bluuebunny/crossref_metadata_2025_split huggingface dataset:
2814 – Body Image Dissatisfaction and Eating Disorder Symptomatology: a Latent Structural Equation Modeling Examination of Moderators Among Adolescent Girls
Authors: Dakanalis A. , Favagrossa L. , Clerici M. , Volpato C. , Di Mattei V.E. , Riva G. , Madeddu F. , Zanetti A.M. 
Published: July 2013

Introduction:According to meta-analytic review, body dissatisfaction (BD) is recognized as the strongest risk factor of all forms of eating disorders (EDs).Yet, it has been found that BD is so prevalent among adolescent girls and young adult women that it is “normative”. The present study investigates why only a minority of adolescents girls report severe levels of ED symptomatology, when so many are body dissatisfied?Aims:Five theoretically relevant variables are investigated as potential moderators of the BD-ED symptomatology relationship (drive for thinness and bulimic behaviours).Methods:A sample of 401 Italian adolescent girls completed questionnaire measures of BD, drive for thinness, bulimic behaviours, as well as the proposed moderating variables of body checking, perfectionism, appearance control beliefs, internalization of socio-cultural standards of beauty, and self-esteem.Results:Structural equation modeling with latent factor interactions indicated that body checking, perfectionism, appearance control beliefs and internalization of socio-cultural standards of beauty intensified the primary BD-ED symptomatology, such that BD was strongly related to drive for thinness and bulimic behaviours when levels of each moderator were higher. By contrast self-esteem buffered the deleterious effects of BD, such that when levels of the moderator were higher, the relationship between BD and each criterion variable representing female's ED symptomatology was weaker.Conclusions:Several risk and protective factors have been found to interact with BD to influence its relation to ED symptomatology. The findings can inform the design and delivery of tailored prevention and treatments interventions for adolescent's eating disturbances.
2815 – Quality of the Assertive Community Treatment in the Avilés (Spain) Act Team
Authors: Martinez Jambrina J.J. , Gonzalez Lopez G. , Alvarez Solares J. 
Published: July 2013

Introduction:Martinez Jambrina et al. (2010) developed the first research on the quality of assertive community treatment offered by Avilés ACT team to patients who were referred to this service with psychiatric diagnoses included in the group of severe and persistent. This research focused on the study of quality standards on internal organization, assistential activity, external coordination, accessibility and quality of care considered by the users and their families.Objectives:To analyze the quality of the interventions of the Avilés ACT team during one year (april 2011–april 2012) and compare it with results reached in 2010.Methods:Descriptive Research - No experimental - Transversal.Population:ACT Team 11 members (2 psychiatrists, 6 nurses, 2 auxiliar nurses 1 social worker) and Users of ETAC: 110 users.Variables- Internal Organization:- Assistential Activity- External Coordination- Accessibility- Quality of Care.Conclusions:The results obtained are similar to our first research (2010) The ACT team of Aviles works with quality levels that can be considered optimal if referring to USA standards of quality in this intervention
2816 – Obsessive Compulsive Symptoms and Premorbid Adjustment as Predictors of Transition to Psychosis in Ultra-High Risk Subjects
Authors: Bourgin J. , Magaud E. , Gut A. , Kazes M. , Krebs M.-O. 
Published: July 2013

Introduction:Identifying at-risk mental states of psychosis can reduce the duration of untreated psychosis and the rate of transition. Meanwhile, it may improve prevention strategies of suicide, substance abuse and anxiety disorders comorbidities.Objectives:We aim to investigate the clinical symptomatology differences at baseline, especially in non-specific symptoms, between UHR (Ultra High Risk) patients who did or did not make a transition to psychosis. Sharpening UHR inclusion criteria may improve prediction of transition to psychosis.Method:The study included 85 young help-seekers (mean age= 20 y.o.) meeting UHR CAARMS’ criteria. 46 were followed up over a period of 30 months and 27 of them were assessed in a comprehensive clinical interview. Out of 46 finally included UHR subjects, 11 (40%) made a transition to psychosis. Psychopathology was investigated with the Comprehensive Assessment of At-Risk Mental State (CAARMS), BPRS and GAF-score. To identify the most predictive variables of transition, we applied a stepwise logistic regression on CAARMS’ criteria plus other variables (premorbid adjustment scale, cannabis use, subjective experienced life events, treatment and suicide).Results:At baseline, premorbid adjustment and severity of CAARMS’ Obesssive-Compulsive Symptoms (OCS) were found to significantly influence the transition: poor premorbid adjustment, associated with moderate level of OCS increased the sensitivity (72.7%) and the specificity (92.8%) of the prediction.Conclusions:Premorbid adjustment and level of OCS were predictive of transition in subjects at UHR. These characteristics could increase the level of prediction of psychosis.
2818 – Syndrome of Childhood Ataxia with Cerebral Hypomyelination (Cach) Revealed by Treatment-Resistant Depression
Authors: Stroescu A. , Cohen M. , Bayreuther-Giordana C. , Thomas P. , Pringuey D. , Benoit M. 
Published: July 2013

Introduction:White-matter abnormalities are sometimes associated with mood disorders, and atypical depression may be related with a leukodystrophy.Aims:A case report of a treatment-resistant depression with cognitive deficits and extensive white-matter hyperintensities suggested a literature review on this unattended association.Methods:A 33 yrs. woman was recovered in our psychiatric ward with a recurrent depressive disorder, partially resistant to antidepressant for eleven years. MADRS score was 26 at admission, without significant anxiety or psychotic symptoms. After 12 days, she presented delirium with neurological localisation symptoms. MRI examination put in evidence confluent hypersignal of white matter with demyelinisation, without grey-matter lesion. No biological or enzymatic abnormalities were detected. A severe executive dysfunction with information slowing was detected on neuropsychological assessment. We performed a literature review on the association of depression and leukodystrophy.Results:The presented case is a probable Childhood Ataxia with Cerebral Hypomyelination (CACH) syndrome lately revealed by treatment-resistant depression. It represents 30% of all causes of leukodystrophy, and as it is described typically in a childhood form, an onset at adulthood has also been reported, sometimes with foreground behavioural and affective disorders. in that form, it may present with a treatment-resistant and atypical depression.Conclusions:Treatment-resistant depression in young people with an atypical presentation may be related with an extensive white-matter disease, and a complete evaluation including MRI, biological, enzymatic, neuropsychological assessments, is therefore recommended.
2823 – Stress-Related Psychological Symptoms Among Health Care Professionals in a Greek Hospital
Authors: Lyrakos G.N. , Aslani H. , Catopodi A. , Papastavrou D. , Kouvari S. , Batistaki C. , Spinaris V. 
Published: July 2013

Introduction:Healthcare professionals (HCP) suffer from work-related or occupational stress often resulting from high expectations, coupled with insufficient time, skills and/or social support at work, but stress also resolves from everyday life.Aims:The aim of the present study was to measure the stress-related psychological symptoms in HCP and to assess significant differences among different specialties.Methods:Stress as a syndrome that is factorially distinct from depression and anxiety, characterized by nervous tension, difficulty relaxing and irritability, was measured with the stress scale of the Depression Anxiety Stress Scale (DASS). Statistical analysis was performed with SPSS-19.Results:196 HCP from a public hospital in Greece participated in the study. of them, 33 (16.6%) were males and 166(83.4%) females. 49(24.6%) were nursing staff, 59(29.6%) medical staff (MS) and 91(45.7%) administrative personnel (AP). in stress, Nursing Aid (NA) (M = 14.8 ± 8.4), Paramedics (P) (M = 17.8 ± 10.5) and MS (M = 13.7 ± 10.7) had higher scores from the general population (M = 12.4 ± 9.8). Statistical significant differences were found with Mann Whitney U, in stress between Register Nurses (RN) (M = 8.1 ± 6.4) and MS (M = 13.7 ± 10.7) (z = −2.458 p < .05) and between RN and NA (M = 14.8 ± 8.4) (z = −2.058 p < .05). After ANOVA, MS were found more easily upset, impatient and irritable/over reactive than RN(z = −1.952 −2.034 and −2.408 p < .05 respectively), NA more easily upset and irritable than RN(z = −2.875 and −2.160 p < .05 respectively) and paramedics were more impatient than RN (z = −2.713).Conclusions:Health care staff experiences stress with significant differences among different specialties that are correlated with the profession and the demands of the job description.
2828 – Comparison of Clinical and Sociodemographic Features of Bipolar Disorder According To Gender
Authors: Erdem M. , Akarsu S. , Bolu A. , Günay H. , Garip B. , Ak M. , Zincir S. 
Published: July 2013

Introduction:Although the lifetime prevalence of bipolar disorder is not different between men and women, some of the features of the disease vary between the genders.Aim:To compare the clinical and sociodemographic features of bipolar disorder according to gender.Methods:In this study the data of 125 bipolar disorder tip I patients who had been admitted to Department of Psychiatry of Gulhane Military Medical Faculty between 2009–2011 were examined. Data of these patients were obtained by examining the patients files.Results:95 of 125 patients (%76.0) were male, and 30 (%24.0) were female. Age of disease onset in bipolar male patients was 22,5 ± 6,9; %6.3 had a history of suicid attempt and %11.6 had a history of substance abuse. Age of disease onset in bipolar female patients was 28,7 ± 9.7. %23.3 had a history of suicide attempt. There was no history of substance abuse in female patients. Psychotic features and history of substance abuse were more prominent in men. The later age of disease onset and longer duration of hospitalization were determined in women.Conclusion:Our results were appeared to be in line with the results of the studies about gender differences in bipolar disorder. Making prospective studies about this subject is considered to be useful to determine the epidemiological characteristics of mood disorders.
2829 – Clinical Features in Hospitalized Bipolar Patients
Authors: Erdem M. , Akarsu S. , Ak M. , Bozkurt A. , Özşahin A. 
Published: July 2013

Introduction:Bipolar disorder usually begin at an early age and often need hospitalization. in this study, we aimed to investigate the clinical characteristics of patients with bipolar disorderMethods:The data of 108 bipolar type I patients who were admitted to psychiatry clinic of a university hospital due to manic episode between 2007–2009 were examined.Results:45 of 108 bipolar patients (41.6%) episodes of mania was just across diseases. 18 of these 45 patients were diagnosed with first-episode mania. Percentage of these patients according to their diagnosis index episode, mania was 65.7%; hypomania was 15.7%; hypomania and depressive episode was 18.5%. The number of entrants as a manic episode was approximately 3 times as depression disease beginners. Maximum rate of admission to clinic was in November and December (14.8% and 10.1%). The distribution of hospitalization rate was 21.2% in winter, 25.9 and 24% in spring and summer, 28.7% in autumn. The mean length of hospitalization was 22.4 ± 16.0 days and patients were hospitalized 2.75 ± 2.34 times during their diseases. Patients had manic episodes average of 3.1 ± 4.4 times and depresif episodes average of 1.4 ± 2.5 times during their diseases.Conclusions:There is no consensus regarding the types of seizures in first episode bipolar disorder. The first period of mania or depression is likely close to each other. in our study, the most prominent was mania with 65.7%. Major depressive periods usually begin in winter and autumn and improves in summer.
2833 – A Six Year Follow-Up Study of Cognitive Change in First Onset Depressive Patients
Authors: Su H. , Xu Y.F. , Jiang K.D. , Li F. , Zhang X.H. , Fang Y.R. 
Published: July 2013

Introduction:The debates about depressive disorder and cognition impairment are supported by controversial data.Objective:We launched the study to investigate cognitive change in first onset depressive patients over a 6 year period.Methods:A prospective cohort was performed. Participants included 206 cases of first onset depressive Chinese outpatient aged from 17 to 60 year old and followed from Apr. 2003-Feb. 2004 to Apr. 2009-Feb. 2010 in Shanghai. During the first 48 weeks, case management service was delivered. Participants were assessed by 17-HAMD and HAMA scale at baseline, week 12, week 32, week 48, and year 6. Cognitive changes were assessed using the WMS-RC, WAIS-RC, and WCST at baseline (n = 116), week 12 (n = 80) and year 6 (n = 24), 41 normal participants as control.Results:(1)During the first depressive onset, cognitive performance deteriorated comparing with those of control group (P < 0.01).(2)At week 12,effective medication could relieve symptom and improve cognition function (P < 0.05), cognitive performance compared between patient and control with no obvious difference (P > 0.05). While patient group had a significantly larger proportion (whose Memory Quotient below 85) than control group did (χ2 = 5.66, P < 0.05).(3)Using a general linear mixed model to estimate cognitive change,patients with more severe depressive retardation and lower education had a worse short-term memory over 6 years (estimate = -1.65, SE = 0.80, P < 0.05;estimate=1.63, SE = 0.30, P < 0.01), adjusting for demographics and medical status.Conclusion:The first onset depressive patient has cognitive defects. Memory does not full recovery after symptom relief. Short-term memory impairment persists over 6 years with relative factors.
2835 – French Version of the Hypomanic Personality Scale (HPS): Factorial Structure in a Non-Clinical Student Sample
Authors: Morvan Y. , Terrien S. , Blondel M. , Carré A. , Besche-Richard C. 
Published: July 2013

Introduction:Hypomanic Personality Scale (HPS) is a self-report questionnaire designed to identify high risk and vulnerable subjects to bipolar disorders in non-clinical samples.Objectives:To identify HPS factorial structure in a French non-clinical sample and to compare for different factors solutions described in the literature.Methods:We carried out a survey within a student population with a French version of HPS. The factorial structure of HPS was tested first by a scree plot with simulation (using R “psy” library) in an Exploratory Factorial Analysis (EFA) with promax rotation. Secondly the number of factor was fixed for a Confirmatory Factorial Analysis (CFA) performed with AMOS.Results:A total of 347 students (mean age 23 years, 80% of women) were included in PCA (incomplete questionnaires were not included). Scree Plot with simulation revealed a 5 factors solution which accounted for 33% of the total variance. We also tested the 3 and 4 factors solution to compare respectively with factors solution obtained by Rawling et al. (2000) and more recently by Schalet et al. (2011). Our 4 factors solution was identical to Rawling et al. (2000) but the 3 factors solution was different from Schalet et al. (2011). Goodness of fit indices showed that the 5 factors solution “fits” our data better compared to other factorial solutions.Conclusions:French version of the HPS showed a factorial structure composed of 5 factors in a non-clinical student population. However, this result needs to be confirmed with a more important and representative sample.
2840 – Quality of Life and the Levels of Depression and Anxiety at Polycystic Ovary Syndrome
Authors: Erdem M. , Balıkcı A. , Öznur T. , Akarsu S. , Keskin U. 
Published: July 2013

Introduction:Polycystic ovary syndrome (PCOS) is a common disease in women during the reproductive period. Studies have shown a reduction in the quality of life in patients with PCOS. But there is no consensus on which symptoms of PCOS influence the quality of life more.Aim:In this study, we aimed to compare the quality of life, depression and anxiety levels of patients with PCOS to healthy controls.Methods:53 reproductive-age women with PCOS and 53 healthy women who admitted to obstetrics and gynecology outpatient clinic of a university hospital were included in the study. For the evaluation of the quality of life of all patients, Polycystic ovary syndrome quality of life scale (PCOS-Q), Beck depression and anxiety levels of depression (BDI) and Beck Anxiety Inventory (BAI) was used.Results:While mean BDI scores were higher in patients with PCOS compared with control group, no significant difference was observed between the two groups in terms of BAI score. At the PCOS group; the total score of quality of life scale and the subscale scores of emotional deterioration, weight problems, infertility and menstrual disorders were significantly lower than the control group, but no significant difference was detected at the hirsutism subscale between the two groups.Conclusions:PCOS has a negative impact on patients’ quality of life. To improve the quality of life of patients it should be taken into account the symptoms which are affecting the current state and the treatment should be planned toward this direction.
2844 – Idea Inpatient Discharge Project: Experiences and Analysis
Authors: Roventa C. , Banjac V. , Brecic P. , Cavajda Z. , Dujmovic J. , Ergovic-Novotny D. , Gasparovic M. , Giurgi C. , Grahovac T. , Kekin I. , Knez R. , Nawka A. , Peharda T. , Razic A. , Roata L. , Rojnic M. , Smoljanic D. , Tomicevic M. , Vidovic D. , Zhabenko O. , Zivkovic M. , Thornicroft G. , Sartorius N. 
Published: July 2013

Introduction:IDEA project is the outcome of Association for the Improvement of Mental Health programme and coordinated at Institute of Psychiatry, King's College London.Aims:Are to explore experience of people treated in a mental health setting across nations, determine how inpatient experiences can be improved. Experience gained from interviews will be used to propose questionnaire for routine use, develop versions of interview for other services, inform a possible follow-up study.Methods:30 consecutive patients are interviewed on day of discharge in own language. Semi-structured interview covers physical condition in institutions, experiences of treatments like medication, satisfaction with staff, privacy, dignity and whether rights were respected. Responses are summarized on several visual analogue scales and quantitative analysis will be performed. The scale will also be analysed by demographic indices within centres to see whether different groups have different experiences.Qualitative responses will be analysed thematically, both within and between centres, identifying core themes for each domain and core themes for the protocol as a whole.Results:10 countries are participating, 577 interviews are completed. It is noticed a large disparity between institutions in regards to the amount of contact patients have with family, access to phone, quality of food, surroundings and view of medication and therapy.Conclusion:It will be a better understanding of the size, structure and staffing of the institutions included in the study, which will help us with our observations about inpatient experiences by putting them in context and make recommendations to institutions.
2846 – A Multicentre Study on Adult Attention-Deficit/Hyperactivity Disorder in Subjects with Affective Disorders: Role of Personality Traits and Clinical Implications
Authors: Di Nicola M. , Sala L. , Romo L. , Catalano V. , Tedeschi D. , Even C. , Dubertret C. , Mazza M. , Martinotti G. , Callea A. , Guelfi J.D. , Rouillon F. , Janiri L. , Gorwood P. 
Published: July 2013

Background:A significant comorbidity between attention-deficit/hyperactivity disorder (ADHD) and affective disorders has been consistently reported in adults. Less data regarding the role of personality traits, and the influence of ADHD co-occurrence on clinical characteristics and outcome of mood disorders are currently available.Methods:The sample consisted of 296 subjects, divided into three homogeneous groups according to demographic characteristics: 106 subjects diagnosed with major depressive disorder, 92 with bipolar disorders and 98 healthy controls. ADHD diagnosis was based on DSM-IV-TR criteria. Childhood and adult ADHD features were measured with the Wender Utah Rating Scale (WURS), the Adult ADHD Self-rating Scale (ASRS) and the Brown Attention Deficit Disorder Scale (ADD). The Hospital Anxiety and Depression Scale (HAD) and the Revised NEO Personality Inventory (NEO-PI-R) were also administered to the clinical groups, in order to investigate depressive/anxious symptoms and personality dimensions.Results:The prevalence of adult ADHD in subjects with bipolar disorders or major depressive disorder was 22.0% and 8.5% respectively (p < .001), compared to 3.1% in healthy controls. Significant associations between personality traits, depressive/anxious symptoms and ADHD features were found.Discussion:The present study emphasises the close relationship between affective disorders, especially bipolar disorders, and ADHD in adults. Our findings support the need to assess subjects with mood disorders in the clinical setting for possible co-existing ADHD and to further investigate personality traits to better understand the etiology of affective disorders and ADHD co-occurrence.
2847 – The Role of Family/Caregivers in Management of Delirium
Authors: Martins S. , Simões M. , Fernandes L. 
Published: July 2013

Delirium is a prevalent neuropsychiatric syndrome in elderly patients hospitalized, associated with negative clinical outcomes. in this context, the early identification, timely and optimal management of people with delirium are fundamental in the treatment. According to the current recommendations from NICE, once delirium occurs, non-pharmacological interventions should be considered as the first-line, with identification of any possible underlying causes, providing supportive care and preventing complications and treating behavioural problems.Family and caregivers involvement by health professionals is also recommend, for an effective management of this clinical condition.The present study aims to present an update about the role of family in the management of delirium.Its presence becomes beneficial to the patient, helping protect against emotions of fear, anxiety, loneliness or isolation. They can also facilitate effective communication, using some strategies such as verbal reorientation, clear instructions, eye contact, making the patient feel more secure.On the other hand, the education of families and caregivers by health professionals about delirium symptoms, fluctuating course, possible causes, as well as treatment options, becomes also crucial to the management of this syndrome.The present work is supported by FCT (Foundation for Science and Technology) PhD fellowships (SFRH/BD/63154/2009 - S. Martins).