bluuebunny/crossref_metadata_2025_split huggingface dataset:
1844 – Predictors Of Use Of Long Acting Antipsychotics In Patients With Schizophrenia
Authors: Albayrak Y. , Beyazyüz M. , Öztürk N. , Kuloğ lu M. 
Published: July 2013

IntroductionSchizophrenia is a chronic illness with a worldwide lifetime prevalence of about 1% [1]. Non-adherence and partial adherence to antipsychotic medication treatment is common and long-acting injectable “depot” preparations of antipsychotic medications have been used as an alternative to oral medication therapy for patients for whom adherence is a clinically significant problem [2].MethodsIn present study,we collected the sociodemographic and clinical data of 252 patients who were diagnosed as schizophrenia according to DSM-IV-TR and who were followed up by our outpatient clinic at least two years. The data obtained from medical records and interviews; patients were grouped according to using of long acting antipsychotics.ResultsThe long acting antipsychotics were prescribed to 96 patients of 252 patients. The rates of history of suicide attempt, family history of schizophrenia and violent bahaviour were significantly more in long acting antipsychotic group (p≤ 0.05). In regression analyze, history of suicidal and violent behaviour and family history of schizophrenia were found to be significant for predicting the use of long acting antipsychotics (p≤ 0.05).DiscussionConsidering the commonness of poor adherence to treatment in schizophrenia, we suggest that predicting the sociodemographical and clinical factors associated with using of long acting antipsychotics is important for treating effectively schizophrenic patients with poor treatment adherence in early stages.
1846 – The Effect Of Borrowing On Mental Health
Authors: Mazetas D. , Gouva M. , Kotrotsiou E. , Chletsos M. 
Published: July 2013

IntroductionConsidering the current Greek economic crisis, it is reasonable to discuss the potential and expected effects of the crisis in mental health.ObjectiveThis study examined the effect of borrowing on mental health.AimThis study aimed at detecting the interaction of borrowing on the bio-psycho-social health.Materials and methods273 community individuals participated in the present study. The measures used were: Family Environment Scale, the Hostility and Direction of Hostility Questionnaire, the Symtom Checklist 90-R, State - Trait Anxiety Inventory, Family Crisis Oriented Personal Evaluation Scales, Other As Shamer Scale, Experience of Shame Scale, Cardiac Anxiety Questionnaire.ResultsThe borrowers have statistically higher average than non-borrowers parents at the scales of paranoid-ideation 6,55 ± 4,03, guilt (SCL - 90) 0,93 ± 1,14, orientation of the family for achievements 6,44 ± 1,54, moral emphasis of the family environment 4,67± 2,21, and at family mobilization to accept help in the periods when the family is in crisis 11,13 ± 4,65. Particularly interesting result of this study was the finding that borrowers with heavy debt from mortgages and personal loans and credit cards have higher levels of paranoid-ideation (8,38), more stress for their heart function (1,395) and avoiding activities for heart function (1,809), higher levels of internal shame (21,38), feeling empty (4,52), higher levels of behavioral shame (20,62) and higher levels of thoughts of death (1.05).ConclusionThe heavy debt has not only economic consequences but also, is associated with serious psychological distress. The factors of personality, of postponement of satisfaction, of impulsivity are correlated with the borrowing.
1854 – Building The Foundation Of Effective Community Practice In Austere Times: Urban, Rural And Blended Challenges To Evidence-based Practice Sustainability
Authors: Reid M. , Ragg D.M. , Mills C. 
Published: July 2013

IntroductionWhile evidence-based psychiatric practices (EBPs) are assumed to be more efficient, savings and sustainability are elusive during times of economic instability. This presentation uses two-years of penetration and cost-related data from46 community mental health providers to document EBP penetration and sustainability during a period of serious funding contraction.ObjectivesThis study sought to identify specific elements that contribute to EBP-related savings and sustainability in urban, rural and blended environments.AimsThis study identifies critical organizational practices that sustain EBPs during difficult economic times.MethodsUsing existing claims data on the State of Michigan website, researchers used a stratified regression analysis to identify critical variables contributing to increased use of EBPs and decreased use of high-cost services. Follow-up qualitative data were collected from administrators of high and low penetration organizations to provide insight into within-agency strategies that contribute to EBP implementation and sustainability.ResultsFindings identify direct and indirect contributors to sustainability and efficiency when implementing evidence-based practices. Direct contributors include unit-cost funding and the number of EBPs implemented. Indirect contributors include organizational promotion activities that create an atmosphere of excellence. Findings vary across urban, rural and blended environments.ConclusionsEvidence-based practices require a strong organizational commitment to remain viable during difficult financial times.
1867 – Motor Procedural Learning In Individuals With Mild And Moderate Alzheimer's Disease Compared To Healthy Subjects
Authors: Pasgreta K. , Feit J. , Nowińska E. , Walecki P. , Gorzelańczyk E.J. 
Published: July 2013

IntroductionThere are cognitive and motor impairments in individuals with Alzheimer's disease, which are related to their ability to learn the new procedures, skills and activities.Objectives and aimsThe aim of the study is to compare motor procedural learning in individuals with mild and moderate Alzheimer's disease with motor procedural learning in older subjects without dementia.Methods32 individuals with mild and moderate Alzheimer's dementia (AD) (F.00.0, F.00.1, F.00.2) (MMSE> 15) (25 women, mean age 76.8 ± 6.41 and 7 men, mean age 79.1 ± 5.21), and 32 individuals without symptoms of dementia (healthy controls- HC) matched for sex, age and education level were examined. Motor procedural learning was assessed by the Pursuit Rotor Task (PRT). The time [ms] of keeping cursor within the moving round object-dot during every 4 trials was measured (after training session).ResultsThe average time [ms] of keeping cursor within object in particular trials is as follows:-AD: 857, 1035, 1060, 1098-HC: 1014, 1068, 1316, 1681Statistically significant difference was found in parameters from fourth trial between examined groups (U Manna-Whitneya: Z=- 1,962; p=0,05).ConclusionsIt was found that mild and moderate AD patients are able to procedural learn motor task although they achieve worse scores than older persons without dementia.
1876 – Mechanisms Of Adaptation To Adjust To The Situations Of Life
Authors: Sava N.I. , Cozaru G.C. , Papari A.C. , Papari A. 
Published: July 2013

The human being is the product of continuous remodelabil of confluence of modelable and of a multitude of factors. In view of the many factors that can influence the way that the adjustment of the individual we are introducing in study groups of turkishtatar to reveal whether membership of an ethnic group or religion affects whether or not the adaptive model.In this connection, we started from the idea that the defence as develops earlier with so they will have a decisive role for the future, so therapeutic approach should take account of the depth of defense, its counterparts which are behavioural adjustment in close relation with personality and not least by biological variables such as gender, the age, duration, number of children, ethnicity, religion, etc.Comparative study will aim to highlight where there are significant differences in the statistical relationship between personality and coping mechanisms (viewed from a broader perspective, the adjustment of the map) in the ethnically and religiously. The role of membership in an ethnic group and religion will be studied in the context of the life of the couple on the steps of its stability, this research brings attention to ways and means of adjustment of the partners in a mixed couple.We believe that we can achieve a comprehensive evaluation model to bring attention to a map of adjustment on the unconscious-conscious, with personality and role in the determination of the role that it can have variables on ethnicity and religion that relationship.
1877 – Discrimination Of Family Environment Among Parents Of Children With Diabetes And Parents Of Children With Autism
Authors: Kotrotsiou E. , Dragioti E. , Kitta M. , Bakou E. , Albani E. , Mantzoukas S. , Gouva M. 
Published: July 2013

IntroductionLiving with a child with a chronic disease can affect family life in various domains.ObjectivesTo investigate the relationships of family systems in two different populations: parents of children with autism and parents of children with diabetes.AimTo examine whether there is a meaningful differentiation on family functioning between families of diabetic and of autistic children.MethodsThis cross-sectional study included 105 parents of autistic children (36 men - 69 women, mean 41 years, SD = 6,5) and 83 parents of children with diabetes (18 men - 65 women, age 41 years, SD = 7). The measuring tools used were: a) Family Environment Scale (FES). A discriminant analysis (DA) was performed. Predictor variables were age and environmental characteristics of families.ResultsSignificant mean differences were observed for all the predictors on the DA. While the log determinants were quite similar, Box's M (202, 558) indicated that the assumption of equality of covariance matrices was violated (p=.000). However, given the large sample, this problem is not regarded as serious. The DA revealed a significant association between groups and all predictors, accounting for 72, 3% of between group variability. Closer analysis of the structure matrix found only three significant predictors, namely conflict (-.507), achievement orientation (.618) and active-recreational orientation (.418). The cross validated classification showed that overall 77, 0% were correctly classified.ConclusionThese findings indicate that these groups were not characterized by unique underlying factors and that may inform the development of a common family support system.
1886 – Natural History Of Bipolar Disorder: Implications For The Duration Of Untreated Illness
Authors: Rogers J.P. , Agius M. , Zaman R. 
Published: July 2013

IntroductionBipolar disorder is widely acknowledged to be underdiagnosed, resulting in a huge unnecessary global impact of the disease. Two schools of thought explain this poor recognition: the first considers that bipolar is simply missed; the second proposes that the underdiagnosis is due to unnoticed conversion from unipolar depression.AimsWe examined how the natural history of bipolar disorder should affect our understanding of its underdiagnosis.ObjectivesWe endeavoured to find the points in the patient's history where they first experienced depressive and manic (or hypomanic) symptoms and to follow the progress of their diagnoses through primary and secondary care.MethodsWe analysed patient records in a database held by a community mental health trust, finding 128 patients with confirmed bipolar disorder. We then conducted a retrospective audit on the patients’ notes to find the relevant data.ResultsOnly 29.5% of the patients had been given a diagnosis of bipolar disorder in primary care, while only 59.3% were diagnosed as such initially by secondary psychiatric services, the majority of the remainders having been diagnosed with major depressive disorder. In general, manic or hypomanic symptoms followed depressive symptoms with a delay of several years (μ=7.3, σ=7.9), but even after manic symptoms were manifested, there was still a considerable delay before a diagnosis of bipolar was made (μ=7.6, σ=8.3).ConclusionOur study demonstrates that there is some evidence for both theories of the underdiagnosis of bipolar. Psychiatrists must be aware both of missing manic symptoms and of conversion from unipolar depression.
1888 – Is Cardiophobia Key Factor Of Hypertensive Patient's Quality Of Life?
Authors: Tsartsalis D. , Dragioti E. , Kyriazopoulos G. , Halkias T. , Kotrotsiou E. , Gouva M. 
Published: July 2013

IntroductionA series of studies have shown an association between symptoms of psychological distress and hypertension.ObjectivesTo quantify the link between cardiac anxiety functioning (commonly referred to as cardiophobia), depression and quality of life in hypertensive patients.AimTo test the hypothesis whether these symptoms of distress are meditated on hypertensive patient's quality of life.MethodsA cross-sectional design was performed. A sample of 160 hypertensive patients (81 men - 79 women, mean age 51 years, SD = 12 ranged 25-77) participated to the present study. The questionnaire included:a)question for the recording of social-demographic characteristics and clinical features,b)The SF-36 Health Survey,c)the Beck Depression Inventory -II, andd)The Cardiac Anxiety Questionnaire.Both SPSS for Windows 14.0 and STATA 10 were used for statistical analysis.ResultsAge was differ significantly among the two sexes (t = -2789, p =.006). Linear regression models found that for psychical health cardiac anxiety and depression were fully mediate on levels of quality of life in hypertensive patients after controlling for age, gender and other socio-demographic variables (Beta= -0,36, p=.000, Beta= 0,133, p=.007 respectively). Cardiophobia was the only independent variable that impacts on mental health (Beta= 0, 40, p=.001) after adjustments.ConclusionQuality of life is associated with depression and cardiophobia in the case of hypertension. Therefore health care providers should consider the close linear association between psychological distress and quality of life in their continuing care of their patients.
1891 – Apply Eye-tracking Research In Diagnosing The Level Of Executive Functions In Preschool And Early-school Age Children
Authors: Orylska A. , Racicka E. , Brzezicka A. , Wolańczy T. , Karwowska D. , Sypień E. , Sędek G. 
Published: July 2013

The aim of research is to examine the level of executive function in children of preschool and early school age. In the present study we examined 100 children at aged 4 - 6 years. Studied attention, working memory and inhibition functions with using eye movements tests. The results were compared to study with using the Behavior Rating Inventory of Executive Function- Preschool (BRIEF-P) questionnaires. Examined whether the results obtained from studies questionnaires completed by parents and teachers are consistent with the results of eye movements tests conducted directly to children. Compared that assessment, parents or teachers in BRIEF-P questionnaires, is closer the results obtain with using eye movements examination. The results were used to determine the profile of the development of executive functions in the early childhood. The study precede checking the usefulness of eye-tracking research as an objective tool to support the diagnosis of mental disorders which are accompanied by deficits of executive functions.We anticipate the eye-tracking study will show diversity profiles eye movements trajectories which map the different levels of development of executive functions, depending on the developmental age of children and risk groups predisposed to mental disorders.
1906 – Mental Disorders In Leprosy: High Prevalence And Low Psychiatric Care
Authors: Rocha-Leite C.I. , Borges-de-Oliveira R. , Machado P.R.L. , Pettersen K.M. , Trinchão M. , Morais-de-Jesus M. , Andrade-Nascimento M. , Daltro-Oliveira R. , Quarantini L.C. 
Published: July 2013

IntroductionLeprosy is an infectious disease with high physical disability and is strongly associated with chronic pain, since there may be significant impairment of the peripheral nervous system. Additionally, the stigma associated with the label of leprosy persists and imposes a high social commitment of the disease.Objective/aimsDescribe the frequency of psychiatric comorbidities in leprosy patients and check if they had been previously diagnosed and were in psychiatric care.MethodThe study was conducted with a sample of 120 leprosy patients treated at two hospitals for leprosy: Hospital Dom Rodrigo de Menezes and University Hospital of Federal University of Bahia, in Salvador, Bahia, Brazil. Survey participants were older than 18 years of age, had confirmed the diagnosis of leprosy and were in antimicrobial treatment. Patients were evaluated face to face with a socio-demographic questionnaire and the Mini-International Neuropsychiatric Interview (MINIPlus) in Portuguese. The period of data collection was limited from October 2009 to June 2012.ResultsThe assessment using the MINI-Plus showed that 34 (28.33%) patients did not have any psychiatric diagnosis and 86 (71.66%) had at least one. Of these 86 patients, 25(20.83%), met the criteria for one diagnosis, 26 (21.66%) had two diagnoses and the rest, 35 (29.16%), had three or more psychiatric diagnoses. All patients with moderate or high risk for suicide had one or more psychiatric comorbidities.ConclusionLeprosy patients have a high prevalence of psychiatric comorbidities. Beyond that, most of them had no previous psychiatric diagnosis and the absolute majority were not in treatment.
1920 – Pain Anxiety Symptoms And Chronic Low Back Pain: Differences Between Greek Men And Women Patients
Authors: Baliotis K. , Korakakis V. , Katri F. , Dragioti E. , Kotrotsiou E. , Gouva M. 
Published: July 2013

IntroductionAnxiety of pain plays a very important role in pain persistence and disability in patients with musculoskeletal pain.ObjectiveThis study examined the effect of pain anxiety symptoms on chronic pain.AimThe aim of the present study was the evaluation of pain anxiety symptoms in patients with chronic low back pain (CLBP) and the differences between genders.Materials and methodsTwo-hundred and one patients with CLBP participated in the present study (53 men - 148 women, mean age±SD 37,4±13,7). The measures used were: Pain Anxiety Symptoms Scale-PASS-20 (McCracken & Dhingra, 2002) and another questionnaire with socio-demographics and attitudes and self-reported questions data on the impact of the chronic pain in their life.ResultsThe mean scores (±SD) for men and women with CLBP and the p values from the T-tests were respectively: PASS- 20 total score, 22,19±9,09 and 30,11±14,15, (P=0,000), for avoidance, 8,15±3,02 and 9,65±4,46, (P=0,025), for fearfull thinking, 6,64±2,99 and 8,33±3,91, (P=0,002), for cognitive anxiety 3,98 ±2,72 and 5,90 ± 4,20, (P=0,005) and for Physiological Responses 3,42 ±2,53 and 6,21 ± 3,67, (P=0,000).ConclusionThe results of the present study revealed the high levels of pain anxiety symptoms in patients with CLBP. Furthermore, women were found to be affected of pain anxiety symptoms more than men.
1924 – Psychological Characteristic Of Atypical Chest Pain Patients Versus Coronary Patients
Authors: Nikolic G.M. , Zikic O.V. 
Published: July 2013

IntroductionNear 25% of chest pain patients who refer to cardiologist do not have coronary disease or any other organic cause. Psychogenesis of their symptoms is often unrecognized so, they are treated neither cardiologic, nor psychiatric.MethodWe have evaluated 30 nonorganic chest pain patients and compare with 30 coronary patients in regard their socio demographic characteristic, stressful life events, level of anxiety and depression and presence of psychiatric disorder. We have used SCL- 90 R, M.I.N.I, Hamilton Anxiety and Hamilton Depression Scale, Holms -Rache Scale of life events.ResultsNon organic patients were predominant women, age under 40, who have had their job lost or death in the family. Panic disorder was present at 8 patients, General Anxiety disorder at 5, and Somatoform disorder at 10 patients in these groop. Coronary patients had Minor depression disorder at 4 patients, and General Anxiety disorder at 2 patients. Level of anxiety (Hamilton Scale, SCL-90 R) somatization (SCL-90 R) and global distress (SCL-90 R) was significant higher in nonorganic chest pain patients compared with coronary patients.ConclusionCardiologists should consider psychogenesis of unexplained chest and recomended psychiatric evaluation and treatment in the early phase of disorder. Careful cardiologic follow up is also recomended for these distressed patients.
1930 – Acute Psychosis And The First Days Of Care. Concepts And Pilot Studies Of The “crisis Dialogue”
Authors: Widakowich C. , Graz B. 
Published: July 2013

ObjectiveTo assess the teaching of a method, the “Crisis Dialogue” (CD), designed to improve the therapeutic relationship during the first days of care for acute psychosis - hence the outcome. The “Crisis Dialogue” is fundamentally different from usual “empathetic” speech in that it provides tools meant to help de-construct the delirium. The underlying theory is induced from patients’descriptions of the onset of the psychotic crisis and uses the concepts of generalised concern, dys-mimetism and undifferentiation of the self. This dense and precise verbal technique requires 3 minutes of the consultation time and is meant to complement usual work in emergency psychiatry.MethodCD was taught to all health professionals of 3 emergency psychiatry wards and assessed in an exploratory multiple study (n = 105 patients) including case series, “before-and-after” comparisons and a pilot randomised controlled trial (RCT).ResultsIn the case series, no adverse reaction was reported and most clinicians expressed satisfaction with CD use. In the “before-and-after” study, duration of hospital stay after CD implementation was shorter (median 46 days) than before (61 days)(p = 0.01). In the RCT, all measured indicators were equal to or better with CD, most significant with the model including Working Alliance Inventory, Difficult Doctor- Patient Relationship and patient perception of reassurance (p=0.02).ConclusionIn this pilot study, the CD appears as a promising aid for the establishment of a good therapeutic relationship in the first days of care for acute psychotic patients. It may also have a positive impact on patient progress.
1933 – Violence And Victimisation Among Patients With Schizophrenia
Authors: Vevera J. , Černý M. , Kučíková R. 
Published: July 2013

Aims/objectivesTo examine the prevalence of violent behavior, victimisation and its consequences among people receiving in-patient treatment for schizophrenia and control group.MethodsData on violent behavior and victimization, sexual and physical abuse in childhood, posttraumatic stress disorder (PTSD), and substance abuse were obtained from adult in-patients with psychotic disorders and from their collaterals. A total of 167 patients (57.5% men and 42.5% women) participated. Control group was recruited from Department of Stomatology (n = 211).ResultsViolent behaviour during preceding 6 months was higher in men (34%) and women (34%) patients compared to controls (13%, resp. 15%) (p < 0,01). Victimisation was higher in women patients (39%) compared to controls (26%) (p < 0,05). There were not significant difference in male patients (30%) and controls (24%).Any form of sexual abuse was more frequent in women patients (39%) compared to controls (20%) (p < 0,01).Comorbidity of schizophrenia and PTSD was detected in 7% of men and 14% of women. There were not significant difference in male patients (0%) and controls (24%). While PTSD was more frequently (p < 0,05) detected in women (11%) then in men control (3%), the difference was not significant in patients (7% of men, 14% of women).ConclusionPatients with psychotic disorders are often victims of violent attacks. Gender does not differ in aggressive behavior, but plays role in victimisation. Victimisation and its impacts (e.g PTSD) among patient with schizophrenia are underreported and consequently not properly treated.