bluuebunny/crossref_metadata_2025_split huggingface dataset:
1442 – Severity Of Aggression In a Forensic In-patient Hospital In Denmark: Using The Staff Observation Aggression Scale - Revised (soas-r)
Authors: Reinhardt S.M. , Hansen N.W. 
Published: July 2013

AimTo illustrate the targets and the severity of the aggressive incidents in a forensic psychiatric setting.Material and methodThe study was conducted in a forensic psychiatric setting at Psychiatric Centre Sankt Hans. It utilizes data from the three year period between 2008 and 2010. Staff Observation Aggression Scale Revised (SOAS-R) is used to examine all aggressive incidents during the period mentioned.Results212 patients were admitted between 2008 and 2010. The majority being mainly men (98.6 %) with a diagnosis within ICD10 F20-F29 (79.7 %). In total there were 1507 recorded aggressive incidents of whom 63.2 % were registered with at least one aggressive incident. The most prevalent trigger of aggression was related to patients being denied something (45.9 %) and the staff is the primary target of the aggressions in 64.4 % of the incidents.Mean severity score we found to be 10.12 (SD 4.84). According to the severity of the aggressions, we found 61.5 % of the reported incidents, with a severity score ≤ 9, symbolizing more severe aggression. We found abusive patient to be significantly more aggressive (OR 3.47 p = < 0.001), but no difference in the severity score between the abusive patient and the non- abusive patient was found (p = 0.28).ConclusionAggression is a prevalent phenomenon in a forensic psychiatric setting in Denmark. The Majority of the aggressive incidents are characterized by being severe, but not necessarily related to abuse. The staff was the primary target of the aggressions.
1447 – Anxiety Disorders In Patients At The Beginning Of The Dialysis
Authors: Novakovic M.P. , Maksimovic Z. , Despotovic V. , Savkovic D. , Mitric M. , Mijatovic S. 
Published: July 2013

IntroductionAnxiety is a primary symptom in conditions of indefinite fear. Aim of the study is to objectivise the initial fear in patients who decided to take part in a chemo dialysis program because they suffer from chronic renal insufficiency (CRI) N:18.MethodIn the study we examine 753 patients with CRI and who are in the program of chronic haemodialysis in Bosnia and Herzegovina (B&H) in the period 2001. g do 2010. g. The first group consists of patients with Balkan Endemic Nephropathy - BEN n = 348, and control group consists of n = 405 patients with other diagnoses of renal insufficiency (N18). The study is designed as a comparative study. Statistical analysis was done using descriptive and analytical methods.ResultsSocio-demographic data show highly significant difference according to the place of residence between the BEN and N18 groups (c2 = 23.970) P < 0.01, difference in the incidence of renal comorbidity (c2 = 23.970) P < 0.01, family renal comorbidity (c2 = 23.970) P < 0.01, and migrations (c2 = 4.874) P < 0.01. BAI scale has highly significant differences between the two groups P < 0.001, and they are different by the degrees of incidence and significant by variables. HAMD scale has a group significance P < 0.001, and variables point to somatization, general anxiety and depression which is confirmed by general weakness of mental functioning - MMSE.ConclusionAnxiety appears in all tested dialysed patients. Structured anxiety with depression results in presuicidal risk
1452 – Perimenopausal Depression: a Review
Authors: Sesma E. , Finkle J. , Gonzalez-Torres M.A. , Gaviria M. 
Published: July 2013

IntroductionFrom adolescence, women have a 1.5 to 3 times higher risk than men of suffering from a depressive disorder. This risk increases in middle-aged of the life and even more in the transition period to menopause or perimenopause, when the depressive vulnerability becomes especially intense.ObjectivesTo know more about depression in perimenopause.AimsTo provide practitioners with accurate information about this condition thus helping to better recognition and treatment.Methodsa selective literature review on the topic is performed.ResultsHormonal, psychological and sociocultural factors have been suggested to understand the etiopathogeny of this condition. Treatment of depression in perimenopause is determined by the clinical severity and includes antidepressants, psychotherapy, and sometimes, hormone replacement therapy with estrogens.ConclusionsPerimenopausal depression is an underdiagnosed and poorly treated problem, which generates a high level of suffering and deserves greater attention by clinicians and health systems.
1453 – Depression And Methadone Maintenance Treatment
Authors: Andrijevic M. , Paunovic Manic M. , Seslija K. , Bivolarevic S. , Miskovic M. 
Published: July 2013

AimsStudy followed appearance and treatment of depressive disorder at the patients with opiates dependency on methadone maintenance treatment.MethodsPresenting frequency, time of appearance and pharmacology treatment of depressive disorder. Depression was verified by psychological testsing. Applied technics were: interview, MMPI, PIE, Mahover test, WAIS, Rorschach test.ResultsThe study covered 154 patients on methadone maintenance treatment. 45 (29%) patients had depressive disorder which required pharmacology treatment. Illness was more frequent at female patients comparing with male (35% to 27%). Patients mostly started to use antidepresive drugs approximately three months after they had stopped with heroine use. Sertaline was a drug of first choice used in 30 patients, then Fluoxetine in 7 patients. Improvement of patients’ condition has been indicated by patients’ own reports, higher level of their functionality (social, working functionality) and retest results (lower T score of D scale, MMPI; lower score of emocional dimension Deprivation, PIE).ConclusionSignificant appearance of depression was noticed in heroine users on methadone maintenance treatment. Illness was usually diagnosed in period of stabilization, after establishing heroin abstinence. So it is recommended to pay attention on patients in period of stabilization and treat with antidepresives if it is necessary.Jeff W, Richard P. M, Wayne H. Methadone maintenance treatment and other opioid replacement therapies, 1997.Domenic A. C, Richard I S, Pharmacotherapy of Depression, 2008.
1454 – Relationship Of Life Skills And Self -esteem Development With Test Anxiety And School Performance In Female Students
Authors: Maleki F. 
Published: July 2013

The purpose of the current research was to study the relationship of life skills and self-esteem development with test anxiety and school performance in female students in the schools of Babol city in Mazandaran province. The sample size of the research involved 150 students selected by random cluster sampling.Participants were asked to answer Questionnaire on Life Skills and Self-Esteem Inventory by Cooper Smith and Test Anxiety Inventory by Sarrason while their previous term average(mean scores) was considered as a criterion for their school performance. Results of the research showed that there was a significant correlation between part of the factors embedded in Life Skills and Test Anxiety Inventory. Also, significant correlations between self-esteem and test anxiety and self-esteem and life skills were observed. However, no significant link was found between self-esteem and school performance. Furthermore, results from step by step regression testing revealed that only self-esteem made a significant contribution as a predicting factor to test anxiety as compared to another variable, namely life skills.
1457 – Multiple Sclerosis, Psychosis And The Use Of Interferon Beta 1a: a Rare Clinical Case
Authors: Ramos J.A. , Costa A.M. 
Published: July 2013

IntroductionMultiple Sclerosis (MS) is an inflammatory demyelinating disease that affects the white matter of the central nervous system. It’s more frequent in women. The disease has clinical heterogeneity, but initial neuropsychiatric symptoms are common (60%). If these symptoms are not present at the onset, they will certainly develop throughout the course of the disease.ObjectivesTo describe the case of a central hospital psychiatric inpatient and it’s comparison with the international available literature.MethodsRetrospective analysis of the clinical process.Case reportWoman, 51 years old, functioning until 3 months ago. Hospitalized for behavioral changes with heteroaggressiveness (verbal and physical) and psychomotor agitation. History of relapsing-remitting type MS with 10 years of evolution, treated with 44μg Interferon beta 1a (subcutaneous). To the mental examination she presented with uncooperative and suspicious attitude, dysphoric and delusional mood, changes in thought content with auto-referential/persecutory delusions and delusional interpretations. The extended analytical study, CE-CT and MRI were not altered, as were the Internal Medicine and Neurology evaluations. There was complete regression of symptoms after Interferon beta 1a suspension and maintenance of low-dose neuroleptic.ConclusionThis is a rare case of psychotic disorder secondary to the use of interferon beta 1a in patients with MS. The rarity of this case is well patented as there is no published report of psychosis secondary to use of subcutaneous formulation, although it is known that psychiatric symptoms may occur in less than 1% of patients using this drug.
1461 – Interculturality In The Clinic Of Crisis Situations: An Essential Meeting Space
Authors: Nyegue Freddy F. 
Published: July 2013

If the contemporary clinic increasingly tends to pay a particular attention to the requirements of interculturality, the clinic of crisis situations is also clearly dependent on the variation in the intersubjective encounter between the clinician and the patient. From that moment, considering the case of a clinic of psyche, based only on the medical practice act becomes a pure challenge, especially when we intervene for the benefit of the population from other part of the world (others). Being from the culture of a given society and having an emergency practice in a foreign culture, brings us to consider the banishment of intersubjective barriers. Without that, would the notion of interculturality make sense? We hypothesize that the clinic of psyche would not be effective until a real encounter between the clinician and the patient came out. In that case, it does not mean only transfer.ObjectivesWe want to envisage the possibility of an intercultural clinic devoid of any theoretical rigidity.MethodWe have based our research on the cathartic method in a way that constitutes the basic of the psychoanalytic clinic.ResultThe research will have permit us to address the theoretical and practical requirements under cover of a particular clinic, based on the principle of interculturality.ConclusionOur clinical experience in Rwanda within the framework of the post-genocidal trauma clinic will have permit us to demonstrate the way in which relevant elements sometimes appear unexpectedly. Those meetings have an essential value where cultural difference made clinical work doubtful.
1463 – Sociodemographical And Psychopathological Characteristics To Differenciate Suicide By Burning From Accidental And Criminal Burning: a 11 Years Retrospective Study
Authors: Laborderie S. , Saint-Martin P. , Prat S. 
Published: July 2013

IntroductionSuicide by burning is considered like a violent suicide mechanism.In our western countries, suicide by burning is relatively rare. But the number of cases seems to increase.ObjectivesIt is important to be able to differenciate suicidal, accidental and criminal burning. It could help physicians, particularly when a patient try to dissimulate a self immolation.AimsThe aim of our study is to find criterias which can differenciate suicidal, accidental and criminal burning.MethodsWe collected all the cases of burning related deaths and burning wounds in alive patients, treated at the Forensic Department of the University Hospital Center of Tours, France, at the request of the Prosecutor, between 2000 and 2011. The aspects of death (suicidal, accidental, or criminal) were done by the police officers. In each case we studied sociodemographic and psychopathological datas.ResultsWe collected 53 cases, divided into three groups : accident (25), suicide (18), and crime (10). Mean age was 43,9. In cases of accidental burning, 73% had a psychiatric history, and 50% an alcohol abuse. In all these cases of suicide by burning, depression is the major diagnostic (69%).ConclusionIn cases of accidental burning, we defined two specific groups. In cases of criminal burning, the victimes were aged between 20 and 40, and under alcohol during the offense. In cases of suicide by burning, the mean age is about 48, principally men, who use violent suicide methods. They have generally a documented psychiatric history.
1464 – Is Electroconvulsive Theraphy The End Of The Line?
Authors: Ramos J.A. , Costa A.M. 
Published: July 2013

IntroductionElectroconvulsive therapy (ECT) was introduced in 1938 by Cerletti and Beni. This technique uses a small electrical current to produce a generalized seizure, under general anesthesia. In clinical practice, it is mainly used to treat refractory cases to previous treatment approaches. One of its main indications is major depressive episode, but it is also indicated for other conditions as severe manic phase, marked suicidal ideation, and schizophrenia.ObjectiveTo describe the case of a central hospital psychiatric inpatient and it’s comparison with the international available literature.MethodsRetrospective analysis of clinical process.Case reportWoman, 53 years old, psychiatric outpatient since she was 17, with a history of several hospitalizations since 2006, due to an affective disorder, transversely not clarified. She was functional until her last hospitalization for Major Depressive Episode. Over the last year, there was progressive worsening with deliroid ideas of ruin and somatic plus almost total inability to daily living activities. These symptoms were refractory to all therapeutic approaches, both pharmacological and psychotherapeutic. She underwent ECT, in a reference center with remission of those symptoms, being the patient functional at this moment.ConclusionAlthough throughout history ECT is embroiled in controversy, according to international bibliography, this is a technique of great therapeutic relevance and precise indications. It is noteworthy, that has been shown to be an effective and safe treatment for many psychiatric disorders, especially in cases refractory to other treatments, as evidenced by this case report.
1466 – Complementary And Alternative Medicines (cams) In Psychiatry: The Opinion Of Mental Health Professionals
Authors: Visentini C. , Landi G. , Spattini L. , Mattei G. , Soli M. , Solignani G. , Tedeschini E. , Ferrari S. 
Published: July 2013

BackgroundIn a demographic survey in 2005, 13.6% of Italians admitted to have taken CAMs during the 3 years before. A study on hospitalized patients for psychiatric reasons highlighted that 63% of them used CAM in the previous year and 79% did not mention this to their psychiatrists.ObjectiveTo collect the opinions about the use of CAMs in psychiatry among a group of psychiatrists and nurses working in a Mental Health Centre.AimTo investigate knowledge, opinions and experiences on CAMs.MethodsA mixed qualitative-quantitative method was used: 2 focus groups were conducted in June 2011, involving 12 professionals of one Mental Health Community Centre in Modena, Italy. The audio-recordings of the focus groups were analyzed by 2 researchers, who identified the main themes with an inductive method. The participants were finally asked to fill in a respondent validation questionnaire.ResultsFour main themes were developed:1)advantages, and2)disadvantages in the use of CAMs,3)patients’ and own experiences,4)variety of therapies under the CAM acronym.Among the pros, 75% of respondents agreed that CAMs allow a better global approach to the patient, 58% that CAMs may improve quality of life, 66% that conventional psychiatric therapies do not solve every situation. As to disadvantages, some professionals (medical doctors) expressed skepticism on CAMs.ConclusionsBeing realistic, open-minded and ready to listen and cooperate: this could be the best attitude towards patients who take CAMs.
1467 – Symptoms Of Depression, Anxiety And Stress In Patients With Thalassemia In a Greek Transfusion Center
Authors: Lyrakos G.N. , Drossou- Servou M. , Vini D. , Aslani H. , Spinaris V. 
Published: July 2013

IntroductionThalassemia is an inherited blood disorder that requires lifelong adherence to a complicated and burdensome medical regimen which could potentially impact emotional functioning of patients.ObjectivesTo assess the prevalence of depression, anxiety and stress symptoms in adult patients with thalassemia.AimsTo explore possible demographic, medical, and psychosocial correlates of these symptoms.Methods117 patients (19-61 years old, M age = 37.2Plusmn;9.3; 63% female) took part in the study. Depression, anxiety stress scale (DASS) was used along with SF12 for health related quality of life and a questionnaire about sociodemographic characteristics. Statistical analysis was performed with SPSS 16.ResultsSevere depressive symptoms were found in 17 patients (15%), anxiety symptoms in 11(9.6%) and stress symptoms in 35(30.2%). Sex, age, education, marital status and income had no significant correlation with anxiety and stress. In depression there was a significant difference between single and married patients (x2=6.990 p< .05), with 58.8% of single patients suffering from more depressive symptoms. Higher stress symptoms had a significant correlation with symptoms severity (r=.452 p< .001) and the present socioeconomic situation in Greece (r=.632 p< .001).ConclusionsGiven these findings, regular screening for anxiety stress and depression symptoms could help to identify at-risk patients to provide them with appropriate psychological support with the goal of improving emotional health.
1468 – Is Depression a More Frequent Comorbid Condition In Family Practice?
Authors: Popa Nedelcu A. , Popa Nedelcu E. , Popa Nedelcu M. , Manea M. 
Published: July 2013

Health is defined as the state characterized by a physical, psychological and social wellbeing. In the primary care practice - Individual Medical Practice Popa-Nedelcu Eusebiu MD, 80 patients with various types of depression were identified within 6 months, out of a database of approximately 4000 patients. The aforementioned 80 patients, aged between 35 and 88, were divided into 2 groups: 54 patients with depression and comorbid chronic conditions and 26 patients with depression, without comorbid chronic conditions.Each subject included in the study was assessed with 3 questionnaires: MADRS, M.I.N.I., General Assessment of Functioning (GAF).ResultsThe incidence of the depressive disorder in the studied time frame was 2%, and female gender subjects were more frequently involved. MADRS scores were significantly higher (scores higher than 30) in patients with depression associated with chronic conditions (cardiac, oncological, respiratory). The most frequent condition associated with depression was arterial hypertension (38%). Both MADRS scores, and GAF scores were influenced by antidepressant therapy. Patients under long- term treatment due to medical comorbid condition (74%) have a less satisfactory evolution and prognosis than those without somatic comorbid condition.ConclusionsDepression has a too large incidence in primary care. Family physicians need to be familiar with the features and monitoring of antidepressant therapy, as therapeutic compliance is the sine-qua-non prerequisite of remission and relapse prevention in depressive disorder.The severity, prognosis and evolution of patients with depression are more reserved in those with associated medical conditions, than in those without co-occuring conditions.
1471 – Emotional Disorders In Young Persons With Psychosomatic Diseases: Pathogenesis-based Psychotherapy
Authors: Korostiy V. 
Published: July 2013

IntroductionAnxiety and depressive disorders may provoke its appearance and also lead to recurrence of psychosomatic diseases (PSD).ObjectivesIn 956 young people with psychosomatic diseases (bronchial asthma (BA), with peptic ulcer of the stomach and duodenum (PU) and arterial hypertension (AH)) investigated the clinical features of the structure and formation of emotional disorders in young persons with psychosomatic diseases.AimsPathogenetically substantiated system of forecasting and theirpsychological adjustment and medical and psychological rehabilitation of these patients, based on a systematic approach to evaluating the clinical features of the structure and formation of emotional disorders in young persons with psychosomatic illnesses.MethodsClinical-psychopathological, psychodiagnostical.ResultsIn the clinical structure of emotional disorders (ED) dominated depressive disorders (43,4 ±2,2%) and anxiety disorders (25,1 ±1,2%). In patients with asthma significantly more frequently met panic disorder, agoraphobia, isolated phobia in patients with hypertension in many cases found generalized anxiety disorder (p < 0,01). Identified pathogenetically significant clinical, biological, psychological and psychosocial factors in the development of ED in young people with PSD. Pathogenetic role of psychological characteristics in the development of EP in patients with PSD determined by a combination of psychological traits: aleksytymia, low productivity of psychological defense, low predictive ability, high levels of aggression and hostility (p < 0,05).ConclusionsDeveloped and implemented in practice the system of psychotherapy and medical and social rehabilitation of patients with PSD, which confirmed the effectiveness of data of observation after 12 month.
1475 – Chelation Therapy Impact And Its Correlation With The Psychological Parameters In Patients With Thalassaemia
Authors: Lyrakos G.N. , Vini D. , Spinaris V. , Aslani H. , Drossou- Servou M. 
Published: July 2013

IntroductionIron Chelation treatment (ICT) in beta-thalassemia major (beta-TM) patients undergoing blood transfusions can cause low satisfaction, low compliance, with possible negative consequences on treatment success, patients’ wellbeing, and costs.AimsThe purpose was to estimate the existing correlation between the Chelation therapy factor of the Specific Thalassaemia Quality of life instrument (STQOLI) and certain psychological assessments.MethodThe Chelation impact scale, of the Specific Thalassaemia Quality of life instrument (STQOLI), along with the Depression Anxiety Stress Scale (DASS) and the Satisfaction with Life Scale, were administered to 70 patients with thalassaemia Major on regular blood transfusion, registered with Thalassemia unit at General Hospital of Nikaia Greece.ResultsStatistical analysis revealed that Chelation impact in health related quality of life in patients with thalassaemia has a significant and negative correlation with depression (r=-.325 p< .001), anxiety (r=-.276 p< 0.05) and total DASS (r=-.308 p< .05) and a significant positive correlation with the psychosocial impact scale of the (STQOLI) (r=.463 p< .0001), the Satisfaction with Life Scale (r=.265 p< .05) and the Total scale of STQOLI (r=.784 p< .001).ConclusionThe better quality of life in the Chelation therapy factor a patient has the less anxious and depressed is feeling. Thalassaemia has a negative impact on emotional, social and well being in thalassaemia patients. Continuing support for better Chelation quality should be given to these patients. More understanding and support especially from health authorities, and the society is essential to enhance their quality of life.