bluuebunny/crossref_metadata_2025_split huggingface dataset:
1192 – Investigation Of Psychological Characteristics Of Greek Doctors Specializing In General-family Medicine And In Internal Medicine
Authors: Pappas P. , Gourgoulianis K. , Hatzoglou C. , Kotrotsiou E. , Gouva M. 
Published: July 2013

IntroductionThe relatively recent propagation of the specialty of Family Medicine in Greece has created a new reality in the Greek society. This resulted in the “co-inhabitation” of the Family Medicine specialists and the Internal Medicine specialists in various Primary Care units of the country.ObjectivesTo investigate the internal and external shame of the residents in Family Medicine and Internal Medicine and the comparison of both groups.AimsTo demonstrate the distinct role that Family doctors must have in Primary Care.Methods102 Greek resident doctors, 52 specializing in Family Medicine and 50 specializing in Internal Medicine participated in the study. The scientific tools used were: a)the Other As Shamer Scale, b) the Experience of Shame Scale, c) the Hostility and Direction of Hostility Questionnaire, d) The Symptom Checklist-90-R, e) Eysenck Personality Questionnaire.ResultsComparing the two groups using the T-Test, it was observed that the residents of Family Medicine showed a statistically significant higher mean value compared to the residents Internal Medicine in the subscales of: characterological shame, behavioral shame, bodily shame, total shame, emptiness, criticism of others, self-criticism, guilt, intropunitiveness, total hostility, neuroticism and an statistically lower mean value compared to the residents of Internal Medicine in the subscales of: mistakes, Anxiety, Phobic Anxiety and Psychotism.ConclusionThe results of the study are supporting the common belief that the specialty of Family Medicine has not yet obtained a specific and distinct role and furthermore has not yet gained the necessary recognition by the Greek society.
1193 – Comorbid Autism Spectrum Disorder And Problem Behaviours: a Case Study Of Home-based Sensory Integrative Therapy
Authors: Lam P.W.K. 
Published: July 2013

BackgroundThe vast majority considered pharmacological intervention as a legitimate treatment for behavioural problems in adults with Autism spectrum disorder (ASD) and intellectual disabilities (ID). Yet, sensory integrative therapy (SIT) has in recent years acquired increasing attention with regard to its improvements in functioning.AimTo report a case of ASD and ID presented with severe problem behaviors. To present and discuss the effect of a combined intervention of home-based SIT and pharmacological therapy on daily functioning.MethodCase study and literature review.ResultsA 24-year-old male with moderate grade ASD and ID was referred to a home-based training service. He exhibited poor attention, daily self-stimulating behaviors and self-injurious behaviors (SIB). He was treated with 1/2 mg/day of Apohaloperidol. Home-based SIT (Wilbarger Deep Pressure and Proprioceptive Technique) which evokes calming was first started on a weekly interval for five months and then on a daily basis for another five months. Improvement was first demonstrated by a reduction in temper tantrum and SIB during weekly treatment. When treatment became daily, he was able to demonstrate increasing attention in self-care activities as well as reducing frequency and duration of self-injurious and stimulating behaviors.DiscussionDespite paucity of published evidence, our findings lend initial support to the effectiveness of SIT as a complimentary approach to treat behavioural problems and enhance daily functioning. Hence, SIT can be incorporated into treatment plan on behavioural problems. Further research using experimental design is called for given the promise of the present findings.
1194 – Traumatic Experiences And Dissociative Symptoms In Schizophrenic Inpatients
Authors: Keyvan A. , Esenkaya Ö. , Erkoç ş. , Fistikçi N. 
Published: July 2013

IntroductionThere is emerging evidences that presence of dissociative symptoms could be a significant co morbid condition in a proportion of schizophrenic patients with a history of traumatic events.AimThe purpose of this study is to analyze the effects of traumatic experiences and the intensity of co morbid dissociative symptoms in the course of schizophrenia.Method80 inpatients diagnosed with schizophrenia according to DSM IV and being treated in acute psychiatry clinics at Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery were enrolled to the study. Socio- demographic Data Form, Traumatic Experiences Check List, Dissociative Experiences Scale (DES), Dissociative Disorder Interview Schedule were performed.Findings39 of the patients (48.8%) were found to be exposed to traumatic events at least once in their childhood or adulthood. Significant positive correlation was found between the average DES scores and total number of traumas (r= 0,683; p< 0, 01), the number of psychiatric diagnosis during the course of the disorder (r= 0,374; p< 0, 05), the number of change in treatment due to inadequate response (r= 0,505; p< 0,01) and the number of suicide attempts (r= 0,447; p< 0,01). Moreover, significantly positive correlation was found between the mean DES scores and the number of treatment change due to insufficient response (r= 0,404; p< 0, 01) among the patients without trauma.ResultsThe results of this investigation claim that the high scores of DES, independent of traumatic life experiences, may cause resistance to treatment in schizophrenic patients.
1202 – Involvement Of Noradrenergic’s Projection In The Post-traumatic Stress Disorder, a Demonstration By An Alpha-1 Adrenergic Antagonist, The Prazosin
Authors: Rousseau P.-F. , Simon P.-Y.-R. , Clervoy P. 
Published: July 2013

IntroductionIn the United States of America, lifetime prevalence of the post-traumatic stress disorder (PTSD) varies between 8 and 11 %. The pathophysiology of PTSD is complex, involving the prefrontal cortex, the limbic system which amygdala and the locus coeruleus. We don’t have a specific treatment for this pathology but just a symptomatic treatment.Objectives and methodsThe present review analyzes the results of referenced outcome studies in Medline. The efficacity of prazosin, an alpha-1 adrenergic antagonistis is an evidence to this deregulation.AimConfirm the hypothesis of a noradrenergic dysregulation in PTSD.ResultsOf share its projections with the amygdale, the hippocampus and the prefrontal cortex and the reticular formation, the locus coeruleus is one of the main brain noradrenergic structure. It regulates the vigilance and attention in the alert situations and regulates the fear and anxiety. The locus coeruleus regulates the wakefulness-sleep cycle with this projection with the raphe nuclei and the paraventricular nuclei of hypothalamus. During a stress, activation of locus coeruleus causes a release of norepinephrine responsible for symptoms of avoidance, hyper-arousal, re-experiencing and trauma nightmares. Prazosin, significantly decreases the main clinical symptoms of PTSD and improve global clinical status to placebo in all studies. This results constitutes a harmul evidence to the implication of norepinephrine in the PTSD.ConclusionsNorepinephrenine is a major actor in the pathophysiology of PTSD. The prazosin is led to become the first-line treatment of PTSD but longer studies in larger samples are necessary to confirm these preliminary findings.
1210 – Clinical Comorbidity And Demographic Patterns In Court Ordered Mental Health Inpatients
Authors: Delgado G. , Magallon L. , Cebamanos J.M. 
Published: July 2013

Comorbidity in forensic psychiatry describes the co-occurrence of two or more conditions or psychiatric disorders, known in the literature as dual diagnosis. There is a close relationship between violent offenders and comorbid substance abuse confirmed by numerous studies in the field of forensic psychiatry. Comorbidity also strongly contributes in the process of establishing psychiatric diagnosis of diminished mental capacity or insanity at the time of the offense, in the course of clinical assessment and evaluation of violent offenders.The aim of this study was to perform a descriptive analysis of a sample of patients admitted in a long-stay unit, in compliance with a court ordered criminal sentence. We analyzed the comorbidity and demographic patterns among inpatients admitted during a period spanning from 2007 to 2012. We also contemplated the typology of offenders and reviewed risk assessment scales, based on illness onset pre-dating the first offense.In conclusion, our results are congruent with other similar published studies. Due to the high prevalence of dual diagnosis in violent offenders their management requires a multilevel approach to the patient. In civilian psychiatric units, which also admit court ordered inpatients, the implementation of risk assessment scales in clinical practice is strongly recommended.
1211 – Self-report And Hetero-evaluation Of Insight And Medication Adherence In Severe Mental Illness - Correlation And Clinical Interest
Authors: Madeira N. , Roque C. , Pereira A.T. , Nogueira V. , Soares M.J. , Macedo A. , Marques M. , Valente J. , Bós S. 
Published: July 2013

IntroductionInsight and treatment adherence in serious mental illness, namely psychotic disorders, are well recognized as strong predictors of prognosis; several psychometric instruments have been developed for their evaluation.Objectives and aimsTo analyze the relation between self and hetero-evaluated insight and treatment attitudes in a clinical sample of psychiatric patients, besides assessing it's clinical correlates and relevance.Methods60 patients with serious mental illness (schizophrenia and bipolar disorder with psychotic features) were assessed using the Portuguese versions of the ‘Insight Scale' (IS), ‘Medication Adherence Rating Scale’ (MARS) and ‘Insight and Treatment Attitudes Questionnaire’ (ITAQ). General psychopathology and functioning scales were also applied, such as the BPRS, BDI-II and FAST. Relevant sociodemographic and clinical variables were also obtained. Statistical analysis was conducted using SPSS version 19.ResultsSelf-reported insight using the IS was not correlated with the insight subscale of the ITAQ, a hetero-evaluation instrument. Similarly, we found no correlation regarding attitudes to treatment when comparing self-report (MARS) and hetero- evaluation (treatment attitudes subscale of the ITAQ). Nonetheless, patients with a history of medication non-compliance and worse clinical outcomes had significantly lower (p< .05) scores in hetero-evaluation measures of insight and treatment attitudes (ITAQ), yet exhibited no differences in the self-evaluation measures of those dimensions.Discussion and conclusionsInsight and treatment attitudes assessments can be valuable in clinical practice, contributing to decisions in both in- and outpatient settings involving treatment planning and level of monitoring. Clinician-rated instruments are probably more reliable, with clearer prognostic relevance.
1212 – Audit On The Management Of Patients With Alcohol Withdrawal Within Inpatient Setting In Relation To The Local Guidelines (based On Nice Recommendations)
Authors: Gribben K. , Mohammed Z. 
Published: July 2013

IntroductionAlcohol dependency can cause serious complications if not managed appropriately.ObjectivesTo evaluate if the local guidelines (based on NICE) for the management of acute withdrawal are followed at the Bede Unit/South Tyneside. These advises a three day course of intramuscular Pabrinex and seven days reducing regime of benzodiazepine (commonly Chlordiazepoxide) with additional PRN (as required) benzodiazepine.AimThe project's main objective is to identify how the guidelines can be delivered more effectively.MethodRetrospective data collection from all kardex for all patients (21 identified) who received a reducing regime of benzodiazepines between Oct/11 & Jan/12, for alcohol withdrawal symptoms, examining if they were prescribed bezodiazepines regularly, ‘as required’ or both to treat withdrawal symptoms. Vitamin supplementation as part of their management of alcohol withdrawal was also reviewed.ResultsAll patients were prescribed chlordiazepoxide. Seventeen of these were prescribed both regular and PRN chlordiazepoxide, while one received regular only and three patients received PRN only. Period of treatment ranged from 2-11. Five received the recommended seven days reducing regimen.Only one patient was managed in accordance with local guidelines (three days of intramuscular Pabrinex/seven days reducing chlordiazepoxide/PRN benzodiazepine)There was inconsistency in the use of PRN benzodiazepine.ConclusionThere might be doubts about patients’ knowledge regarding as required medication, and on how withdrawal symptoms are monitored.The reducing regime of benzodiazepines is limited to the format of the kardex, which made it difficult to identify drug errors or omissions and hence increased the margin for medication errors.
1214 – Emptiness In a Life Full Of Experiences: Major Depression In a 66-year-old Man
Authors: Ribeiro B. , Ribeiro Â. , Ribeiro J.P. , von Doellinger O. 
Published: July 2013

IntroductionDepression is a common, recurrent, often underdiagnosed and undertreated disorder in older people. 10-15% of the elderly present depressive symptoms and 3% of that same population meet criteria for a major depressive episode.Several factors, such as psychosocial changes, may be related to the onset of depressive episodes. Retirement (often accompanied with feelings of loss of status, both in the family and in the society), the decrease of social contacts with a tendency to isolation, and the difficulties to adapt to new activities and routines, all lead to feelings of inadequacy, worthlessness and a poor self-esteem.Objectives/aimsThe aim of this poster is to show and discuss the importance in recognizing some psychosocial factors that can predict the onset of depressive symptoms in the elderly.MethodsWe report a case of a 66-year-old man, without previous psychiatric history, who presented a major depressive episode with psychotic features, after an important life event (retirement).Results/conclusionDepression in older people has severe consequences, afflicting not only patients but also the caregivers. The amplification of previous disabilities associated with medical and cognitive disorders, the increased rate of mortality by suicide and the increased costs to the health care system are common consequences.To reduce such threats we propose a clinical and social approach that evaluates and regards the different stages of the life cycle and valorize the achieved experiences of older patients.
1221 – Rescripting Or The Traumatic Or Distresing Stories From Childhood In Imagination
Authors: Prasko J. , Vyskocilova J. , Cerna M. , Grambal A. , Jelenova D. , Kamaradova D. , Latalova K. , Ociskova M. , Sedlackova Z. , Sigmundova Z. 
Published: July 2013

IntroductionMany of patients suffering with psychiatric disorder describe significant stressful experiences from childhood. Many of them suffer as children with unsatisfactory fulfilled basic child's needs, such as security, acceptance or approbation.MethodWe describe approach in processing these painful events during the therapy. Among basic principles in the treatment of the patients who developed psychiatric disorder and have stressful events in childhood or adolescence belongs the creation of collaborative therapeutic relation, explanation and psychoeducation what happens with the patient and reducing or correct stigmatization and guilt feelings. Therapist helps the patient to understand, how symptoms connected with the events from childhood and how they are interconnected with actual problems in life. The transcription of traumatic or stressful events follows after cognitive restructuralization of core schemas and conditional assumptions. Therapeutic process can be divided into of several steps:(a)creation of therapeutic atmospheres (with feelings of security and control, acceptance, approbation);(b)exposition to the painful memories in imagination;(c)expression of negative emotion to the aggressors, or persons that the didn’t guard against stress or trauma;(d)formulation the needs of the child to significant adult person;(e)experience better end in imagination - transcription of the story;(f)general calm down.The aim of therapist is to help the patient memorizing the stressful events and expressing affective experience and then help him/her to rescript experience to less painful.ResultsThere are some case examples of traumatic rescription in the article.Supported by IGAMZ CR NT 11047-4/2010.
1228 – Regional Metabolic Brain Requirements Comparison In Selected Anxiety Disorders
Authors: Grambal A. , Prasko J. , Horacek J. , Vyskocilova J. , Grambalova Z. , Kamaradova D. 
Published: July 2013

IntroductionPositron emission tomography (PET) detects indirect signs of higher or Loir neuronal activity and we suppose relation between the activity and the brain fiction. Though the anxiety disorders have many common characteristics, but there are also some differences. In our work we compare silent regional brain requirements in some anxiety disorders.MethodPatients suffering from anxiety disorders were studied with 18FGD PET during rating state before systematic treatment. We studied 25 patients with agoraphobia, 21 with panic disorder, 40 with OCD and eleven with PTSD. Data were analyzed using SPM 99.ResultsThere was higher uptake of FDG in patients suffering with OCD compared with PD and AP patients in left side basal ganglia. There was also higher uptake of FDG in patients with PD and AP compared with OCD in right frontal areas. The patients with OCD developer higher uptake compared with PTSD in middle temporal gyrus bilaterally. PTSD patients showed higher uptake of FDG in comparison of OCD in right anterior cingulate. There was higher uptake of FDG in PD an AP patients in comparison with PTSD patients in right inferior temporal gyrus.ConclusionThere were differences in regional brain activities in FDG between various types of anxiety disorders.Supported by IGAMZ CR NT 11047-4/2010.
1229 – What About Antenatal Depressive Symptoms Correlates/risk Factors?
Authors: Marques M. , Pereira A.T. , Maia B. , Bos S. , Soares M.J. , Valente J. , Nogueira V. , Madeira N. , Roque C. , Pinto de Azevedo H. , Macedo A. 
Published: July 2013

IntroductionIn comparison with postnatal depressive symptoms, few studies considered antenatal depressive symptoms risk factors/correlates.Objectives/aimsIn a multidimensional work our aim was to explore the associations/predictive role of lifetime and current pregnancy variables for antenatal depressive symptoms.MethodsTwo hundred and thirty six women (M = 30.5; SD =4.02; variation = 19-41), at the third pregnancy trimester were interviewed with the DIGS/OPCRIT (to make lifetime/current depression diagnoses) and answered a booklet about sociodemographic variables, lifetime/current insomnia, current stress perception, perception of being an anxious person, gynecological variables, past health perception and pregnancy health problems, among others. They filled in the Profile of Mood States to assess anxious symptoms, Negative and Positive affect and the Postpartum Depression Screening Scale (PDSS) to assess antenatal depressive symptoms at pregnancy. Women with a depression diagnosis (DSM-IV/ICD-10, n =5) and on sleep medication at pregnancy were excluded from the analyses.ResultsWe found significant associations between antenatal depressive symptoms (PDSS total score), current job situation, perception of being an anxious person, lifetime history of depression (DSM-IV/ICD-10), past health perception, health problems at current pregnancy, stress perception at pregnancy, lifetime and current insomnia, anxious symptoms at pregnancy, Negative and Positive affect. In an hierarquical multiple regression past health perception, negative affect, positive affect and current insomnia were significant predictors of antenatal depressive symptoms.ConclusionsPast health perception, negative affect (anxious and depressive symptoms) and insomnia at current pregnancy seem to be risk factors/correlates for the outcome. Positive affect seems to work as a protective correlate.
1230 – Selective Attention And Cognitive Decline In Institutionalized Elderly
Authors: Almeida R. , Marques M. , Espírito Santo H. , Moitinho S. , Vigário V. , Pena I. , Matreno J. , Rodrigues F. , Antunes E. , Simões D. , Costa A. , Correia A.R. , Pimentel A.S. , Alves V. , Nascimento T. , Costa M. , Tomaz M. , Caldas L. , Ferreira L. , Simões S. , Guadalupe S. , Lemos L. , Daniel F. 
Published: July 2013

IntroductionWhen cognitive decline (CD) is present, attention is one of the impaired mental functions. CD is also associated with anxious/depressive symptoms and with some demographic variables, particularly, age.ObjectivesInvestigate the associations between selective attention (Stroop Test: Stroop_Word, Stroop_Color, Difference between Stroop_Word and Stroop_Color, Stroop Ratio_Word, Stroop Ratio_Color and Difference between Stroop Ratio_Word and Stroop Ratio_ Color) and CD (Montreal Cognitive Assessment/MoCA) in institutionalized elders; explore the predictive value of Stroop variables for CD, controlling anxious/depressive symptoms and sociodemographic variables.Methods140 institutionalized elders (mean age, M = 78.4, SD = 7.48, range = 60-97) voluntarily answered to sociodemographic questions, the MoCA, the Geriatric Anxiety Inventory/GAI, the Geriatric Depression Scale/GDS and Stroop test.Results73 elders (52, 1%) had CD. Dichotomized MoCA was associated with Stroop_Word, Stroop_Color, Stroop Ratio_Word, Stroop Ratio_Color, GDS and the sociodemographic variable schooling × profession. Age and education were not tested, since MoCA was stratified according to those variables. GDS, Stroop Ratio_Word and Stroop Ratio_Color showed to predict CD.ConclusionsThere was an association between Stroop_Word, Stroop_Color, Stroop Ratio_Word and Stroop Ratio_Color and CD, confirming that selective attention is smaller when the elderly reveal CD. GDS and CD were, also, associated. However, there was no association between MoCA dichotomized and differences between the correct answers (Stroop_Word and Stroop_Color) and Ratios (Stroop Ratio_Word and Stroop Ratio_Color). Selective attention and depressive symptoms predicted CD. It would be important to intervene through cognitive rehabilitation with the elders to improve their attention.
1241 – Beliefs And Attituted Toward Supervision In Cognitive Behavioral Therapy In Different Stages Of Cbt Training
Authors: Vyskocilova J. , Prasko J. 
Published: July 2013

ObjectivePsychotherapy requires clinical supervision. This is systematic guidance of a therapist by a supervisor. Inevitably, there is a question of training new high-quality therapists. This is related to supervision of their basic training. Beliefs and attitudes toward supervision in CBT could change during CBT training.AimsOur study was concentrated in mapping of the expectations from supervision of participants of CBT training in two different phases of training course (after 1st year of the training and after 4th year of the training) and expectation from supervision in participants of training in CBT supervision. As an assessment tool was used the Attitudes and Beliefs about Supervision Scale (ABSS). The expectations of probands with different experience in supervisor were compared to find out the similarities and the differences of the expectations.ResultsThe results showed that the students of Supervisory training (n=16) stress especially self-reflection and structure of supervision, Beginners in CBT training (n=36) stress counseling and planning of therapeutic strategies, and Advanced in CBT training (n=34) prefer higher understanding of transference and conter-transference and learning according the model. Surprisingly the self-reflection and therapeutic relation were evaluated as a most important by all groups.Supported by grant IGA MZ CR NT 11047-4/2010.