July 2013

IntroductionPsychoform and somatoform dissociation in anorexia nervosa (AN) and bulimia nervosa (BN) is yet to be studied in Portugal.ObjectivesExplore the severity of psychoform and somatoform dissociation in ED; explore the differences between ED and other psychiatric disorders (PD), and between AN and BN.MethodologyFrom two psychiatric clinics, 29 women with ED (AN = 16; BN = 13) and 35 women with different PD (posttraumatic stress = 9; panic = 4; major depression = 4; obsessive-compulsive = 8, social phobia = 10), matched sociodemographicaly (mean age = 26.69 ± 7.31), were voluntarily assessed with the Dissociative Experiences Scale (DES), and the Somatoform Dissociation Questionnaire (SDQ-20).ResultsED patients had higher scores on DES (M ± SD= 28.10 ±19.76, p < 0.05) and on SDQ-20 (M ± SD= 38.41 ±13.19, p < 0.05) than PD patients (DES: M ± SD= 19.27 ±12.84; SDQ: M ± SD= 38.41 ±13.19). Comparing with PD, BN had higher scores on DES (M ± SD= 31.13 ±21.25, p < 0.05), and on SDQ-20 (M ± SD= 42.45 ±17.36, p < 0.01). Finally, there were no differences between AN (DES: M ± SD= 25.65 ±18.80; SDQ-20: M ± SD= 35.63 ±8.98) and BN (p = 0.01).ConclusionOur findings point out to the need to of watchfully assessing ED for dissociative symptoms and, accordingly, include the treatment of dissociation.
1549 – Correlates Of Elderly Loneliness
Authors: Costa M.D. , Espirito-Santo H. , Simões S.C. , Correia A.R. , Almeida R. , Ferreira L. , Conde Â. , Alves V. , Ferreira F. , Caldas L. , Pena I.T. , Costa A. , Simões D. , Daniel F. , Lemos L. 
Published: July 2013

In Portugal, the number of elderlies living alone and being institutionalized are rising. Institutionalized elderlies are susceptible to loneliness. Loneliness is associated with depression, anxiety, poor sleep quality, and cognitive decline. Determining which variables predict loneliness in institutionalized elderlies may allow appropriate targeting interventions in loneliness to potentially preserve mental and cognitive health.We want to explore the prevalence of loneliness in a sample of institutionalized elderly, and determining which variables predict loneliness.Loneliness was measured using UCLA loneliness scale. We also included a measure of socio-demographic aspects and health-related variables, the Mini-Mental State Examination, the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Satisfaction with Life Scale, and the Sleep Subjective Index for Elderly.Our sample included 539 elderly (60-100 years, mean age = 80.03 ± 7.38), mostly women (75.8%), widowed (60.3%), with primary basic education (39.5%), frequenting day care center (61.0%) or living in retirement home (39.0%).The prevalence of loneliness feelings was 68.2%. Loneliness was significantly related with more anxiety and depressive symptoms, poor sleep quality, and poor life satisfaction. Women and elderlies without partner had also more loneliness feelings. Loneliness was not associated with age, education, living alone/accompanied, number of social contacts, nor with cognitive performance or sensorial problems (low vision and poor hearing). After the multiple logistic regression of the significant variables, only satisfaction with live predicted loneliness (OR = 1.07, p = 0.05).In conclusion, satisfaction with live may affect feelings of loneliness. More studies with non-institutionalized are needed for appropriated targeting interventions.
1553 – Affectivity And Cognitive Functioning In Institutionalized Elderly
Authors: Espirito-Santo H. , Correia A.R. , Marques M. , Pena I.T. , Caldas L. , Rodrigues F. , Ferreira L. , Costa M.D. , Moitinho S. , Almeida R. , Costa A. , Simões D. , Conde A. , Guadalupe S. , Daniel F. , Lemos L. 
Published: July 2013

Affectivity is related to cognitive impairment, but it is not known whether positive affect and negative affect increase/decrease the risk of cognitive impairment. In this study, we sought to examine the prevalence of cognitive impairment, and the potential role of positive and negative affectivity on cognitive functioning in institutionalized portuguese elderly, controlling the potential role of demographic and emotional factors.A cross sectional investigation has been conducted with a portuguese institutionalized sample at Coimbra’s Council. We inquired 412 healthy elderly with a mean age of 80.38 years (SD = 7.24) using the Positive and Negative Affect Schedule (PANAS), the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI). Demographic (76.9% women, 14.3% > 4 years of education, 99.1% manual occupation, 82.2% without partner) and other self-reported related factors were taken into consideration (GDS mean 14.30 ± 6.31; GAI mean = 12.49 ± 5.93).The prevalence of cognitive impairment was 66.6% (youngest-old: 1.4%; young-old: 24.7%, old-old: 36.5%, oldest-old: 3.9%). We found that only the positive affect was significantly related with the MMSE (r = 0.22). Multiple logistic regression analysis showed that positive affect predicted impairment in cognitive performance (OR = 0.96, CI 95% = 0.93-0.98; p < 0.001). These relationships were significant even after controlling for depression and anxiety status, age, education, and occupation.These findings suggest that positive affect is a variable to attend to when evaluating cognitive functioning in institutionalized elderly.
1556 – Social Suport, Mental Health, And Satisfaction With Life In Institutionalized Elderly
Authors: Pardal A. , Espirito-Santo H. , Lemos L. , Matreno J. , Amaro H. , Guadalupe S. , Daniel F. , Ferreira J. , Fernandes M. , Carvalho D. , Maia S. , Gonçalves R. 
Published: July 2013

IntroductionResearch has shown the importance of social support on mental health, however, this investigation has not been done in elder population.Objective/aimsOur aim is to study the relationship between perceived social support, satisfaction with life, anxiety symptoms and depressive symptoms.MethodsWe collected a sample of 46 institutionalized elderly aged between 65 and 95 years old. We used the Geriatric Anxiety Inventory (GAI) and Geriatric Depression Scale (GDS) to assess anxious and depressive symptoms. To assess social support we used the Older Americans Resources and Services Program (OARS), which evaluated the social resources, and to assess the life satisfaction we used the Satisfaction With Life Scale (SWLS).ResultsWe found that 91.3% of subjects were illiterate or with low education and only 4 (8.7%) had studied beyond the fourth grade. The elders showed an high average of anxiety and depression symptoms, and dissatisfaction with life. Regarding the perception of social support, the elderly essentially reveal high dissatisfaction with the extent of contact with others and the availability of help. We also found that perceived social support is related with GAI, GDS, and SWLS.ConclusionIntervention strategies should involve the integration of elder population in social life.