bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perfectionism, self-efficacy and mindfulness as predictors of test anxiety among university students
Authors: Tvrtkovic S. 
Published: August 2024

IntroductionTest anxiety includes subjective experience of intense physiological, cognitive and/or behavioral symptoms during test-taking situations such as pacing, headaches, excessive feelings of fear, anger, troubles concentrating, sudden forgetfulness and negative self-talk. Especially students who are striving for flawlessness, have overly critical self-evaluations and beliefs that other expect perfection are sensitive to experiencing these feelings. On the contrary, individuals who believe in their ability, are present in the moment and are open to experiences tend to be more resilient to stressors and anxiety symptoms.Objectives
The aim of this study was to investigate perfectionism, self-efficacy, and mindfulness as predictors of test-anxiety among undergraduate and postgraduate students of different study fields.Methods525 undergraduate and postgraduate students from the fields of Natural, Medical Sciences and Engineering, Social Sciences, Humanities and Art, and Economics, Business and Administration Studies participated in the study. A sociodemographic form, the Test Anxiety Inventory (TAI), 15-Item Five Facet Mindfulness Questionnaire (FFMQ-15), Scale of General Self-efficacy (GSES) and Frost Multidimensional Perfectionism Scale-Brief (FMPS-Brief

) were used. Descriptive statistics were used to show the sociodemographics of our sample, while correlational analyses were performed to asses the associations between the variables. To further validate the findings, multiple linear regression analyses were performed.ResultsHigher perfectionistic evaluative concerns and lower self-efficacy showed associations with test-anxiety and were proven as predictors among undergraduate and postgraduate students. In addition, being younger and female in postgraduates, and having perfectionistic strivings and being Mindful-Observe in undergraduate students proved to be significant predictors of test-anxiety.ConclusionsThe found associations of perfectionism and self-efficacy, as well as its predictor roles further validate the information we have in literature, but widen the sample to postgraduate students and various study fields which help us generalize the findings more. What adds the most value in theoretical and practical aspects is the findings associated with mindfulness. Mindfulness techniques are very popular intervention methods for anxiety related symptoms, and the positive relationship of Mindful-Observe with test anxiety opens new viewpoints to mindfulness-based interventions. Particularly focusing on Mindful-Observe while treating test-anxiety may yield better outcomes in alleviation of symptoms.Disclosure of InterestNone Declared
Factors influencing stigma in bipolar disorder type I
Authors: Adouni A. , Zgueb Y. , Bouguerra I. , Ben Othman F. , Jomli R. 
Published: August 2024

IntroductionGiven the recurrence of mood episodes, with their negative repercussions such as high suicidal risk, significant cognitive decline and the persistence of residual signs with a negative impact on the patient’s family, social and professional functioning, Bipolar Disorder is a mental disorder with a significant social stigma.ObjectivesIdentify the socio-demographic and clinical factors that may influence the experience of stigma in bipolar disorder type IMethodsWe conducted a cross-sectional, comparative study over a six-month period at the aftercare unit of Razi Hospital’s psychiatric ward “A”, including patients treated for TB I according to DSM 5 criteria and stable on treatment.The study was conducted in two stages: first, sociodemographic and clinical characteristics were collected using a pre-established form. The DISCUS scale, validated in Arabic, was then administered.ResultsWe included 100 patients (60 men and 40 women) with a mean age of 43.55 years.The median DISCUS stigma score was 6 (0-19).The mean value of the DISCUS scale was high for patients of urban origin (p=0.042), with a low socioeconomic level (p=0.001), and poor family dynamics (p<0.001).The presence of a comorbid personality disorder was significantly associated with stigma (p=0.006). The DISCUS scale was positively associated with the number of years of follow-up, the number of hospitalizations, the number of manic episodes, the number of depressive episodes and the number of episodes with psychotic or melancholic features.ConclusionsThis stigma can have a negative impact on patients’ quality of life in a whole range of ways, including limiting their opportunities for education, employment and housing.Intensive therapeutic interventions should be considered for vulnerable patients to limit the consequences.Disclosure of InterestNone Declared
Women with internet related disorders- illustration of an in-depth clinical assessment and personnalized treatment approach
Authors: Achab S. 
Published: August 2024

AbstractTowards a personalized response to public health issues of PIU in women, understanding female profiles of problematic internet users and their underlying psychosocial characteristics is a crucial preliminary step.Mobile Problematic Internet Use (PIU) is most likely present in young females, with heavy pattern of use being specifically associated to some online activities including communication, buying, video gaming and video watching.The present talk will introduce epidemiological data on female with PIU in Europe, and will afterwards describe clinical assessment and treatment of a young female suffering from mobile PIU.Assessment found heavy social networks (SNs) use, being mainly explained by dysfunctional coping to low self-esteem and traumatic sexual experiences in her biography.Psychotherapy consisted in CBT for excessive time devoted to SNs, relocating life-priorities and cognitive remediation targeting self-esteem, self-compassion, and assertiveness.
Behind quantitative data on PIU in female, each patient has specific needs for treatment that should be identified in other to address PIU.Care process model used at ReConnecte since a decade allows for a comprehensive assessment of each PIU.Disclosure of InterestNone Declared
Risk factors and personality characteristics of nonsuicidal self-injurious behavior in clinical sample of female adolescents
Authors: Osváth A. , Hankó C. , Csáki M. , Molnár E. , Pahocsa J. , Kocsor S. , Tóth K. , Fertői D. , Sándor-Bajusz K. A. , Dergez T. , Csábi G. 
Published: August 2024

IntroductionNonsuicidal self-injury (NSSI) is a self-damaging behavior with typical onset in early adolescence, and shows greater prevalence in females. NSSI is defined by recurrent episodes of intentional self-inflicted damage to body tissue, without suicidal intent. These recurring self-inflicted injuries are done by the indivuduel to relief oneself from negative feelings, to resolve interpersonal difficulties, or to induce positive feelings.NSSI in DSM-5. has been included among the conditions in need of further study.NSSI can be interpreted as a maladaptive coping mechanism that can be regarded as an emotional dysregulation. Adverse childhood experiences including physical abuse, neglect or sexual abuse are the strongest predictors of the NSSI. Research has repetitively found strong associations between NSSI and identity diffusion and/or distorted personality traits.ObjectivesThe aim of our study was to assess the association between childhood traumatization, personality characteristics including stages of identity development, and self-injurious behavior among female adolescents that experience difficulties with emotional regulation.MethodsWe compared our results to a Hungarian normative sample. The sample consisted of inpatients adolescents, age between 14 and 18, with a diagnosis consisting of „Emotional disorders with onset specific for childhood” or „Mixed disorders of conduct and emotions” with chronic nonsuicidal self-injurious behavior.Childhood traumatization was measured with the short version of Childhood Trauma Questionnaire (H-CTQ-SF). Identity development and identity diffusion were measured with the Assessment of Identity Development in Adolescence Questionnaire (AIDA). Temperament and character factors were measured with the Junior Temperament and Character Inventory (JTCI).ResultsAdolescent patients with NSSI reported severe and multiplex childhood traumatization. These patients scored higher on novelty seeking and harm avoidance and scored lower on the persistence, self-directedness, and cooperativeness factors in the JTCI. These results were compared with the Hungarien normative sample. Adolescents scored higher on the Discontinuity and Incoherence scales of the AIDA.ConclusionsOur preliminary results suggest that childhood traumatization predicts self-injurious behavior in adolescent females. Additionally, we have found associations between signs indicative of personality disorder, including lower level of self-cohesion, self-integration and self-directedness.Disclosure of InterestNone Declared
Therapy program assisted with therapy dogs for children with Autism Spectrum Disorder (ASD)
Authors: Huguet Miguel A. , Cornudella Solans N. , Vergés Balasch P. , Bergadà Bell-lloc J. , Pera Guardiola V. 
Published: August 2024

IntroductionAutism spectrum disorders (ASD) is a neurodevelopmental disorder with an estimated lifetime prevalence of at least 1%. Some studies suggest that approximately 60% of children with ASD show emotional dysregulation and 44-86% sleeping disorders.Studies suggest that cognitive behavioral therapy and animal-assisted therapy AAT can be an intervention strategy to promote emotional and behavioral dysregulation and sleep disturbances.ObjectivesThe purpose of this study was to investigate the effect of a therapy program assisted with dogs (AAT) together with cognitive behavioral therapy (CBT) on behavioral and emotional regulation and sleep disorders in children diagnosed with ASD.MethodsThe sample was composed of 24 children between 7 and 10 years old diagnosed with ASD randomized into two groups (CGT group (control group) and AAT + CBT group (experimental group). Inclusion criteria: communication level of simple sentences, mild-moderate difficulties in behavioral and emotional regulation and sleep disturbances. Exclusion criteria: intellectual disability, children with specific dogs phobia. Assessment included ADOS-2, WISC-V, CGAS. dysregulation profile of Achenbach scale and Sleep Disturbance Scale for Children-Bruni. A program of 12 sessions (weekly one-hour sessions) focusing emotional and behavioral regulation and sleep disturbance was designed (Behavior Emotional Sleep Treatment Program. A pre-post evaluation was performed.ResultsParticipants were 20 boys and 2 girls (2 participants dropped out), with a mean age of 9. Regarding the socio-demographic and clinical characteristics, no significant differences has been observed between both groups in the global functioning measured with the Children’s Global Assessment scale (CGAS) (p=0.832), nor in the cognitive capacity (QI ) neither in reference to the associated comorbidities (p=0.103) nor in the variable prescription pharmacological treatment (p= 0.142). In emotional self-regulation, a significant improvement in emotional regulation difficulties was observed after treatment in both groups (experimental group: p=0.014; control group: p=0.012). However, the comparison between the pre-post intervention results between groups, regarding the emotional regulation variable, a greater improvement is observed in the experimental group (p=0.013). Significant improvements were also observed in sleep disorders (Bruni scale total score and in the sleep conciliation and maintenance difficulties scale) in both groups.ConclusionsTo conclude, although this is a pilot study with a small sample size and further research is needed, results suggest that a therapy program assisted with therapy dogs and CBT have positive effects on emotional dysregulation and sleep disturbances in children with ASD and offers a possible intervention strategy.Disclosure of InterestNone Declared
Neurobiological Correlation Between Autism Spectrum Disorder and Anorexia Nervosa in Children
Authors: Shah K. , Reddy P. , Giri A. , Srinivas S. 
Published: August 2024

IntroductionAnorexia Nervosa (AN) is common in adolescents and has a high mortality and morbidity rate with a lifetime prevalence of 0.5% to 2%.1,2 We aim to review the neurobiology correlation of Anorexia Nervosa in Autism Spectrum Disorder as they are often associated together.Objectives1. Understand the correlation between the neurobiology of Autism Spectrum Disorder (ASD) and Anorexia Nervosa.2. Assess the association and prevalence of Anorexia nervosa in the ASD population.3. To focus on the implications for the pathogenesis of Anorexia Nervosa and treatment of this disorder in the ASD population.MethodsWe searched PubMed, APA PscyINFO, Embase, CINAHL, and Google scholar databases with the keywords Autism Spectrum Disorder AND Anorexia Nervosa and included 6 relevant human studies out of 187 published in English.ResultsNeilson et al. studied the outcome of ASD in teenage onset AN, and a statistically significant negative dose-response relationship is found in all the 3 Morgan-Russell Outcome Assessment Schedule (MROAS) domains in stable ASD over time, and the results on the subscales ‘mental state,’ ‘psychosexual state’ and ‘socio-economic state, “personal contacts,’ ‘social activities’ and ‘employment record.’3 The outcome of AN onset in adolescence is generally favorable regarding mortality and the persistence of eating disorders in adulthood. A study by Pruccoli et al. noted a high prevalence of ASD traits in a group of young AN patients, predominantly seen in 4 specific EDI-3 subscales and independent of BMI.4 Margari et al. found only AN diagnosis had a statistically significant difference (p = 0.04) in females vs. males when comparing sex differences for comorbidities.5ConclusionsMorphological changes in brain areas are linked to social cognition and increase the risk of eating disorders in ASD. We recommend future studies with robust study design to explore the full spectrum of pathogenesis and association of AN in ASD.Disclosure of InterestNone Declared
Investigating LGBTQ affirmative attitudes and needs for better practice among Hungarian healthcare professionals
Authors: Vizin G. 
Published: August 2024

AbstractIntroduction: LGBTQ (lesbian, gay, bisexual, transgender, queer) people often do not seek health care and do not identify as LGBTQ people because of fear of judgment, stereotyping, and discrimination by health professionals. All of this is a particularly worrying phenomenon, because various mental difficulties, risky behaviors, and certain types of somatic and psychosomatic diseases may appear in a higher proportion among them.Objectives
Attitudes related to LGBTQ people were examined in several areas in Hungary. Most of our data comes from psychologists, however, a comprehensive examination of health professionals’ attitudes towards LGBTQ people has not yet been carried out.MethodsIn a cross-sectional online survey, we ask healthcare professionals (medical doctors, nurses, other graduate healthcare professionals and medical university students) to fill out our questionnaire. The participants complete the Modern Homonegativity Scale and the Lesbian, Gay, Bisexual and Transgender Clinical Skills Development Scale.Results
We assume that the majority of Hungarian healthcare professionals have a neutral or positive attitude towards LGBTQ people, but they struggle with a significant lack of affirmative skills. We will present our results in detail in the presentation of the symposium.ConclusionsThere is an urgent need to provide the appropriate affirmative knowledge material to Hungarian healthcare workers.Disclosure of InterestNone Declared
Sex differences in diagnostic stability in first episode psychosis after 1-year follow-up
Authors: Jiménez-Fernández B. , Toll-Privat A. , Bergé-Baquero D. , Motta-Rojas N. V. , Delgado-Marí M. , Legido-Gil T. , Martínez-Sarduní L. , Legido-Gil T. , Cuevas-Esteban J. , Mané-Santacana A. 
Published: August 2024

IntroductionDiagnostic stability is a controversial issue in first episode psychosis (FEP) due to heterogenous symptoms and unclear affective symptoms. Differencing affective and non-affective psychoses is important as treatment strategies are different. Initial affective symptomatology has low specificity for predicting the subsequent diagnosis of affective psychosis. Sex has proven to be relevant for clinical and functional outcomes but it remains unclear how sex may contribute to diagnosis switch of FEP.ObjectivesTo determine the role of sex in diagnostic stability in a sample of FEP after 1-year follow-up.MethodsDiagnoses of FEP patients from Hospital del Mar of Barcelona were assessed at baseline and 1 year after. Univariate analyses was perfomed for all diagnoses and dichotomic variable (affective/non-affective). Logistic regression model was perfomed to know which variables predict diagnosis switch.Results256 patients were enrolled. No differences were found at baseline between completers and non-completers (Table 1). No significant differences between men and women at baseline diagnosis were found, neither all diagnoses (p=0.274) nor the dichotomic variable affective/non-affective (p=0.829) (Table 2AB). Significant differences were found at 1-year follow-up between men and women, for all diagnoses (p=0.043) and the dichotomic variable (p=0.039). Sex was the only variable that predicted diagnosis switch (Figure 1), PANSS, CDSS, YMRS, GAF and cannabis did not.
Table 1.Baseline characteristics of participantsCompleters
(n=188)Non-completers
(n=68)pWomen (n, %)71 (37.8)30 (44.1)0.111Age (M, IQR)24 (20-28)22 (20-28)0.899Cannabis use (M, IQR)5.5 (0-18)7 (0-21)0.231DUP (M, IQR)45 (12.5-130)36 (11.25-115.75)0.213PANSS (m, sd)44.55 (10.17)40.93 (10.42)0.761CDSS (M, IQR)2 (0-7)3 (0-5.5)0.199YMRS (m, sd)19 (9.64)17.6 (9.15)0.845GAF (M, IQR)30 (25-50)30 (25-35)0.114TABLE 2A and 2B.Diagnosis comparison (n, %)Baseline1-year follow-up

Men
Women
Total
Men
Women
Total

Psychosis NOS69 (59)39 (54.9)108 (57.4)28 (23.9)10 (14.1)38 (20.2)Schizophreniform disorder22 (18.8)16 (22.5)38 (20.2)14 (129 (12.7)23 (12.2)Induced psychosis4 (3.4)0 (0)4 (2.1)15 (12.8)4 (5.6)19 (10.1)Affective psychosis17 (14.5)9 (12.7)26 (13.8)24 (20.5)25 (35.2)49 (26.1)Schizophrenia0 (0)0 (0)1 (0.4)30 (25.6)14 (19.7)44 (23.4)Brief psychotic disorder5 (4.3)7 (9.9)12 (6.4)6 (5.1)8 (11.3)14 (7.4)Baseline1-year follow-up

Men
Women
Total
Men
Women
Total

Affective psychosis17 (14.5)9 (12.7)26 (13.8)24 (20.5)25 (35.2)49 (26.1)Non-affective psychosis100 (85.5)62 (87.3)162 (86.2)93 (79.5)46 (64.8)139 (73.9)Image:ConclusionsSex has proven to be the main predictor of switching initial diagnosis of FEP.Disclosure of InterestNone Declared
Impact of mean monthly temperature on psychiatric admissions: data from an acute inpatient unit
Authors: Rizzo Pesci N. , Peracchia S. , Teobaldi E. , Maina G. , Rosso G. 
Published: August 2024

IntroductionPsychiatric disorders are large contributors to the global disease burden and their prevalence is increasing. Global climate is also facing changes, including a rise in temperatures. Many clinical conditions are affected by meteorological factors and there are numerous reports on the effect of climate changes on such conditions. Psychiatric disorders are also influenced by climatic factors but the literature on the effects of climate changes on mental health is limited.ObjectivesThe aim of this study is to investigate the impact of rising temperatures on the risk of acute exacerbation of psychiatric disorders.MethodsData were collected retrospectively for a total of 139 months, i.e. from January 2012 to July 2023. Recordings of mean monthly temperatures were obtained from registries of the meteorological station of the Department of Physics of the University of Turin. For each of the 139 months, deviations from the average temperature of that month of any year were computed (ΔTm). Anonymised socio-demographic and clinical data on patients admitted during the observation period to the acute psychiatric unit of San Luigi Gonzaga University Hospital (Turin, Italy) were extracted from the hospital registry. Linear regression analyses were used for statistical analyses.ResultsA total of 5420 admissions to our psychiatric ward were recorded over the observation period. Monthly deviations from average temperature and monthly number of admissions were directly correlated, with regression coefficient 1.803 (P = 0.0048) (Fig.1A). Linear regression analysis was performed between ΔTm and number of admissions according to diagnostic group. The regression coefficient was 0.1336 (P=0.5334) for admissions of patients with schizophrenia and related disorders (SCZ) (Fig.1B), 0.4575 (P=0.0295) for bipolar disorders (BD) (Fig.2A) and 0.3381 (P=0.0382) for major depressive disorder (MDD) (Fig.2B).Image:Image 2:ConclusionsThese results confirm the impact of meteorological factors on mental disorders. In particular, we observed a positive correlation between monthly temperature and the number of admissions to our acute inpatient unit. The correlation was significant when taking into consideration admissions for exacerbation of bipolar disorder and major depressive disorder, but not when considering admissions for schizophrenia. This highlights the importance of climatic factors especially in mood disorders, provides new insights into their etiopathological mechanisms and provides information that can be implemented for follow up and relapse prevention.Disclosure of InterestNone Declared
A Targeted Methylation–Based Multicancer Early Detection Blood Test Preferentially Detects High-Grade Prostate Cancer While Minimizing Overdiagnosis of Indolent Disease
Authors: Mahal Brandon A. , Margolis Matthew , Hubbell Earl , Chen Cheng , Venstrom Jeffrey M. , Abran John , Karlitz Jordan J. , Wyatt Alexander W. , Klein Eric A. 
Published: August 2024

PURPOSE
Indolent prostate cancer (PCa) is prevalent in the intended use population (adults age 50-79 years) for blood-based multicancer early detection (MCED) tests. We examined the detectability of PCa by a clinically validated, targeted methylation–based MCED test.

METHODS

Detectability by Gleason grade group (GG), clinical stage, association of detection status with tumor methylated fraction (TMeF), and overall survival (OS) were assessed in substudy 3 of Circulating Cell-Free Genome Atlas (CCGA; ClinicalTrials.gov identifier:
NCT02889978
) and PATHFINDER (ClinicalTrials.gov identifier:
NCT04241796
) studies.

RESULTS

Test sensitivity for PCa in substudy 3 of CCGA was 11.2% (47/420). The test detected 0 (0%) of 58 low-grade (GG1), 3 (1.9%) of 157 favorable intermediate-grade (GG2), 4 (5.1%) of 78 unfavorable intermediate-grade (GG3), and 36 (31.9%) of 113 high-grade (GG4 and 5) cancers and 3 (3.2%) of 95 stage I, 11 (4.7%) of 235 stage II, 7 (14.9%) of 47 stage III, and 22 (81.5%) of 27 stage IV cases. The median TMeF was higher for detected than nondetected cases (2,106.0 parts per million [PPM]; IQR, 349.8-24,376.3
v
24.4 PPM; IQR, 17.8-38.5;
P
< .05). Nondetected cases had better OS (
P
< .05; hazard ratio [HR], 0.263 [95% CI, 0.104 to 0.533]) and detected cases had similar survival (
P
= .2; HR, 0.672 [95% CI, 0.323 to 1.21]) compared with SEER adjusted for age, GG, and stage. Performance was similar in PATHFINDER, with no detected GG1/2 (0/13) or stage I/II (0/16) cases.

CONCLUSION
This MCED test preferentially detects high-grade, clinically significant PCa. Use in population-based screening programs in addition to standard-of-care screening is unlikely to exacerbate overdiagnosis of indolent PCa.