bluuebunny/crossref_metadata_2025_split huggingface dataset:
827 – Suggestibility in Persons with Schizophrenia
Authors: Iosebadze T.T. , Dzagania N.D. 
Published: July 2013

Aim:Study of suggestibility in persons with schizophrenia to ascertain whether it is advisable to use hypno-suggestive methods in the system of psychotherapeutic help to them.Method:As a method of study we used Barber's Creative Imagination Scale. to subjects of the experimental group this method was applied from 2 to 5 times, during 6 months.Main results:In the experimental group the subjects have been distributed in the following way:(0)lack of suggestibility - 12.68%;(1)weak degree of suggestibility - 20.56%;(2)average degree of suggestibility - 13.8%;(3)high degree of suggestibility - 24.51%;(4)very high degree of suggestibility - 28.45%.In the control group we have obtained the following percentage distribution of subjects:(0)lack of suggestibility - 6.76%;(1)weak degree of suggestibility - 17.18%;(2)average degree of suggestibility - 22.25%;(3)high degree of suggestibility - 27.89%;(4)very high degree of suggestibility - 25.92%.We also have studied changeableness of suggestibility during 6 months in the experimental group: invariable indices of suggestibility were shown by 27.95% of subjects; 37.26% of subjects had slight changeableness; suggestibility was considerably changed in 26.09% of subjects; and radical change was obtained in 8.7% of subjects.Conclusion:The obtained results point to the advisability of applying hypno-suggestive methods in the system of psychotherapeutic help of individuals suffering from schizophrenia.
831 – Self-stigmatization and Treatment Outcome of Pharmacoresistant Patiens with Anxiety Disorders in Komplex Inpatients Treatment Program
Authors: Ociskova M. , Prasko J. , Cerna M. , Grambal A. , Jelenova D. , Kamaradova D. , Latalova K. , Sedlackova Z. , Sigmundova Z. 
Published: July 2013

Although several studies have assessed the relationships between stigmatization and treatment outcome of psychotic patients, relative little is known about the role of self-stigmatization and treatment outcome in patients suffering with anxiety disorders. Our study is designed to search for the relation between self-stigmatization and treatment outcome of pharmacotherapy resistant patients suffering with panic disorder, generalized anxiety disorder, social phobia, OCD and PTSD treated in complex program (cognitive behavioral therapy and pharmacotherapy) for anxiety disorders.Method:Sixty patients with pharmacoresistant anxiety disorder recommended for in-patient complex therapeutic program (combination of cognitive-behavioral therapy and pharmacotherapy) were evaluated during structured interview focusing on self-stigmatization with clinical psychologist. There were divided into 3 groups according level of self-stigmatization. the patients were treated in intensive 6 weeks cognitive behavioral therapy program combined with treatment of antidepressants.Results:Preliminary results show, that patients with high level of self-stigmatization improved less in complex therapeutic program than patients with low level of self-stigmatization.Supported by:IGA MZ CR NT 11047-4/2010
833 – Depression and Personality Disorders - Treatment Findings
Authors: Sedlackova Z. , Prasko J. , Cerna M. , Grambal A. , Jelenova D. , Kamaradova D. , Latalova K. , Ociskova M. 
Published: July 2013

Although several studies have assessed the relationships between the personality and depression, relative little is known about the role played comorbid personality disorder in the treatment of the depression. Our study is designed to compare the shortterm effectiveness of therapy in patient suffering with social phobia with and without personality disorder.Method:The aim of the study was to assess retrospectively the efficacy of the in-patients therapeutic program for in patients suffering with depressive disorder and comorbid personality disorder (40 patients) and depressive disorder without comorbid personality disorder (40 patients). the electronic and paper documentation of age matched patients with depressive disorder and personality disorder and patients with depressive disorder without personality disorder hospitalized between years 2008- 2010 in Department of psychiatry of University Hospital Olomouc were randomly choose and studied and assessed by blind assessor according prepared criteria measured the efficacy of the treatment. the other factors for the analysis are the age, gender, dose of medication, comorbidity, length of the treatment, CGI and number of hospitalizations during 2 years follow up.Results:Preliminary results show, that patients of both two groups significantly improved during the treatment period. the outcome of patients with personality disorders was worse in the assessment of clinical state at the end of the index episode treatment, longer time of hospitalization, higher dosage of medication and higher number of hospitalization in follow up.Supported by:IGA MZ CR NT 11047-4/2010
837 – Request for Sex-reconversion Surgery - Case Report
Authors: Duisin D. , Barisic J. , Batinic B. 
Published: July 2013

General data:41 years-old; biological male; divorced; father of five children; university degree.Chief complaint:Regret following male-to-female sex-reassignment surgery (SRS) and facial plastic surgery; requesting sexreconversion operation.Psychiatric history:Compulsive, high-risk sexual behaviour, triggered by traumatic life-events during puberty (death of father and departure of mother at the age of 14). Symptoms evolved throughout adolescence and adulthood with persistent identity diffusion, intense abandonment fears, feelings of chronic emptiness and guilt, mood swings, unstable and intense interpersonal relationships, impulsivity and self-destructive behaviour. Gender history and transition: No evidence of gender nonconformity, gender dysphoria, gender-role discomfort or cross-gender identification. Uncertainty regarding male's role and identity diffusion, persisting since puberty. An impulsive decison for SRS and facial plastic surgery at the age of 40 (performed abroad), without a recommendation letter, motivated by the urge to resolve identity confusion and diminish compulsive sexual behaviour. He subsequently acknowledged his male identity, which led to relief of symptoms and request for sex-reconversion surgery.Conclusion:Gender history and clinical presentation confirmed that the patient did not sufficiently meet criteria for Gender Identity Disorder, but rather for Borderline Personality Disorder. the authors are highly aware that this topic is significantly connected to issues of the human right to free choice; however we would wish to impose a medical obligation for a rigorous psychiatric assessment for origin of gender identity diffusion and discomfort. Psychotherapy and pharmacotherapy should be the first treatment choices before any radical surgery interventions are undertaken.
840 – Heart Rate Variability In Panic Disorder Patients Before And After The Therapy
Authors: Diveky T. , Prasko J. , Cerna M. , Kamaradova D. , Grambal A. , Latalova K. , Ociskova M. 
Published: July 2013

We assessed HRV (heart rate variability) in 31 patients with panic disorder before and after 6-weeks treatment with antidepressants and CBT and 18 controls. Patients were regularly assessed weekly on the CGI, BAI and BDI. HRV was assessed during 3 positions. Thirty one pharmacoresistant panic disorder patients entered a 6-week open-label treatment study. A combination of CBT and pharmacotherapy proved to be the effective treatment. Patients significantly improved in all rating scales. There were highly statistical significant differences between panic patients and control group in all components of power spectral analysis in 2nd (VLF, LF and H in supine) and in two component of 3rd (LF and HF in standing) positions. There was also statistically significant difference between these two groups in LF/HF ratio in supine position (2nd). We have found statistically significant differences in HRV frequencies between before and after CBT program in VLF in standing position. We have also found statistically significant differences in HRV frequency ratios in the third position in case of decrease VLF + LF / HF ratio. We can also see decreasing activity in VLF and LF band in standing position in1st measurement and an increase in VLF and LF band in standing position in 2nd measurement.ConclusionsThese findings demonstrate a lower autonomic power in panic disorder patients and tendency to increase it during the treatment.Supported by: Project IGA MZ ČR NS10301-3/2009
843 – Group Cognitive Behavioral Therapy For Patients With Panic Disorder
Authors: Kamaradova D. , Prasko J. , Cerna M. , Diveky T. , Grambal A. , Jelenova D. , Latalova K. , Sigmundova Z. 
Published: July 2013

Panic disorder is a severe and often disabling condition with a lifetime prevalence rate of 4.1% to 8.8%. The treatment of choice is cognitive behavioral therapy (CBT). Over past 20 years, behavioral, cognitive, and cognitive behavioral procedures (primarily exposure and cognitive reconstruction based treatments) were found to be effective in the treatment of panic disorder. CBT is the best studied non-pharmacological approach and can be applied to many patients, depending on its availability. CBT of panic disorder was most studied in individual setting, but group format of treatment could be also effective.MethodWe describe step by step the cognitive-behavioral group therapy of patients with panic disorder. We are explaning the concept of cognitive model of panic disorder, vicious circle, cognitive reconstruction, control of breathing and exposure. We also present personal experience with group cognitive-behavioral therapy and possible complications that may occur.ResultsThe results of our research in this group concerning the efficacy of the program, changes in the heart rate variability during program and EEG changes (using sLORETA) are presented. We also try to point on possible complications that may occur during the therapy and coping with them.Supported by: Project IGA MZ ČR NS 10301-3/2009
845 – Dual Diagnosis Of Anxiety Disorders And Substance Abuse: The Need For Awareness
Authors: Rady A. , Salama H. , Elkholy O. , Shawky A. 
Published: July 2013

BackgroundThe dual diagnosis of substance abuse and severe mental illness has been proposed by some authors to highlight the high frequency of such association. Our objectif was to determine the prevalence of dual diagnosis among mentally ill patients and and particularly Anxiety disorders patients. As a secondary purpose, to describe the profile of patient at higher risk to develop dual diagnosis.Method683 mentally ill patients were recruited from el Mamoura Psychiatric Hospital, they were assessed by the Arabic version of 6 item K6 scale, those scoring above 13 were submitted to a structured clininical interview SCID-I module for Anxiety disorders, urine screening for drugs of abuse and complete history of substance abuse and other medical disciplines.Results22% of the sample fulfill the diagnosis of dual diagnosis. 19.3% of the sample were schizophrenic, 17.42% among the later were fulfilling diagnosis of dual diagnosis. Results reveals higher risk for dual diagnosis in patients younger in age, single, low socioeconomic state and low level of education. Those having dual diagnosis tend to have early onset, longer duration of illness, poor compliance, higher rate of smoking and increased number of relapses. No difference among anxiety spectrum disorders regarding rate of dual diagnosis.ConclusionDouble diagnosis is an important issue that needs more focus in mental health services. Awareness of mental health providers about dual diagnosis is highly recommended.
849 – Assessment Of Spirituality Among Opiates Addicts During Detoxification And During Different Rehabilitation Programs
Authors: Rady A. , Salama H. , Molokhia T. , El-Nahas M. 
Published: July 2013

BackgroundThere's an increasing professional and popular interest in relation of spirituality and general health. Although mental health professionals have traditionally avoided concerns, evidence has been accumulating that people with mental illness attach significance to spiritual beliefs. In contrast, around 60% of psychiatrists report minimal interest in spiritual matters. Some authors found spiritual well being as an active relation with a higher power to be positively correlated to good mental health.MethodCross sectional comparative study design, 60 patients during detoxification and 60 patients in rehabilitation programs after detoxification, 20 in 12 step rehabilitation program, 20 in residential rehabilitation program and finally 20 in rehabilitation program with open group psychotherapy. Demographic data were collected and participants were subjected to spirituality subscale from substance misuse program philosophy questionnaire Arabic version.ResultsResponse to the 6 questions of the spirituality subscale used to assess level of spirituality didn't show difference among the three groups, those during detoxification, those less than 3 months abstinence and those more than 3 months abstinence in rehabilitation program. Results show that spirituality is high during detoxification and throughout rehabilitation programs regardless model of rehabilitation program.ConclusionSpirituality is persistently high through out detoxification and residential rehabilitation program. Spiritually inspired psychological intervention may be of help during the whole course of management of opiates addicts.
851 – The Relation Among Characteristic Specialty And Happiness Feeling In Talasemi Persons (major)
Authors: Shafiei Amiri M. , Nazian Najafi M. 
Published: July 2013

The objectThe object of this research is to determine the relation among characteristic specialty and happiness feeling in Talasemi persons. (Major).Materials and methodsThe design of this research, is descriptive and correlation one. The society of research includes: All talasemi persons of major kind in which are treating in Amir kola Talasemi center in 2011 in which about 150 persons has been selected by simple collision sampling by the aid of Morgan table. We have used of Pierson correlation and multi-linear regression analysis in analyzing dates. Also, for gathering dates, referred persons completed five neo factors of characteristic questionnaire and oxford happiness questionnaire.FindingsBased on regression findings, neo characteristic and happiness of talasemi person indicators is about 0.45 in which shows linear correlation among neo-characteristic and happiness variables in Talasemi persons in which there is meaningful relation among characteristic specialty. (Psycho-anger, extroverts, flexibility, agreeability, responsibility).ConclusionAmong characteristic specialties, extroverts, flexibility, agreeability, responsibility, there is positive meaningful relation to happiness in which it means the less psycho-anger is equal to more happiness.
860 – Late-life Agoraphobia: a Hidden Cause Of Social Isolation And Suicidal Risk?
Authors: Ritchie K. 
Published: July 2013

Agoraphobia in the elderly has received little attention, being considered to be principally a disorder of young adulthood. Clinical reports have suggested, however, that this form of phobia is commonly overlooked in the elderly; unwillingness to go outside the home being easily attributed to poor health and loss of social networks. Undetected agoraphobia in the elderly is highly unlikely to improve spontaneously, however, treatment of agoraphobia with cognitive-behavioural therapies and psychotropics has been proven to be highly successful at all ages.As part of the ESPRIT study of life-time psychiatric disorder, 1968 persons aged 65 and above were randomly recruited from the electoral rolls of the district of Montpellier. Prevalent and incident agoraphobia diagnosed by a standardized psychiatric examination and validated by a clinical panel was assessed at base-line and over 4 year follow-up.Results show agoraphobia to have a high prevalence in the elderly and unlike younger cases, late-onset cases are not more common in women, and are not associated with panic attacks, suggesting a late-life sub-type. Severe depression, trait anxiety and poor visuospatial memory are the principal risk factors for late-onset agoraphobia. Our findings argue in favor of a late-life sub-type.
861 – Social Phobia Among Medical Students
Authors: Ali S.K. 
Published: July 2013

Background and objectivesMental distress among medical students is often reported. Social phobia is a highly prevalent yet often overlooked psychiatric disorder that can cause severe disability but fortunately has shown responsiveness to specific pharmacotherapy and psychotherapy. The aim of this work was to study the prevalence of social phobia problem and potential risk factors that may be associated with social anxiety among medical students.MethodsThe present study was designed to identify the manifestations and correlates of social phobia among medical college students. The sample for this investigation consists of 321 (170 female and 151 male) students aged 19-26 years. For detection of social phobia among the studied sample, we used Social phobia inventory which is a self rating scale that capture the spectrum of fear, avoidance and physiological symptoms. It demonstrates good test-retest reliability, internal consistency, convergent and divergent validity.ResultsThe sample consisted of participants from all medical stages (this was a proportionate representative sample from each classes), 56% were from higher income groups, nearly 45% had their residence in hostel, 21.5% of the students had a SPIN score of 19 and more, mean social phobia was present in almost 22% of the population. There was no statistically significant difference in prevalence of social phobia with respect to gender, family income or type of residence.ConclusionSocial phobia has a high prevalence and marked impact on life, early identification and adequate treatment by college counseling centers will successfully help in reducing the burden of this common condition.
871 – One Year Prospective Study Of Service Utilization Following Adolescent Psychiatric Urgent Clinic Assessment And Brief Intervention: Preliminary Findings
Authors: Roberts N. , Parker K. 
Published: July 2013

IntroductionA full time urgent consult clinic was opened for adolescents presenting with risk to self or others. To date these adolescents have presented to ERs, held in the ER or admitted to the ward added to waitlists. This study is a part of a 1 year outcome study to examine whether urgent assessment and brief crisis intervention reduce ER visits, admissions and reduce the waiting lists.Aimsa)examine 3 month outcome after urgent clinic assessmentb)examine variables that may affect outcomec)examine effect of urgent consult assessment and intervention on ER visits, admission, repeat presentation and waitlist for other child and adolescent psychiatric outpatient clinics.MethodAdolescents 12 -17 years of age seen in the UCC will be given information sheet and consent form to participate. Data will be gathered on demographic variables and a number of other pertinent variables including reason for referral, suicidality previous contact with MH services, past psychiatric history, family history of psychiatric disorders, diagnosis and management. The patients will complete a mental health screen, CDI and Connors Questionnaire Parents will complete the CBCL. The data will be checked against ER contact,admissions and wait lists at 3 month post assessment. Data analysis will be conducted using SPSS.ResultsIt is expected that there will be a decrease in the number of adolescents presentating to the ERs, a reduction in ER admission to the ward and a decrease in the numbers of patients on the Outpatient wait list.
875 – Can Food Be An Addiction? a Recent Debate
Authors: Castro L. , Conceição E. , Vaz A.R. , Osório E. , Brandão I. , Bastos-Leite A.J. , Machado P.P. 
Published: July 2013

IntroductionBinge eating shares some similar clinical features with addictive disorders, such as impulsivity, altered reward sensitivity, and compulsive behavior. Some authors support the concept of food addiction for both conditions, whereas others argue against it.ObjectivesTo review arguments in favor or against the concept of food addiction, and its relation with bulimia nervosa and binge-eating disorder.AimsTo discuss and explore the concept of food addiction, and how it may be related to bulimic-type behaviors.MethodsMEDLINE and PubMed databases were searched for peer-reviewed studies undertaking analyses of evidence in favor or against the concept of food addiction, published between 2000 and 2012, by using combinations of the Medline Subject Heading terms addictive behavior and bulimia.ResultsSeveral arguments in favor of the concept of addictive properties of food are present in many of the reviewed articles. However, many differences between substance addiction disorders and the so-called “behavioral addictions” are reported in the literature, underlining different neurobiological, psychological, and environmental mechanisms.ConclusionsThere is no consensus in the current literature regarding the concept of food addiction. Further studies concerning the issue are, therefore, warranted.
876 – Functional Studies In Bulimia Nervosa Using Food Stimuli: a Review
Authors: Castro L. , Conceiçáo E. , Vaz A.R. , Osório E. , Brandão I. , Bastos-Leite A.J. , Machado P.P. 
Published: July 2013

IntroductionCompared to anorexia nervosa, bulimia nervosa has received less attention on neuroimaging research. However, in the past decade, more functional resonance imaging studies were done to study bulimia nervosa, by using different types of paradigms, namely symptom-related paradigms.ObjectivesTo review functional magnetic resonance imaging (fMRI) studies in bulimia nervosa using food stimuli.AimTo discuss recent contributions of functional neuroimaging to the understanding of bulimia nervosa.MethodsMEDLINE and PubMed databases were searched for peer-reviewed articles, published between 2000 and 2012, by using combinations of the Medline Subject Heading terms functional neuroimaging and bulimia nervosa. A selection of relevant papers to the aim of this review was carried out. The selected studies were reviewed with respect to type of paradigm, participant characteristics, main results, strengths and limitations.ResultsMost studies reported altered functional activation in the frontal, cingulate, temporal, and parietal cortical regions secondary to food-related fMRI paradigms in bulimia nervosa.ConclusionsThe reviewed studies suggest that bulimia nervosa is associated with functional imaging brain abnormalities.