bluuebunny/crossref_metadata_2025_split huggingface dataset:
1987 – Self-destructive Behaviour In Adolescents Diagnosed With Depression: Comparison With a Normative Sample Relative To Parental Attitudes
Authors: Sumiła A. , Chariasz A. , Gawinecka-Skonieczna M. , Łucka I. 
Published: July 2013

IntroductionAdolescence is a developmental stage, which includes many changes. Relationships with parents can support the adaptation to these changes or contribute to a crisis period, in which psychological disorders, such as depression or selfdestructive behaviours, may occur.ObjectivesThe objective was to identify the types of parental attitudes and their correlation with the occurrence selfdestructive behaviours in their children.AimsThe goal is to examine the relationship between parental attitudes and the tendency toward self-destructive behavior among youngsters with depression.MethodsThis is a comparative study between a sample of youngsters, ranking from 15 to 19 years, diagnosed with depression and presented self-destructive behaviours, and a normative sample comprising of youngsters who have no such history, attending secondary school. All participants in the survey completed the experimental version of the Self-Injury Self- Report Inventory (Kammie R. Juzwin, 2004) which identifies types of self-destructive behaviours (direct and indirect), and the Parental Attitude Scale (M. Plopa, 2005), which identifies five types of parental attitudes.ResultsParents of teenagers diagnosed with depression manifest an inconsistent (p=0,003), emotionally rejecting or overdemanding (p=0,011) attitude towards their adolescent children more often than parents of children in the control group. There is a link between the inconsistent and rejecting attitude of the mother and the occurrence of direct self-destructive behaviors (r= 0,356; p< 0,05).ConclusionsParental attitudes towards the teenagers in the control group are more positive (autonomy, acceptance) than those displayed by the parents of adolescents with depression.
1989 – False Benzodiazepines Results In a Rapid Immunochromatography Test For Urinary Drug Detection In Tobacco Smokers
Authors: Haj Mouhamed D. , Ezzaher A. , Neffati F. , Douki W. , Gaha L. , Najjar M.F. 
Published: July 2013

BackgroundThis study aimed to evaluate the interference of tobacco smoke on immunochromatography assay for urinary benzodiazepines detection and the interest of two biological markers and smoking status parameters as predictive factors of false results.MethodsOur study included 256 voluntary subjects (143 passive smokers and 113 smokers). Cotinine was measured by homogenous immunoenzymatic assay and SCN- by selective electrode. Urinary drugs were detected by immunochromatographic assay. A positive result is completed by an analytical method with an immunometric assay.ResultsFalse positive results for benzodiazepines are significantly more frequent in smokers compared with passive smokers (90.2% Vs 22.4%, p< 10-3). For smokers, the number of cigarettes was significantly higher in subjects with falsely positive results for benzodiazepines compared with subjects with negative results (32 ± 11 Vs 20 ± 10; p= 0.04). Between these two groups, we established a significant difference for urinary cotinine (345 ± 211 Vs 117 ± 54 μg/μmol; p< 10-3) and for plasma SCN- (101.6 ± 3.4 Vs 98.8 ± 2.1μmol/L; p=10-3). Urinary cotinine and consumption duration present the highest values of AUC of the ROC curves. The cut-off of 167.6μg/μmol and 10.5 years were found as predictive factors of false positive Results.ConclusionsTobacco smoke interferes with immunochromatographic assay of urinary drug detection; therefore, all subjects must be questioned about their smoking status to avoid such false results during results interpretation.
1992 – Late Onset Bipolar Disorder: Challenges In Diagnosis And Treatment
Authors: Araújo F. , Rodrigues J.D. , Falcão de Almeida T. , Venâncio A. , Horta A. , Lapa G. 
Published: July 2013

IntroductionMania has been estimated to represent the cause of 4.6% to 18.5% of all geriatric psychiatric admissions and 10% of new-onset mania cases have been found to occur in individuals over the age of 50. Age of onset can have a significant impact on the nature and course of bipolar illness.ObjectivesReview the current literature of pharmacologic management of late-life bipolar disorder and discuss the differential diagnosis.AimsBrief literature review.MethodsCase report and literature review.ResultsWe describe a case of a 76-years-old female with elevated mood, verbosity, distractibility, irritability, inadequate social behavior, reduced requirement of sleep, increased physical activity, impulsive business investments. Several tests were made: analytical study, CT scan and neuropsychological evaluation, none with significant alterations. She was treated with an antipsychotic drug with improvement of symptoms.ConclusionThere is a limited evidence base for treatment of bipolar disorder in the elderly and further controlled studies are needed. Current data suggest that valproate and lamotrigine may be better tolerated as mood stabilizers than lithium. Preliminary reports suggest a role for the use of atypical antipsychotic in older adults with bipolar disorder although potential benefit must be balanced against the potential risks of treatment. In treating elderly bipolar patients, one has to keep in mind that pharmacokinetic and pharmacodynamic changes that occur with ageing, associated with frequent concomitant medical illnesses and their treatments, are likely to increase the risk of adverse events and drug interactions.
1994 – System Of Psychotherapy And Medical And Social Rehabilitation Of Patients With Depression Involving Suicidal Behavior
Authors: Korostiy V. , Kozhyna G. , Zelenskaya K. 
Published: July 2013

IntroductionDepression - the main cause of suicidal behavior among young people.AimsOptimizing therapeutic approaches to the correction of non-psychotic depression accompanied by suicidal behavior in young adults.Objectives75 patients with psychogenic depression, committed suicide attempt.MethodsClinical-psychopathological, psychodiagnostical.ResultsThe clinical picture of depression in the patients the most frequently observed in depressed mood and affect sadness, asthenic symptoms, as well as various manifestations of anxiety. The vast majority of patients were found various violations of sleep-wake cycle. Feature of depressive disorders was their massive somatization characterized by polymorphic vegetative disorders.Building on the received data in the work we have developed pathogenetically grounded system of correction of depression involving suicidal behavior, which includes the application of integrated psychotherapeutic programs in conjunction with medical treatment. In conducting drug therapy should be given preference for the latest generation of antidepressants with a proven safety profile, high therapeutic index and low “behavioral toxicity”. Psychotherapeutic correction includes family therapy, cognitive-behavioral therapy, interpersonal psychotherapy, and psychoeducational training.Developed and implemented in practice the system of psychotherapy and medical and social rehabilitation of patients with depression involving suicidal behavior, which confirmed the effectiveness of data of observation after 12 month.ConclusionsConducted follow-up study showed the high efficiency of the proposed system of psychotherapeutic interventions for example 83.8% of patients with repeated suicide attempts were observed, 16.2% had undergone repeated courses of complex therapeutic interventions due to additional stressful circumstances.
1997 – Prevalence And Analysis Of Patients With Dual Diagnosis In An Addictions Service In Buckinghamshire, Uk
Authors: Igoumenou A. , Giannopoulos P. , Reid A. 
Published: July 2013

AimsThe comorbidity of mental illness and substance abuse (dual diagnosis) can complicate both clinical picture and prognosis. It is therefore important to recognise both nosological entities and to treat them simultaneously.Our main aim was to investigate and describe the characteristics of dual diagnosis patients who were in treatment with a community addiction service, and to assess the completeness of clinical documentation.MethodsWe created a data collection tool to measure indices of illicit substance and alcohol use, psychiatric diagnosis, and treatments received for both problems. We included measures of physical health relating to drug and alcohol use. Clinical information was collected from the electronic patient record system.Preliminary resultsThe audit is ongoing. 498 patients were under the care of the addictions service in February 2012. To date we have identified 72 patients (14.5%) with dual diagnosis. Of this group, 79% of patients were addicted to opiates and 42% were polysubstance users.The psychiatric diagnosis included mood disorders (29%), anxiety disorders (24%) and psychosis (14%). However 28% had no formal diagnosis recorded, despite receiving treatment for psychiatric conditions.67% were prescribed methadone. 40% of the patients were receiving medication for their mental illness.Conclusion14.5% of our addictions population had a mental health problem. We identified lapses in clinical documentation related to both illnesses. The distinction between addictions and psychiatric services can bring difficulties in communication and care provided. Quality and continuity of care is important and consideration should be given to further development of dual diagnosis services.
2022 – Psychiatric Morbidity And Clinical Outcome In a Population Of Patients With Headand Neck Cancer
Authors: Garrido P. , Albuquerque E. , Tarelho A. , Bastos H. 
Published: July 2013

IntroductionPatients with head and neck cancer have to cope with the uncertainty about the evolution of their disease, the need to change risky behaviours as alcohol and nicotine dependence, and even with the mutilation and dysfunction resulting from treatments. Literature shows that these patients suffer from psychiatric comorbidity and high levels of distress with little response to their psycho-social needs. Moreover, alcoholism, smoking and personality disorders are probably risk factors for the onset and development of cancer.AimsWe propose a research project to determine the prevalence of psychiatric morbidity in patients with head and neck cancer hospitalized in a regional oncology center, and to what extent the psychiatric morbidity predisposes to medical and surgical complications during inpatient treatment.MethodsWe collected socio-demographic variables, clinical variables related to the oncological disease and psychopathological and cognitive variables. For the last ones, the following instruments were used: Mini Mental State Examination (MMSE), Brief Symptom Inventory (BSI), and CAGE as a screening test for alcohol consumption. Results were analyzed using the Statistical Package for the Social Sciences - SPSS (19th version).ResultsOur preliminary results are in accordance with the available literature, showing high levels of psychopathology in patients with cancer of the head and neck, with associated medical complications during inpatient treatment. These findings stress the need of routine psychiatric assessment in this particular population.
2024 – Psychopharmacological Treatment In Psychiatric Patients With Hiv
Authors: Pereira S. , Garrido P. 
Published: July 2013

Nearly 33 millions of people are infected by the Human Imunodeficiency Virus (HIV) all over the world. According to the available scientific literature, there is a high prevalence of psychiatric disorders in people infected with HIV, compared to the general population, but these patients are often underdiagnosed. In fact, about 50% of the patients with HIV had a psychiatric disorder and only 50% of these patients received a psychopharmacological treatment. Furthermore many studies proved the necessity to treat properly these psychiatric patients with HIV. Effectively, when the Mental Health of Psychiatric patients with HIV are not controlled, the mortality by HIV increases dramatically. Moreover, due to the use of the antiretrovirals and the existence of drug interactions, treating this kind of psychiatric patient is a challenge.The aim of this work is to present the psychiatric treatments which are available for the psychiatric patients with HIV, after a complete analysis of various scientific articles about this theme.Having knowledges in this area is important due to the crescent number of cases of HIV and also due to existence of drug interactions which can threaten the safety of these patients.
2028 – EMDR Training For Bosnia-herzegovina Mental Health Workers In Sarajevo As Continuity Of The Building Of Psychotherapy Capacity Aftermath The 1992–1995 War
Authors: Hasanović M. , Morgan S. , Oakley S. , Pajević I. 
Published: July 2013

AimThe Eye Movement Reprocessing and Desensitization (EMDR) is an evidence based intervention in the treatment of psycho-traumatized individuals. Its effectiveness has been validated by extensive research. It outlines in particular an EMDR Humanitarian Assistance Training Programme that took place in Sarajevo University Clinical Centre after the Tuzla University Clinical Centre, Department of Psychiatry, in Bosnia-Herzegovina (BH) in response to 1992-1995 war, in helping to train mental health workers in EMDR to enable them to treat psychological trauma symptoms of war survivors.MethodAuthors described educational process considering the history of idea and its realization through training levels and process of supervision which was provided from the Humanitarian Assistance Program (HAP) of UK &Ireland with non profit, humanitarian approach in sharing skills of EMDR to mental health therapists in BH.ResultsHighly dedicated internationally approved trainers from HAP UK & Ireland provided completed EMDR training for 33 recruited trainees of different professional background from different BH health institutions from different cities and entities in BH. To be accredited EMDR therapists all trainees are obliged to practice EMDR therapy with clients under the supervision process of HAP UK & Ireland supervisors. Because of physical distance between supervisors and trainees, supervision is organized via Skype Internet technology.ConclusionTraining of Bosnia-Herzegovina mental health workers to effectively use EMDR with enthusiastic help of EMDR trainers from HAP UK&Ireland is continued through the next training organized in Sarajevo and it will increase psychotherapy capacities in postwar BH.
2047 – Suicidal Behaviour In Stress Disorder
Authors: Doherty A.M. , Jabbar F. , Codd M. , Casey P.R. 
Published: July 2013

AimsTo examine the predictors of suicidal ideation and self-harm in patients diagnosed with a depressive episode or an adjustment disorder, and to examine any difference in these predictors between the two diagnostic categories.MethodsPatients referred to the liaison psychiatry services at two Dublin hospitals and diagnosed with either a depressive episode or an adjustment disorder were recruited to this study. They were interviewed at time of diagnosis, and again after six months, with a number of validated instruments to examine levels of suicidality or self-harm and their relationship to depressive symptoms, life events, social functioning and personality factors.Results300 patients were recruited to the study, 154 of whom had a diagnosis of an adjustment disorder and the remainder diagnosed with a depressive episode. On univariate analysis there was no significant difference in the rates of suicidal ideation between the diagnoses of depressive episode and adjustment disorder. On logistic regression there were no significant predictors of suicidal ideation in adjustment disorder. A single marital status and low levels of social support were more predictive of suicidality in the subgroup with a diagnosis of depression.ConclusionsThere has been little prior research into the predictors of suicidal behaviour in patients with diagnoses of depression and adjustment disorders. Our finding that social support and marital status are protective against suicidality in this population is in keeping with the literature. The absence of any significant contribution of the severity of depressive symptoms to suicidality was unexpected.
2050 – Developing a New Psycho-oncology Service
Authors: Doherty A.M. , Sheehan J.D. 
Published: July 2013

AimsTo examine the referrals to a new Psycho-oncology service (one session per week) in a tertiary referral hospital in north Dublin with a Liaison Psychiatry service, and to examine the challenges and benefits of setting up a specialised psychiatry service for patients with a diagnosis of a malignancy.MethodsReferrals were taken from any member of the multidisciplinary oncology and haematology teams, as well as from other medical or surgical teams involved in providing medical care to this population. The referrals were examined closely, along with the outcome and the follow up advised.ResultsIn the first year of the service, 28 patients were referred to the service and 26 (93%) were seen.18 (64%) were referred as consults during the course of an inpatient admission or while attending the oncology day ward; 10 (36%) were referred as out-patients. Overall 57 appointments were scheduled with an 86% attendance rate. Over the year, the number of referrals gradually increased with time as the service became more widely known. The most common psychiatric diagnoses were depression and adjustment disorder, at 21% each. 54% of patients also had input from the Palliative Medicine service.ConclusionsIt became evident from the referrals that there are substantial psychiatric needs in this population, and this need had been previously unmet. As we established a specialist service, the service uptake was initially slow, but as the service became more widely known in the hospital the number of referrals increased.
2053 – Single Child Families And Conflict Of Families
Authors: Jamshidi B. , Afshar M. , Rastgaran M. 
Published: July 2013

Due to the financial crisis during the war between Iran and Iraq, the growth rate of population in Iran decreased from 3.6% to 1.4% in a 20 year period while the age of marriage tended to rise to 25. Most young people preferred to be single and spend their energy on academic studies to have a stable life. For the couples, it became the rule to have only one child so that the parents can support him/her financially or emotionally. There were some benefits for families and society such as the reduction of the number students in the schools and more freedom for wome to work out of the horse. After twenty years, the age mean of population is increasing toward 40 and there is a great generation gap between the elderly and the youth.On the other hand, most of the children are coming up a new challenge. They suffer from loneliness at home and from lack of verbal communication with siblings. The researches show that the tendency of children to participate in social and group activities has declined to the extent that social presence of children in streets has fallen to one-third. Peer - to- peer relationship in now very limited for children as they must be at home to be supervised by parents. This new life style has had a direct effect on children's personality and academic achievements.
2057 – Predictors Of Perinatal Depresion: Sociodemographic And Obstetric Factors
Authors: Kitanovic Dmitrovic B. , Gojnic Dugalic M. , Nikolic Balkoski G. , Dmitrovic A. 
Published: July 2013

BackgroundPerinatal depression encompasses major and minor depressive episodes that occur either during pregnancy or within the first 12 months following delivery.ObjectiveTo screen 213 women for depression symptoms during pregnancy and postpartum at the Clinic for Obstetrics and Gynecology Clinical Center of Serbia and in the Primary Health Center “Zvezdara”.MethodsTwo thousand thirteen women, without psychiatric history, were screened for depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS). Questionnaire that covered key demographic and obstetric information and EPDS, were administered at the third trimester of pregnancy, and 8 weeks postpartum. Women were identified as at high risk for depression if scores were above a cut-off score of twelve.ResultsTwenty one percent of the sample was screened as depression positive during pregnancy. Subsequently, efforts were made to follow-up 195 women with a postnatal EPDS and ten percent were screened positive during postpartum. Risk factors low education level, dissatisfaction with financial situation, high risk pregnancy and depression during pregnancy. Logistic regression with backwards elimination showed that women who had high risk pregnancy have threefold increased risk for postpartum depression; antenatal depressive symptoms tenfold increased risk for postpartum depression.ConclusionClinicians should be aware of the frequency and level of depressive symptoms during pregnancy, especially in countries where screening tool for depression is not applied routinely in obstetrics settings. Therefore, it is very important to identify women at high risk. Be aware that depression is one of the risk factors that complicate pregnancy.
2059 – White Factors And Psychotherapy Of The Manic-depressive Psychosis
Authors: Arce Ross G. 
Published: July 2013

Based upon many clinical studies in CHS, CMP and private consulting, we have obtained a new concept on frequent conjunction about manic depressive psychosis. In order to name these factors in such a conjonction, we have used -in principle- white factors, or false mourning. In a second term, we realized that this term could lead us to confusion with the concept of pathlogical mourning, as well as the André Green concept on this, with same name.Therefore, we replace this by white factors, a more operational name.White factors, are negatives ones, tragical or catastrophics, as well as an erotical loss, a death, a sudden change in way of life, (and) that do not signifies a value of loss of object (but) reactualises empty value because of forclusion of paternal function. White factors is a provisory name (expecting for another more structural name) as they constitute many white spaces, or holes, in the development of the signification chain, organizing dangerously abreaction of subconscious. They produce, in fact, empty spaces engaged to enigmatic experience, where the subject gets more or less accomodation after the catastrophe of his born. However, these factors are not obligatory to be tragic ones, many times they are. Our opinion is that subconscious's reject gets back with strength in each one of white factors connecting, by its intermediary, with the pulsion's side that becomes into death.We want now study these white factors in the psychotherapy of the manic-depressive states.