bluuebunny/crossref_metadata_2025_split huggingface dataset:
1326 – Correlations Of Self-injury Behaviour, Aggression & Emotional Intelligence In Adolescents With Different Mental Disorders
Authors: Zvereva M. 
Published: July 2013

IntroductionProblems of self-injury behaviour (SIB) now are extremely actual in normal and abnormal adolescence, however, amount of psychological researching is limited (Gratz K.L., Polskaya N.A.). Here we use combined definition of SIB as the intentional, direct injuring of body tissue usually done without suicidal intentions.ObjectivesAdolescents 13-17 years old:Experimental group 1 - 17 patients (schizotypal disorder - EG1).Experimental group 2 - 11 patients (psychopathic syndrome - EG2).Control group - 20 normally developed adolescents.AimsDetermining of risk factors for self-injury behaviors among adolescents with different mental disorders.Methods1.SIB scale (N.A.Polskaya)2.Emotional Intelligence Scale - EQ (D.Goleman)3.Aggression questionary (Buss A.H. & Perry M.)4.Dembo-Rubinshtein self-assessment testResultsWe assess correlation between SIB and other analyzed parameters in both experimental groups.Correlation coefficient in EG11.index of SIB and EQ -0,730 (p < 0.001)2.index overall scores of aggression questionary and SIB 0,725(p < 0.001)3.index anger and physical SIB 0,651 (p < 0.01)4.index self-assessment of character and SIB -0,690(p < 0.01)Correlation coefficient EG21.index of SIB and EQ0,661(p < 0.05)2.index hostility and psychological SIB 0,650 (p < 0.05)Control group haven’t any correlations.ConclusionsSimilar correlations of SIB and EQ was obtained in experimental groups.Correlation between anger score and physical SIB was shown in EG1.Correlation between hostility score and psychological SIB was shown in EG2.It was found antithetic correlation between self-assessment of character and SIB in EG1.
1331 – Are Depression And Anxiety Related To Insomnia In Epilepsy Patients?
Authors: Ghahramanyan L. , Gevorgyan D. , Khachatryan S. 
Published: July 2013

IntroductionInsomnia is a frequent symptom of depression and vice versa. Both are prevalent in epilepsy and can worsen the course of disease.ObjectivesTo assess relationship of insomnia with depression and anxiety in epilepsy.MethodsAdult patients with all-cause epilepsy diagnoses attending a tertiary epilepsy and sleep centers were interviewed regarding insomnia symptoms. Patients were divided into two groups: with (IG) and without (WIG) insomnia. Depression and anxiety were assessed by Hamilton’s depression (HAMD) and anxiety (HAMA) scales. T-test was used for statistics.Results58 patients with epilepsy aged 18-64 (mean age - 33.8, 21 females - 36.2%) were enrolled. Among these patients 31 had insomnia complaints (53.4%). The groups did not differ in terms of mean age: 33.1 for IG and 34.3 for WIG (p>0.05). Mean values for HAMD and HAMA in the groups were as follows: HAMD - 16.3 for IG, 11.04 for WIG; HAMA - 18.3 for IG, 13.4 for WIG. For both scales there was an increase in levels of depression and anxiety for epilepsy patients with insomnia. The difference reached statistical significance for depression (p = 0.004). Anxiety was also numerically more prevalent in IG but this difference was not significant (p = 0.055).ConclusionResults of our study show that insomnia is a frequent co-morbidity in epilepsy. We found that depression is more prevalent in patients with concomitant epilepsy and insomnia than in patients without difficulties initiating or maintaining sleep. Anxiety also seems to be more marked in insomniac epilepsy patients but to a lesser degree.
1332 – Radiation Post-traumatic Stress Disorder
Authors: Loganovsky K.N. , Zdanevich N.A. 
Published: July 2013

BackgroundWhether PTSD following radiation emergency has psychopathological, neurocognitive and neurophysiological peculiarities is at issue.GoalTo explore features and cerebral basis of “radiation” PTSD in the Chernobyl accident survivors.Subjects and methodsThe cross-sectional study included 241 people, 219 of whom have been diagnosed with PTSD according to the DSM-IV criteria, among them 115 clean-up workers [liquidators] of the Chernobyl accident (34 with acute radiation sickness), 76 evacuees from the Chernobyl exclusion zone, 28 veterans of the war in Afghanistan, and 22 healthy unexposed individuals. Psychometric examinations, neurocognitive assessments, computerized electroencephalography, and cerebral vascular Doppler were used.Results“Radiation” PTSD includes: “flashforward” phenomenon and anticipating stress (projection of fear and danger to the future); somatoform disorders, depression, trait and state anxiety; neurocognitive deficit (impaired memory and attention, auditory-verbal memory and learning, proactive and retroactive interference; cerebellar and stem symptoms, intellectual changes). The intima-media component thickness of common carotid arteries, and common and left internal carotid arteries stenosis rates are increased in the liquidators. Changes of bioelectrical brain activity as a decrease of beta- and theta-power together with an increase of alpha-power were found in the Chernobyl accident survivors with PTSD.ConclusionsPTSD following radiation emergency is characterized by comorbidity of psychopathology, neurocognitive deficit, and cerebrovascular pathology with increased risk of cerebral atherosclerosis and stroke. Cerebral basis of this PTSD is proposed to be an abnormal communication between the pyramidal cells of neocortex and hippocampus, and deep brain structures.
1333 – Study On The Incidence Of Depression And Apathy In a Group Of Patients Diagnosed With Parkinson’s Disease
Authors: Dumitru M.M. , Botezatu C. , Andrei R. , Popescu C.D. , Chirita V. , Chirita R. 
Published: July 2013

IntroductionDepression and apathy are among the most common psychiatric and behavioral disorders associated with Parkinson’s disease (PD). This two psychiatric disorders are major determinants of quality of life for patients with Parkinson’s disease.ObjectivesThe main objective of this study was to establish the prevalence and demographic and clinical correlates of depression and apathy in a sample of inpatients with Parkinson’s disease.AimsTo identify depression and apathy in a group of patients diagnosed with Parkinson’s disease and to allow appropriate treatment to improve their quality of life.MethodsA number of 44 inpatients with Parkinson’s disease were investigated with the Starkstein’s Apathy Scale (AS), the 17-item Hamilton Depression Rating Scale (HDRS-17), the Hoehn and Yahr staging (HY), the Unified Parkinson’s Disease Rating Scale (UPDRS) and the Mini -Mental State Examination (MMSE).ResultsApathy coexisted with depression in 34.1% of PD patients, compared with depression without apathy in 4.6%, and apathy without depression in 22.7%. Apathy was associated with higher UPDRS score, lower MMSE score and earlier HY stages. Depression was correlated with more advanced HY stages and younger age of patients with Parkinson’s disease.ConclusionsApathy and depression are common in patients with Parkinson’s disease. Therefore these two conditions should be screened and considered in the management of patients with Parkinson’s disease.
1347 – Pseudocyesis Study In Brazil
Authors: Caixeta L. , Brasil R. , Vargas C. , Taveira D. , Caixeta M. , Verlaine P. , Caixeta V. 
Published: July 2013

IntroductionPseudocyesis is a rare condition in which a non-pregnant patient believes to bear a child due to psychological or somatic manifestations,or even both.Usually,there is a misinterpretation of body changes associated with emotional aspect of pregnancy or thought disorders(or chronic mental disorders),what makes pseudopregnancy a complex disorder to deal with,starting with its confusing classification in the DSM IV-TR.ObjectivesTo document epidemiologic aspects of false pregnancies in a Brazilian population, reporting the most prevalent psychiatric diagnosis and demographic features associated, and compare it to the literature.MethodologyRetrospective study of 20 patients diagnosed with pseudocyesis over a ten-year period in 3 hospitals of a Brazilian central region.Compare data with studies on sociodemographic, clinic, biological and evolutive correlates of pseudocyesis in PubMed.ResultsThe mean age was 33, with the majority between 20–44. The symptomology matches the literature.Of the women, 15 (83%) were in the reproductive age, but 8 (44%) of them were infertil. Two male patients with pseudocyesis had a typical psychiatric presentation. The psychiatric diagnosis were: 9(45%) affective disorders, 9(45%) psychotic disorders, 1 (2,5%) Huntington‘s Disease and 1 (2,5%) epilepsy.ConclusionsIn terms of Brazil, this is an unique study of the subject, with the greatest data collected so far. We found many similarities,including age, socioeconomic status, symptoms, underlying disorders and history. And we notted the frequency of psychiatric disorders in those patients (specially Bipolar Disorder and Schizophrenia)
1351 – Second Hand Smoking (shs) In An Inpatient Psychiatric Unit
Authors: Zografaki A. , Basta M. , Vardavas C. , Tzanakis N. , Girvalaki C. , Koudas V. , Vgontzas A. 
Published: July 2013

IntroductionIn Greece, current legislation prohibits smoking in hospitals, but not in psychiatric units, that may be associated with significant Second Hand Smoking (SHS) adverse effects on nonsmoking patients/staff.ObjectivesTo examine the extent of SHS, and investigate the attitude of the nursing staff regarding smoking in a psychiatric inpatients unit.Aim1To measure objectively indoor air pollution using PM2.5 in the Psychiatric Inpatient Unit of the University General Hospital of Heraklion, Crete (PIU/UOC).2To investigate the attitude of the nursing staff towards the smoking permission in psychiatric units.MethodsData on smoking were collected for all inpatients between Nov’12-Sept’12. Pollution levels in PIU/UOC due to SHS were recorded by using the TSI Sidepack device. Nursing staff from the psychiatric unit, and medical and surgical units completed a short Questionnaire including demographics, smoking habits and attitude about the existing legislation on smoking.ResultsAmong 444 inpatients, 42% were non-smokers. Within the PIU/UOC, indoor pollution attributable to smoking, averaged 318 μgr/m3(range: 82–730 μg/m3). 295 nurses (mean age 39.6 ± 7.5 yrs) completed the questionnaire and only 31.2% disagreed with the existing legislation, whereas 64% responded that they wouldn’t avoid working in a psychiatric unit because of smoking permission.ConclusionsSHS concentrations within a psychiatric inpatient unit are comparable to those in bars, suggesting a detrimental effect on nonsmoking patients’/employees’ health. These results suggest the need to increase awareness among nursing staff of the adverse effects of SHS and to implement measures to decrease SHS’s impact on other patients/staff, i.e. nicotine patches
1353 – One Thousand Consecutive Attendees Of a Nigerian Psychiatric Emergency Service: Clinical And Socio-demographic Profile
Authors: Adeosun I. , Lawal R. , Ogun O. 
Published: July 2013

IntroductionThe Psychiatric Emergency service occupies a strategic position where crucial interventions can be initiated and coordinated in linkage with other services in the mental health network. However, there is dearth of information on users of psychiatric emergency in Nigeria and sub-Saharan Africa.Objectives/aimTo determine the clinical and socio-demographic characteristics, pattern of presentation and disposal of patients attending a Nigerian psychiatric emergency unit.MethodsOne thousand Patients consecutively presenting to the emergency unit of the Federal Neuro-Psychiatric Hospital Yaba, Lagos, Nigeria from January 2012 were prospectively assessed. Following a comprehensive psychiatric evaluation, clinical, socio-demographic and other relevant data regarding their presentation and disposition were recorded into a pro-forma and subjected to statistical analysis.ResultsThe majority were females (54.7%), single (65.6%), and unemployed (62.9%), with a mean age of 36.4 (± 14.7) years. Less than two-thirds (62.0%) were new patients. Only 10.8% of the new patients were formally referred to our facility. The most common diagnoses were schizophrenia (34.3%), depression (16.5%) and substance use disorders (11.4%). The patients were predominantly (89.4%) managed as out-patients.ConclusionThe emergency room is a major port of entry into mental health care and could be prone to over-subscription by patients with non-acute problems, especially when alternatives are not readily accessible. Multipronged interventions, including community based care with relevant linkages, may facilitate appropriate utilization of mental health services and reduce the potential for overcrowding of the psychiatric emergency room.
1363 – Patients And Corticosteroids: Effect On Mood, Quality Of Life And Adherance To Treatment
Authors: Abbes M. 
Published: July 2013

ObjectiveThe objective of this study is to investigate the quality of life of patients receiving oral corticosteroids, his impact on the occurance of depressed or hypomanic mood and on the adherence to corticosteroids.Materials and methodsThis descriptive study was held in the department of Internal Medicine, during 04 months (From July to October 2012). We included 50 patients, having corticosteroids with a dose equal or greater than 10 mg of prednisone per day for a period exceeding one month. We used, the HAD scale, the SF-36 to investigate the quality of life of these patients, the ANGST scale of hypomania and Morisky scale for the dherence to treatments.ResultsThe average age was 43.43 + / -16.11 years. The age of discovery of the disease was 38.24 + / -14.28 years. An average score of anxiety was 10.6 + / -3.89. An average score of hypomania was 8.43 + / -4.025. We noted that 53.7% of patients belong to level 3 of anxiety, and 40.56% have some level depression by the HAD score. Psychiatric complications were noted in 58.5% of patient with a major depressive state in 12.2%. Patients reported sleep disturbances in 24% with behavioral problems in 9.6% of cases.The average score of SF36 was 56.55 + / -15.21, and 74% of patients had distorted quality of life, mainly affecting psychic health (92.54%).ConclusionOur results suggest the interest of a psychiatric examination before the introduction of corticosteroids, in order to detect patients requiring special supervision.
1365 – Family Functioning, Expressed Emotion And Family Burden In Relatives Of First- Episode And Chronic Patients With Schizophrenia And Bipolar Disorder: Preliminary Findings
Authors: Koutra K. , Basta M. , Roumeliotaki T. , Stefanakis Z. , Triliva S. , Lionis C. , Vgontzas A.N. 
Published: July 2013

IntroductionThe influential role of family in the outcome of chronic mental illness is well documented; however there has been relatively little research on the intrafamilial relationships of people experiencing their first episode of psychosis (FEP).ObjectivesTo investigate possible differences in family environment between FEP and chronic patients with schizophrenia and bipolar disorder.AimsTo compare family measures between relatives of FEP and chronic psychotic patients.MethodsFamily functioning (FACES-IV), expressed emotion (FQ), family burden (FBS) and psychological well being (GHQ- 28) were assessed in relatives of 30 FEP and 30 chronic patients.ResultsMultivariable linear regression models adjusted for confounders revealed that relatives of chronic patients scored significantly lower in balanced cohesion (β coefficient -4.27, 95% CI: -08.03, -1.71) and balanced flexibility (β coefficient -4.01, 95% CI: -6.91, -1.10), as well as communication (β coefficient -6.61, 95% CI: -11.70, -1.50) and satisfaction scales (β coefficient -7.32, 95% CI: -13.23, -1.41). Relatives caring for a chronic patient had significantly higher scores in critical comments (β coefficient 7.81, 95% CI: 3.95, 11.68) and emotional overinvolvement (β coefficient 3.70, 95% CI: 0.24, 7.16). They, also, reported higher objective (β coefficient 12.23, 95% CI: 3.76, 20.71) and subjective (β coefficient 2.79, 95% CI: 0.45, 5.14) burden, as well as poorer psychological well being (β coefficient 12.23, 95% CI: 3.76, 20.71).ConclusionsThese findings suggest that chronicity adversely affects patients’ family. Early intervention strategies are needed to reduce family burden which in turn may adversely affect the course of the patient’s illness.
1366 – Lupus: Psychosocial Impact, Coping And Mental Health
Authors: Oliveira C.A. , Avelino M.J. , Paixão L.S.M. , Agostinho C.S. , Jara J.M. , Bento A.J. 
Published: July 2013

IntroductionSystemic lupus erythematous (SLE) is the paradigm of chronic systemic diseases. It has a strong impact regarding patient’s quality of life and the ability to work, which carries high direct and indirect costs. Intervention strategies promoting appropriate coping seem to have an important positive effect on quality of life. Neuropsychiatric symptoms are common.Objectives and aimsTo review the literature on psychosocial impact of SLE, understand which coping strategies are more often used, and to know what are the most common SLE neuropsychiatric manifestations.MethodsThe authors have conducted an online search in PubMed with the terms “SLE + Psychiatry” and “SLE + Mental health” from 1995 until 2012. From the outcome were collected, analyzed and summarized the articles considered to be relevant.ResultsIndirect costs represents 2/3 of the total cost associated with SLE. Inability to work is common (23%) and it is related to multiple factors. Patients with SLE tend to use coping skills that are generally adopted for events perceived as nonmodifiable. The immune system might play a role in the aetiopathogenesis of psychiatric diseases. Neuropsychiatric SLE symptoms are frequent (20-75%), especially depression (10.8-39.6%) and cognitive deficits (>40%).ConclusionsSLE is a chronic systemic disease with a high psychosocial impact. Using active coping strategies seems to improve patient’s quality of life. Neuropsychiatric manifestations are common. A detailed study on disease impact will probably allow an earlier screening that lead to a more accurate diagnosis and treatment, promoting better mental health and prognosis in SLE patients
1367 – High Incidence Of Vitamin d Deficiency In Patients With Schizophrenia
Authors: Agarwal S.K. 
Published: July 2013

IntroductionNeonates born in the winter and those with hypovitaminosis D levels exhibit a higher propensity to develop schizophrenia. Several reports have suggested that adult schizophrenics have lower vitamin D levels.ObjectivesThis study was done to evaluate the presence of hypovitaminosis D in institutionalized schizophrenics.AimsTo compare vitamin D levels in institutionalized patients with schizophrenia.MethodsWe retrospectively reviewed the vitamin D results on all schizophrenic patients seen in our office during a period of six months. Vitamin D was measured as 25-hydroxyvitamin D in the blood and reported as ng/ml. The levels were recorded and classified as follows: more than 30 ng/ml: normal; 21 to 30 ng/ml: mild deficiency; 11 to 20 ng/mL: moderate deficiency; 10 ng/ml or less: severe deficiency.ResultsTotal of 83 patients, 63 had vitamin D levels measured. 46 (73%) had low Vitamin D levels, while 17 (27%) had normal vitamin D levels. Of the 26 females, 20 (77%) had low vitamin d levels and of the 37 males, 26 (70%) had low vitamin D levels. 10 of the 63 had severe deficiency, 22 of the 63 had moderate deficiency while 14 of the 63 had mild deficiency. No difference was noted between the males and females.ConclusionIt is estimated that as much as 60% of the adult US population suffers from vitamin D deficiency. Our population of institutionalized schizophrenia patients had a 73% incidence of hypovitaminosis D. It may contribute to the higher morbidity and mortality noted in this population.
1371 – Significant Polypharmacy In Patients With Psychiatric Disorders
Authors: Agarwal S.K. 
Published: July 2013

IntroductionPolypharmacy involving prescribed medications in the psychiatric population is increasing. The main psychiatric reason is to gain rapid therapeutic response as well as to bolster medication effectiveness in treating patients with refractory psychotic symptoms, mood symptoms, or behavioral problems. This may also increase the need for additional medications to treat side-effects. Further, these patients have significant co-morbid conditions, requiring additional non-psychiatric medications.ObjectivesTo examine polypharmacy amongst psychiatric patients during their visit to an internist's office.AimsTo confirm the presence of significant polypharmacy in patients with psychiatric diseases.MethodsAll patients seen in our office from residential boarding homes and under care of psychiatrists were included in the study. A list of all medications (antipsychotic and non-psychiatric) were obtained from the boarding home, office charts and pharmacy and tabulations done. Polypharmacy was defined as 5-9 medications and excessive polypharmacy more than 10 medications.ResultsOf the total of 146 patients (92 males, 54 females, aged 24-82 years), 4 (3%) were on one, 6 (4%) on two, 3 (2%) on three, 12 (8%) on four, 9 (6%) one five, 11 (8%) on six,16 (11%) on seven, 14 (10%)on eight, 22 (15%) on nine, 8 (5%) on ten, 41 (28%) on 11 or more medications.ConclusionsPolypharmacy and excessive polypharmacy is common in psychiatric patients. Monotherapy was extremely rare, with only 4 patients (3%) being on only one drug. Our data suggests that polypharmacy in a residential psychiatric population is more common and more severe than previously reported.
1379 – Living With Urological Cancer: Quality Of Life, Effect On Mood And Neuroticism Level
Authors: Abbes M. 
Published: July 2013

ObjectiveThroughout the course of care, sexuality's patients with urological cancer can be distorded. The aim of the study was to determine the influence of urological cancer on quality of life and the impact of the disease on their psychological state and social lives.Materials and methodsThis is a descriptive study that took place from July until mid-October 2012 in a urology department including 36 male patients with urologic cancer (bladder cancer…)We used: SF36, HAD scale, Neuroticism scale.ResultsWe noticed that the average age of patients; 93.3% were married. The mean age of discovery cancer was 65.9 + / - 11.74 years.Before starting treatment, erectile dysfunction has increased to 83.3% suggesting the involvement of a psychological effect, especially with the reached the urogenital tract and an unpredictable violation of their sexual life.After treatment, erectile dysfunction was observed in 86.7% with a decrease in libido 96.7%, with psychological and organic effect.Anxiety score ranged from 2 to 16; 23.3% of patients had a score above 10 and 40% of them have belong to level 3 of depression.An average score of neuroticism was 146.53 + /- 20.44 with a maximum of 181.The average score of SF36 was 61.05 + / -16.42 and we noted that 67.5% of patients had impaired quality of life.ConclusionA program to improve the care of patient with urological cancer is very important, because the dimensions of sexual health and his effect on quality of social life and psychology.