bluuebunny/crossref_metadata_2025_split huggingface dataset:
1703 – Activities Group With Young Students: Conflicts Identification
Authors: Scherer E.A. , Scherer Z.A.P. , Cocenas S.A. , Guazzelli M.S. , Censi F. ,   Interdisciplinary Study Group about Violence(GREIVI)
Published: July 2013

IntroductionIn a public elementary and secondary education school, in the interior of São Paulo state, an Extension Project of the University of São Paulo that aims to invest in the promotion of physical, mental and social health of a group of students is developed. Structured activities, including games, group activities and experiences are offered, coordinated by nursing students and supervised by a faculty member responsible for the project.ObjectivesTo verify the opinion of a group of students about the school and the roles of significant people; to identify existing conflicts, according to the type of violent acts.AimsTo know the circumstances of the interaction of a group of young students with the school and family.MethodThis qualitative study with participant observation analyzed 3 group meetings conducted with twenty 6th grade students of the elementary school.ResultsStudents’ perceptions about the school and its professionals were different. They considered family members as important people, who take care, place limits, scold and beat. They struggled to establish their role and that of colleagues at school. Colleagues are friends to play with. The following types of violence were identified: physical, psychological and negligence.ConclusionTo work on self-esteem, tolerance and cooperation; alleviate conflicts with affective attitudes that express respect; offer educational spaces where young people can take positions, facilitate their interaction and exercise their creativity and reflection preventively collaborate to decrease violence at school. Thus, it may be easier to build models of peaceful coexistence in other social environments.
1709 – Parents’ Perceptions Of Adolescents With Attention Deficit Hyperactivity Disorder
Authors: Scherer Z.A.P. , Stefanini J.R. , Scherer E.A. ,   Interdisciplinary Study Group about Violence (GREIVI)
Published: July 2013

IntroductionAttention Deficit Hyperactivity Disorder (ADHD) is characterized by symptoms of inattention, hyperactivity and impulsivity. Arises in childhood and can persist throughout adulthood, and may cause difficulties in personal, academic, familiar, social and professional life areas of the individual.ObjectiveTo know and describe the parents’ perceptions of teenagers with ADHD about this disorder.AimsTo assist in the understanding of ADHD in adolescence.MethodOral thematic research with parents of adolescent assisted in a Child and Adolescent Psychiatric Clinic of Ribeirão Preto Medical School Hospital of the University of São Paulo, Brazil. The semi-structured interviews were performed with 5 families at their residences.ResultsThe analysis of parents’ narratives identified two categories: “living with a teenager with ADHD” and “adolescent with ADHD in school context”. Parents realize that they, as well as, school professionals have difficulties in dealing with the adolescent with ADHD. Recognize that since childhood their children manifest different behaviors. They mentioned lack of knowledge, information and guidance related to this disorder. They were concerned about the future of these young people and the discrimination they suffer.ConclusionSocial and family relations established with the adolescents with ADHD can be characterized by constant conflicts. It is necessary to offer support and guidance to parents, with the joint participation of health care and education professionals. The approaches must be constantly evaluated to its improvement and adequacy, following the different phases of young people's development.
1713 – Early Recognition And Treatment Of Youth And Young Adults At-risk For The Development Of Severe Mental Disorders
Authors: Pfennig A. , Bauer M. , Leopold K. 
Published: July 2013

IntroductionDespite improvements in treatment for patients with severe mental disorders, such as bipolar disorder and schizophrenia, there is still a long delay from first symptoms to correct diagnosis and treatment. Since these illnesses usually manifest themselves within adolescence and young adulthood, this time lag impacts chances for an adequate individual development.ObjectivesWith rather unspecific symptomatology in early stages of the development of the disorders and the still existing stigmatisation, a broad and low-threshold strategy is needed. In November 2008 an early recognition and prevention centre for mental disorders was opened at the University Hospital in Dresden.AimsThe aim of this service is to shorten the delay to correct diagnosis and treatment in severe mental disorders. In parallel, early detection instruments are developed and early intervention strategies studied in research projects.MethodsIn this specialized centre diagnostics, counselling and treatment are provided for subjects aged 12 to 40 by a multidisciplinary team in a low-threshold setting.Results250 youth and young adults were offered diagnostics and, if appropriate, treatment. In about 2/3 of clients, mental disorders had already manifested themselves, in some cases an additional risk for even more severe developments was ascertained. Counselling and transfer to appropriate treatment is offered to all clients, all are followed up on a regular basis to validate the process and assess the prognostic value of our service.ConclusionsA broad, low-threshold and multidisciplinary approach for early recognition and treatment of severe mental disorders holds the chance of earlier appropriate care.
1719 – Group Therapy With Burned Patients
Authors: Scherer Z.A.P. , Scherer E.A. 
Published: July 2013

IntroductionThe literature mentions that being burned is one of the most traumatic situations that an individual can experience physically and emotionally. The burned patient has to fight the physical discomfort and the pain, as well as with early and late psychological problems, as delirium, regression, depression and altered body image.ObjectiveTo understand the physical and emotional pain of a group of people who suffered burns.AimsTo understand the suffering of people who have burn injuries.MethodThis is a qualitative participant observation study. 11 groups conducted with 10 patients in a burn unit of a public university hospital were analyzed. Meetings occurred weekly and were 30 minutes to 1 and a half hours long.ResultsThe themes related to feelings, fears and doubts resulting from the burn and its treatment were frequent. Patients could only speak of internal pain when they had space to report physical pain. In those moments, some of them could expose themselves to reveal that the burn had been an attempt of suicide. They realized that their problems, fears and fantasies related to recovery, consequences and social isolation were not unique; and they had the opportunity to share them, feeling so relieved.ConclusionThe experience with the studied group identified some goals for groups with burned patients: to inform about the procedures and questions that cause anxiety; decrease the sense of isolation, stimulating exchanges, instilling hope in recovery; encourage the sharing of concerns about the consequences and social isolation; and identify destructive behaviors.
1722 – The Itinad Study: Preliminary Results Of a Psychoeducation Progam For Caregivers Of Alzheimer Patients
Authors: Negri A. , Colmegna F. , Clerici M. 
Published: July 2013

IntroductionAlzheimer's Disease (AD) surges as a major issue in public health, and so does quality of life of patient's informal caregivers, who are exposed to negative outcomes such as increasing psychological distress and burden, depression and anxiety, which are also often associated to a poor knowledge of the disease, of its symptoms and of patient's needs.ObjectivesThe purpose of the ITINAD project is to demonstrate the effectiveness of a psychoeducational program in reducing the negative impact of caregivers’ coping with an AD patient and in increasing the knowledge.MethodsThe study involved 185 caregivers from 10 Italian centers: 89 of them were assigned to the control group, while 96 belonged to the experimental group, which was submitted to a 12 sessions psychoeducational program that developed themes such as clinical aspects of the illness, relatives’ roles and coping strategies. Socio-demographic data for the caregivers were analyzed, while the Hamilton Rating Scales were used to assess the symptoms of anxiety (HRSA) and depression (HRSD); the Psychological General Well-Being Index (PGWBI) measured psychological distress; the QPF (Familiar Issues Questionnaire) was used to evaluate caregivers’ burden and their consciousness towards AD.ResultsCaregivers belonging to experimental group showed a significant decrease in anxiety (p=0,00) and depression (p=0,00); the program led also to a better self control in caregivers as shown by the PGWBI (p=0,04). The QPF demonstrated an improvement in AD's symptoms’ management (p=0,00).ConclusionsThese findings suggest the utility of a psychoeducational group in preventing negative outcomes in AD's caregiver.
1726 – Eating Disorders In Male Patients: Medical And Psychiatric Co-morbidity
Authors: Moscara M. , Bolondi M. , Cuoghi G. , Cameli M. , Miselli M. , Visentini C. , Ferrari S. , Rigatelli M. , Mattei G. 
Published: July 2013

IntroductionMen make up approximately 10% of the diagnoses of specified Eating Disorders (ED), with Bulimia Nervosa more common in men than Anorexia. However, Eating Disorder Not Otherwise Specified (EDNOS) are more prevalent in men than Anorexia and Bulimia combined. Rates of concurrent depression and personality disorders are also high in men with EDNOS, as well as rates of medical co-morbidity.ObjectivesTo describe a sample of male patients attending a Psychiatric Day Hospital.AimsTo understand possible links between the diagnosis of ED and medical and psychiatric co-morbidity among male subjects.MethodsClinical data about male patients attending the Psychiatric Day Hospital of Modena from 05/01/2009 to 13/06/2012 were collected and analyzed. Psychiatric diagnoses were defined according to DSM IV criteria, medical comorbidities according to ICD10 criteria.ResultsMale patients with ED were on the whole 11 (7.9% of total patients). Nine of them (81.8%) were diagnosed with EDNOS; 7 had medical co-morbidity, namely gastrointestinal (36.4%), respiratory (9.1%), renal (9.1%), rheumatologic (18.2%), cardiac (9.1%) and hypertension (16.6%); 9 had psychiatric co-morbidity, namely personality disorders (46.2%), major depression (30.8%), substance abuse (15.4%) and anxiety disorders (7.7%). Only 1 male patient (9.1%) was suffering from the ED, with no medical or psychiatric co-morbidity.ConclusionsMale patients suffering from ED are increasing and knowledge on their clinical features are less clear than for female subjects, resulting in a more difficult and less effective clinical management. Despite the small sample size, this study attempts to increase the understanding of this clinical population.
1729 – Standardised Treatment For Anxiety Disorders: An Evaluation Of Implementation And Treatment Outcomes
Authors: Tranberg H.D. , Lau M.E. , Mortensen E.L. 
Published: July 2013

IntroductionStandardised and timely restricted care for anxiety disorders has replaced former treatment in the Mental Health Services in the Capital Region of Denmark. Currently, there is no documentation regarding the impact of treatment standardisation on patient outcome and on service delivery.ObjectiveThe aim is to investigatei)the effect of standardised treatment on patient outcome, andii)the implementation outcomes of standardised treatment programs for anxiety disorders in clinical practice.MethodsThe study is conducted as a quasi-experimental prospective pre-post study in a naturalistic setting in which patients are referred randomly to the two mental health centres. Patients included in the study are aged above18 years and referred to standardised treatment for anxiety disorders (F40-41). The Conceptual Model of Implementation Research [1] distinguishes between outcomes at three different levels: implementation, service and client (patient), and argues that client outcomes depend on outcomes of the previous levels. This study includes outcomes at all levels. The clinical outcome data include the Symptom Check List-90R, Beck Anxiety Inventory, Global Assessment of Functioning and WHO Wellbeing Index.ResultsThe first patient was included in October 2012. The study design will be described in details and preliminary results presented.PerspectivesFrom January 2013 standardised and timely restricted care for anxiety disorders are introduced at a national level in Denmark, which further increase the relevance of the present study.
1732 – Characteristics Associated With Lithium Response In Bipolar i And Ii Disorders
Authors: Sportiche S. , Brichant-Petitjean C. , Etain B. , Henry C. , Kahn J.-P. , Gard S. , Bellivier F. 
Published: July 2013

IntroductionLithium remains the gold standard of prophylactic treatment in bipolar disorder. However 10–40% of patients are not responder to lithium and there is still no operational predictive markers of lithium response. Moreover, previous studies relate some conflicting results due to the absence of an unanimous definition and evaluation of prophylactic lithium response. Our objective was to identify clinical factors associated with prophylactic lithium response assessed by Alda questionnaire that includes 6 categories of prophylactic response from no response for at least two years of treatment to no relapse for three years.AimsTo study characteristics associated with lithium response.MethodsAll 516 participants met the DSM-IV criteria for bipolar disorder. They all received at least once in their life lithium (for at least two years) and all completed the Alda questionnaire. They were compared on several sociodemographic and clinical factors which were collected using the DIGS. Psychological dimensions were assessed with the ALS and AIS (for affective lability and instability), the BIS (for impulsivity) and the WURS (for ADHD screening) and history of childhood trauma.ResultsAmong the 516 subjects, 132 (25,6%) were lithium responders with no relapse during at least two years of treatment; 106 (20,5%) were poor lithium responders. These groups were compared for clinical, dimensional and childhood trauma characteristics, using both univariate and multivariate analyses.ConclusionsCharacteristics associated with lithium response may help to define personalized strategies.
1734 – Psychiatric Counselling In Novara General Hospital Wards: Six Years Of Activity (2006–2011)
Authors: Di Tullio E. , Antona M. , Gramaglia C. , Zeppegno P. 
Published: July 2013

BackgroundLiaison Psychiatry facilitates the management of medical-psychiatric comorbidities.ObjectiveTo describe the activity of the Liaison Service, Maggiore della Carità General Hospital, Novara, Italy, from February 2006 to December 2011.AimsTo evaluate the referral rate among different wards.MethodPatients referred for psychiatric consultation were analysed by means of a logistic regression model.Results1794 patients overall were involved. The referral rate was 1,60%, with a decrease in 2011. The highest frequency was in Radiotherapy and Hematology (14.71%). Reasons for consulting were: management problems (38%), assessment of a positive psychiatric history (37%), depression (32%), differential diagnosis between organic and psychiatric diseases (19%). Interventions for differential diagnosis and management problems significantly increased in 2010 and 2011 respectively. Radiotherapy and Haematology Wards were characterised by a higher referral rate for psychiatric history or depression (53%; 55%), Surgery showed fewer requests for depression (20%). The consultant suggested interviews or drug administration to 91% and 69% of patients respectively; interventions on the hospital staff and on the family in 34% and in 16% of cases. We observed an increase in interventions on hospital staff (49%) since 2006 and the use of interviews increased (96%) since 2010. Radiotherapy and Hematology were characterized by a greater use of interviews (95%), interventions on staff (43%) and family members (22%).ConclusionsThe referral rate is consistent with literature. Differences among Wards as far as the use of liaison psychiatry is concerned are discussed.
1735 – Kurdish Medical Students’ Reports Of Child Physical Abuse In Their Families, Psychological Sequelae And Other Characteristics
Authors: Mahmud N.M. 
Published: July 2013

IntroductionPhysical abuse means the non-accidental infliction of physical injury on or physical mistreatment of a child. Incidence, forms and degree of child physical abuse vary greatly depending on many variables such as geographical area, general awareness, culture, religion, economic status and others factors.ObjectivesThis study highlights occurrences of child physical abuses in Kurdish families from to medical students’ reports.AimsTo know the rate of phsycial abuse in Kurdish families and address the related characteristics.MethodsThe total of 432 medical students in Kurdistan Region/Erbil/Iraq, anonymously answered a set questions about the occurrence of child abuse in their families, their attitudes and opinions towards the issue, the perpetrators and their motives, with physical, psychological, and low sequelae etc.ResultsTwo-thirds of students believed that child physical abuse is a real concern in Kurdish families.One-thirds of students reported occurrence of child physical abuses sometime in their families.To them, most perpetrators of the abuse were from paternal more than maternal side; from other males, rather than other females in the extended family. And they were associated with subsequent adult victimization (both psychological and physical).ConclusionsChildhood physical abuse is relatively common in Kurdish families, and is associated with a wide variety of psychological symptoms.More emphasis on raising the public awareness about impact of child abuse is crucial, in terms of demonstrating its psychological consequences like building a more fragile adult personality, and a lot of other untoward consequences.
1740 – Psychometric Properties Of The Night Eating Questionnare In a Portuguese Sample Of Overweight Women
Authors: Peixoto C. , Pereira A.T. , Soares M.J. , Bos S.C. , Marques M. , Nogueira V. , Valente J. , Madeira N. , Roque C. , Macedo A. 
Published: July 2013

IntroductionThe Night Eating Questionnaire (NEQ; Allison et al, 2008) is the only validated instrument to assess the Night Eating Syndrome. It is composed of 14 Likert items and it enables to rule out for sleep-related eating disorder.ObjectivesTo investigate the psychometric properties of the NEQ and to investigate its pattern of correlation with related variables in a sample of Portuguese overweight women.MethodsThe NEQ and the other self-report validated instruments to assess disordered eating, insomnia, daytime sleepiness, depressive symptoms and affect were administered to an outpatient sample of 276 women (Mean age=43.85±11.88; Mean BMI=32.82Kg/m2±5.43) attending a weight loss treatment consultation in a public hospital.ResultsThe NEQ Coronach a was .60. A four factors structure (variance explained=57.62%) was selected: Factor (F)1 “Nocturnal ingestions” (α=.81); F2 “Evening hiperfagia” (α=.57); F3 “Mood/Sleep” (α=.42) and F4 “Morning anorexia” (α=.24). From the 23 participants (8.6%) who snacks when get up in the middle of the night, 6 (26.1%) had “not at all/a little” awareness of their eating; 3 (13.0%) had “none at all/a little” control over their eating while up at the night. NEQ total score significantly (p< .01) correlated with disordered eating behaviors (r=.28), insomnia (.50), daytime sleepiness (.27), depressive symptoms (.40), negative affect (.39) and positive affect (-.16).ConclusionsThe Portuguese version of NEQ presents reasonable internal consistency. The factorial structure overlaps with the original almost completely. The pattern of correlations with relevant variables was as expected. The NEQ could be very useful to clinical and epidemiological purposes.
1744 – Is Childhood Trauma a Mediator For Cocaine Induced Psychotic Symptoms?
Authors: Nichols E. , Jarroir M. , Zerdazi E.-H. , Lépine J.-P. , Vorspan F. , Bellivier F. 
Published: July 2013

IntroductionCocaine users often experience transient psychotic symptoms following cocaine use (Smith et al. 2009). The severity of such psychotic symptoms is influenced by cocaine dose (Vorspan et al. 2011). Several authors observed a higher prevalence of childhood trauma in cocaine addicts than control subjects (Enoch et al. 2010).ObjectiveDescribe cocaine induced psychosis and evaluate if it is associated with childhood trauma.AimDefine the population of cocaine users who experiment cocaine induced psychotic symptoms.MethodWe did a transversal retrospective study. 100 outpatient cocaine users were evaluated with Scale for the Assessment of Positive Symptoms of Crack Induced Psychosis (SAPS-CIP) and Childhood Trauma Questionnaire (CTQ). Informations were obtained about lifetime cocaine use (age of onset, DSM IV dependence criteria, route of administration, daily dose, days of use per month).ResultsWe did not observe any link between SAPS-CIP and CTQ or CTQ and cocaine consumption. About cocaine consumption, more often patients took cocaine during the worst period, higher is the SAPS-CIP score. If patients are (or were) dependent to cocaine, they have higher scores on SAPS-CIP. Moreover, if patients took cocaine intravenously, they have higher scores on SAPS-CIP than if they took it by snorting, or smoking.ConclusionIn the conditions of our study, childhood trauma isn’t a mediator for cocaine induced psychosis. About psychotic symptoms, they seem to be more severe among daily cocaine dependents who take it intravenously.
1745 – Emotional Distress, Quality Of Life And Personal Growth In Young Adults With Cancer
Authors: Monteiro S. , Morgadinho R. , Torres A. , Pereira A. 
Published: July 2013

IntroductionAdolescents and young adults are an understudied and often a misrepresented population in oncology research and practice.ObjectivesThe current study was designed to assess the impact of cancer on a sample of Portuguese young adults with cancer, regarding emotional distress, quality of life (QOL) and personal growth.AimsThe specific aims of the present work are 1) to assess current emotional distress, QOL and personal growth of young adults with cancer, which are compared to those of a group of healthy controls, and 2) to assess current emotional distress, QOL and personal growth of young adults with cancer according to treatment status (patients or off treatment survivors).MethodsA sample of 36 Portuguese young adults with cancer and 435 healthy controls was evaluated through four instruments: Socio-demographic and clinical questionnaire, Hospital Anxiety and Depression Scale (HADS), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30), and Personal Growth Subscale (PG) from the Psychological Well Being Scale.ResultsCancer patients scored lower than controls in the role, cognitive and social domains of QOL and in personal growth. Cancer patients scored lower than cancer survivors in the role domain of QOL and personal growth.ConclusionsThe cancer patients revealed QOL and personal growth difficulties, mainly those undergoing treatment. These issues need to be considered in the psychosocial intervention within adolescents and young adults’ oncology care.