bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of skin disorders among psychiatric inpatients
Authors: Turki M. , Abid W. , Khardani O. , Mellouli A. , Megdiche M. A. , Halouani N. , Ellouze S. , Aloulou J. 
Published: August 2024

IntroductionThe interface between dermatology and psychiatry is complex and of clinical importance. Skin disorders in psychiatric inpatients are common, serious and under diagnosed.ObjectivesThe aim of our study was to assess the prevalence and profile of several skin diseases observed in psychiatric inpatients.MethodsWe conducted a cross-sectional study in the period from october,13 2023 to october,20 2023, among psychiatric male inpatients, hospitalized in psychiatry B department of the Hedi Chaker University Hospital (Sfax, Tunisia). We collected sociodemographic and clinical data using a pre-established form.ResultsOver a period of a week, 35 patients were included in our study. The mean age of patients was 39,97 years. Among them, 80% were single and 14,3% were married. Addictive behaviors were reported in 74,3% of cases. The level of hygiene was good in 74,3% of patients. The three most common psychiatric diagnoses were schizophrenia (31,4%), followed by bipolar disorder (28,6%) and schizoaffective disorder (25,7%). We recorded 13 cases of skin diseases (37,2% of patients). Dermatological lesions were dominated by traumatic origin in 14,3% of cases. They were of infectious origin in 11,4% of cases, immunoallergic in 8,6% and parasitic in 2.9%.ConclusionsThe prevalence of skin diseases is high in psychiatric inpatients, for whom proper skin care is necessary to improve their quality of life.Disclosure of InterestNone Declared
Suicidal behavior in combat veterans with mood disorders
Authors: Sher L. 
Published: August 2024

AbstractIntroduction. Military conflicts are ubiquitous. There are many combat veterans around the world. The combat environment is characterized by violence, physical strains, separation from loved ones, and other hardships. Mood disorders and suicidality in combat veterans are a large and important issue.ObjectivesTo discuss the pathophysiology and prevention of suicidal behavior in combat veterans with mood disordersMethods
A review of the literature on suicidal behavior in combat veterans with mood disorders including own publications.ResultsCombat deployment may lead to multiple emotional, cognitive, psychosomatic symptoms, mood disorders, suicidal ideation and behavior. Pre-deployment, deployment and post-deployment adversities may increase risk of mood disorders and suicide in combat veterans. The act of killing in combat is a stressor which may raise suicide risk. Combat-related injuries are associated with significantly increased depression and suicide risk. Post-deployment difficulties of reintegrating into civilian life may lead to depression and suicidality. Studies suggest that suicidal behavior in combat veterans may have a neurobiological basis. Prevention of mood disorders and suicide among combat veterans should include pre-deployment screening to exclude individuals with psychiatric disorders; psychological support and prevention of harassment and/or abuse during deployment; psychosocial support after deployment; diagnosing and treating psychiatric and medical disorders including neurological disorders; frequent depression and suicide screening; education of mental and non-mental health clinicians, war veterans, their families and friends regarding signs/symptoms of mood disorders and suicidality; and restriction of access to lethal means.ConclusionCombat veterans are a unique population. They are frequently exposed to psychological, physical, and biological factors which are unusual for civilians or non-combat military veterans. We need to study the specific psychobiology of combat veterans to understand how to develop effective depression and suicide prevention interventions for this population.Disclosure of InterestNone Declared
Role of mental health and quality of life in adherence and effectiveness of a motivational exercise program to improve weight and functionality: “The way to change diabetes”.
Authors: Pelayo-Terán J. M. , Vega-García S. , Gutiérrez-Hervás Z. , García-Llamas M. E. , Díez-Hernández A. , López Crespo M. E. , Durán Román D. J. , Bilo H. J. , Zapico Merayo Y. 
Published: August 2024

IntroductionExercise and other lifestyles are key treatment strategies to improve diabetes outcome, prevent cardiovascular risk and may also result in further results in quality if life and emotional symptoms.ObjectivesTo evaluate the effectiveness of an exercise intervention program for people with diabetes or cardiovascular risk.To evaluate the influence of previous metal health and quality of life status in the results.Methods61 people with a type 2 diabetes or cardiovascular risk factors were recruited from health primary health centers in Ponferrada (EL Bierzo), including patients from the mental health association. After informed consent they were included in a 20 week, twice a week supervised walking training program to improve exercise and other lifestyles. A poster used for advertisement of the adtivity (“the way/walk to change diabetes”) is displayed in image 1). Baseline and after 20 weeks BMI and Waist perimeter were assessed, quality of life was evaluated with EQ-5D-5L and WHO-5 scales and the weekly steps walked were recorded previously and after the intervention with the subject usual mobile device.Differences in the variables were compared with Paired Ts and repeated ANCOVAs measures adjusted by gender, age and initial steps.Results46 subjects (75.4%) completed more than 90% of the sessions and 3 more 70-90%. The 19.7% that did not complete had worse scores in SF-12 Role Physical (t 2.261, p=0.041) and Role Emotional (t:2.048, p=0.045) and Mental Component Summary (t:2,313; p=0,036) and WHO5 Total Score (t:2.101; p=0,040) at Baseline. Main reasons for dropout (Image 2) were health related problems (50%) and adherence to exercise and motivation problems (31.25%).Those who completed the training improve number of weekly steps (baseline: 42022,92 +- 18836,35, final: 66448.06 +-28914,58; t:5.038; p<0.001), BMI (29.45 +-4.66 to 28.25 +-4.09 kg/m2; t:5.629; p<0.001), waist (from 107,34 + 9.98 to 102,88 +9,79 cm; t:6,840; p<0.001) and the EoQ-5D-EL VAS (form 72.88 to 82.42; t:6.122; p<0.001, image 3). The increase in the steps correlated directly with the improvement in the EoQ VAS (r:0.308; p=0.033).Image:Image 2:Image 3:ConclusionsExercise and lifestyle supervised intervention programs appear to be useful to improve physical health, wellbeing, emotional symptoms and quality of life in people with diabetes and cardiovascular risk.Factors associated to higher dropout rates were previous limited quality of life scores and mental health worse status. These could be related with limited motivation and adherence to the program and may be of interest to develop specific strategies for these high-risk groups.Studies focused on the long-term effect of the program are warranted.Disclosure of InterestNone Declared
The psychological profile of patients with hypertension and its role in patients’ self-care
Authors: Stamoulis T. , Dragioti E. , Gouva M. , Kourakos M. 
Published: August 2024

IntroductionHypertension is a major risk factor for premature death, cardiovascular disease, and stroke worldwide. However, due to the chronic nature of hypertension, patients are at an increased risk of developing mental and emotional disorders, which can affect their adherence to self-care.ObjectivesTo conduct a systematic review to investigate the psychological profile, psychological characteristics, and personality traits of hypertensive patients and their role in self-care adherence.MethodsA thorough and comprehensive literature search was conducted to identify relevant studies for this review. PubMed, Scopus, and APA PsycInfo databases were searched from their inception until March 7th, 2023. The protocol for this review will be registered in the International Prospective Register of Systematic Review (PROSPERO) in the future.ResultsAfter applying inclusion and exclusion criteria and removing duplicate results, 55 articles were selected, the majority of which were grouped into three main categories based on psychological profiles for accurate analysis and comparison.ConclusionsThis systematic review contributes to the investigation of the relationship between psychological profiles and self-care in hypertensive patients. Despite the prevailing controversy in the literature, a greater proportion of studies indicate that depression, anxiety, low quality of life, type D personality and neurotic personality have a negative impact on self-care in hypertension.Disclosure of InterestNone Declared
Psychiatric disorder in prolonged post-concussive syndrom : clinical assessment, physiopathology and management review of the literature
Authors: Bouguerra I. , Touiti A. , Hajri A. , Maamri A. , Zalila H. 
Published: August 2024

IntroductionAccording to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), post concussive syndrome (PCS) is given a diagnosis of either major or mild neurocognitive disorder (NCD) due to traumatic brain injury TBI. However Persistent post-concussion symptoms (PPCS) are more complex, and typically involve multidisciplinary assessment and management. The symptoms are varied, non-specific and the therapeutic process is defiant for psychiatrist.ObjectivesTo investigate the semiology of persistent post-concussion syndrome (PPCS) and the therapeutic challenges it poses.MethodsA literature review was made on Pubmed, Google Scholar and Cochrane library using keywords: “post-concussive syndrome”,”psychiatric disorder”, “depression”,”post-traumatic stress disorder”,”treatment”, “physiopathology”.ResultsThe physiopathology of persistent PCS is controversy.The Symptoms are due to the Concept of “Symptom Generators” which results from the alterations in neurophysiology and neuropathology secondary to the injury, and pre- or post-injury psychological factors physiological concussion. The Global cerebral metabolic disturbance, the autonomic nervous system dysfunction and the cerebral blood flow dysregulation induce biochemical cascade,excitotoxic reaction and immunotoxicity.Clinical diagnoses associated with PPCS are:Major depressive disorder,Post traumatic stress disorder,Anxiety disorder,Substance abuse disorder,Psychotic disorder and Antisocial personality disorder. For the non pharmacological management: A systematically early information and a graded physical exercise in addition to other treatment are essential.Antidepressant, benzodiazepine and mood-stabilizer are the most recommended treatments for psychiatric symptoms. Atypical neuroleptics are indicated in delirant disorder, behavior disorder and antisocial personality disorder.Some studies suggest the methylphenidate and biperiden to treat several cognitive impairment and severe behavior disorder.Conclusions(PPCS) is far from being a subjective complaint by patients. It is a complex clinical entity that groups symptoms that overlap with other psychiatric diagnoses, such as depression, post-traumatic stress disorder, and mood disorders. Early neuropsychiatric assessment and personalized pharmacological and psychotherapeutic treatment are essential factors in the prognosis of the disease.Disclosure of InterestNone Declared
A Study of Dry Mouth and Gastrointestinal Disorders in Patients Taking Antidepressant
Authors: Lee S.-Y. , Lee H.-J. 
Published: August 2024

IntroductionDry mouth is a subjective symptom of the feeling of dehydration inside of the mouth and is closely linked to reduced salivary secretion. The occurrence of dry mouth and GI disorders due to antidepressants greatly affects the course of the mental disorder and medication compliance, but it has barely ever been studied.ObjectivesThe purpose of this study was to identify the characteristics of dry mouth and gastrointestinal (GI) disorders in antidepressant patients.MethodsThe study included 103 antidepressant-taking patients. Antidepressants were classified according to their mode of action. The GI disorders were investigated using the medical records of the patients. The Patient Health Questionnaire-15 and a questionnaire for assessing dry mouth symptoms were used in this study. The questionnaire for the evaluation of dry mouth symptoms, a visual analog scale (VAS)–based instrument, developed and evaluated for reliability by Lee et al. was used to assess dry mouth. In the questionnaire, 6 VAS items were assessed for the extent of dry mouth (0-100 points) : 1) dry mouth at night or when waking up in the morning, 2) dry mouth during the day, 3) dry mouth when eating, 4) difficulty in swallowing, 5) subjective evaluation of the volume of saliva in the mouth, and 6) overall discomfort in daily life. Additionally, four items examined behaviors due to dry mouth (1-5points) : 1) frequency of waking up from sleep due to dry mouth, 2) frequency of preparing drinking water before going to bed, 3) frequency of drinking water when eating solid foods, and 4) frequency of eating hard candies or chewing gums to help dry mouth.ResultsThe score for “overall discomfort due to dry mouth in daily life” (31.72±33.82), “dry mouth at night or in the morning” (47.86±35.87), and “dry mouth during the day” (39.83±31.67) were slightly higher than “discomfort in chewing or swallowing foods”. According to somatization severity, the mean values were 116.36±113.34 in the mild, 213.18±136.98 in the moderate, and 277.59±201.44 in the severe, the between-group difference was significant (F=10.294, p<0.001). According to the class of antidepressants, the mean score was 180.00±147.5 for vortioxetine, 194.25±169.33 for selective serotonin reuptake inhibitors (SSRIs), 223.61±156.70 for serotonin and norepinephrine reuptake inhibitors (SNRIs), 75.00±57.00 for norepinephrine dopamine reuptake inhibitors (NDRIs), 201.67±174.66 for Nassau, and 116.67±132.03 for agomelatine. A total of 67 (65.0%) patients had at least one GI disorder.ConclusionsThe study findings are expected to help increase medication compliance in antidepressant patients by better controlling the side effects experienced by the patients.Disclosure of InterestNone Declared
Online T group experiences during COVID-19 pandemic
Authors: Arbanas G. , Botica A. , Goršić H. , Baković M. , Bagarić M. , Barun I. 
Published: August 2024

IntroductionOnline group therapy has become more popular in the past few years. But as a result of the COVID-19-caused pandemic, it developed suddenly. Due to the conventional face-to-face format no longer being possible and the need for psychotherapists to conduct psychotherapy online, the pandemic has had significant effects on group psychotherapy and the interactions between group therapy members. While therapists are becoming accustomed to the modern form of psychotherapy, its efficacy is being questioned due to technical issues, the problem of the therapeutic alliance, the environment, the ability to read nonverbal signals, breaking group norms, etc. Since the pandemic did not abate, as a part of specialist education training groups were also held online.ObjectivesThe pandemic changed the basic settings of our Group-Analytic Training Group, forcing us to switch to online sessions. This study aimed to find personal experiences that varied throughout online and face-to-face meetings.MethodsSeven out of the twelve participants accepted to take part in the group therapy/training after it was recommended by the group leader that they write a paper. After 30 sessions, the group turned from face-to-face to online group therapy, and the members were asked how they felt about the difference between the two types of therapy. A questionnaire was produced by the group’s leader and a number of other participants, who then forwarded it through email to every group member.ResultsEveryone who participated thought that because one can more quickly pick up on non-verbal signs in a face-to-face scenario, it was simpler to notice feedback from the other group members. Most participant comments focused on the leader’s role. The majority of members claimed that taking part in the experiential group had benefited both their personal and professional lives.However they thought the in-person setting was better since it was more interesting and complex.ConclusionsSince there were no other options during the epidemic, group therapy has moved to virtual environments, although there are still a lot of problems to this method. The formation of group cohesion becomes difficult by the absence of group members’ physical presence and by the inability to completely understand nonverbal communication.Disclosure of InterestNone Declared
The psychiatric assessment including fitness to participate in court proceedings for defendants with intellectual disabilities
Authors: McCarthy J. 
Published: August 2024

AbstractThe very brief presentation will describe the initial approach to the psychiatric assessment of the case presented including the issue of fitness to participate in court proceedings. The use of screening tools at court to identify people with intellectual disabilities will be highlighted along with what support can be provided for vulnerable offenders in attending court. The potential disposal options for the court such as prison or hospital or community will be outlined. Variation in practice across Eurpean countries needs further discussion to ensure the rights of defendants with intellectual disabilities are safeguarded during their participation in court proceedingsDisclosure of InterestNone Declared
Coping strategies facing Covid-19, perceived social support, and trait anxiety among Tunisian caregivers
Authors: Smaoui N. , Jallouli B. , Gassara I. , Feki R. , Omri S. , Bou Ali Maalej M. , Charfi N. , Ben Thabet J. , Zouari L. , Maalej M. 
Published: August 2024

IntroductionCaregivers in the Sfax region, Tunisia, having been at the forefront in the face of the Covid-19 pandemic, were therefore faced with intense stress. It seemed useful and interesting to us to study their adaptation strategies during this period of pandemic.ObjectivesThe aims of our study were to identify the coping strategies used by Tunisian Healthcare workers (HCW) during the Covid-19 pandemic and to study the links of the different coping strategies with perceived social support and trait anxiety.MethodsA cross-sectional, descriptive, and analytical study conducted among 254 Tunisian HCW working at the Habib Bourguiba and Hedi Chaker university hospitals in Sfax, during period from January 2021 to April 2021. the questionnaire used included an information sheet and three scales; “Social support questionary 6” (SSQ-6), “State Trait Inventory Anxiety Form Y2” (STAI-Y2), and “Ways of Coping Checklist” (WCC).ResultsUsing the WCC scale, the strategy most used by participants was the problem-focused one (M = 2.98 ±0.53), followed by the emotion-focused strategy (M = 2.65 ±0 .58), and that centered on the search for social support (M = 2.64 ±0.59). Using the SSQ-6, the mean score for the availability of perceived social support was equal to 8.91±4.59 and the score mean perceived satisfaction was equal to 28.63±5.84. The prevalence of trait anxiety was 50%, according to the STAI-Y2. Statistical tests showed that problem-focused coping was the strategy most adopted by non-anxious participants. They also showed that the higher the availability of perceived social support, the more the social support-seeking coping strategy was chosen, and the higher the perceived satisfaction with perceived social support, the less the emotion-focused strategy was chosen.ConclusionsIt seems necessary to propose a learning program for coping strategies to counter the potential emergence of ineffective strategies and to reinforce the use of effective strategies, in order to improve or maintain optimal well-being of health personnel.Disclosure of InterestNone Declared
The connection between the experience of the disease and perceptions about COVID-19 in patients
Authors: Deshchenko E. V. , Koniukhovskaia J. E. , Stepanova O. B. , Shishkova I. M. , Pervichko E. I. , Mitina O. V. , Semenova E. R. 
Published: August 2024

IntroductionSince the COVID-19 pandemic has had a serious impact on the psychological state of the population, the individual experience of COVID-19 disease may affect the content of perceptions about coronavirus in those who have been ill with it.ObjectivesThe aim of the research was to study the connection between patients’ experience of the disease and their perceptions about COVID-19.MethodsA Short questionnaire of Disease Perception (E. Broadbent) was used to study patients’ perceptions about COVID-19 disease. The wording “disease” was replaced with “COVID-19 disease”.The study was conducted from January 2021 to November 2022. The sample consisted of 390 patients (64 men and 326 women), whose average age was 28.58±10.74.ResultsThe subjective assessment of the duration of COVID-19 disease and its impact on the patient’s life is higher if the patient is still sick with COVID-19 (r=0.340, p=0.008; r=0.312, p=0.000), in a more severe form (r=0.341, p=0.000; r=0.298, p=0.000), less satisfied with the attitude of medical workers during illness (r=0.151, p=0.003; r=0.143, p=0.005), more afraid for the health of their loved ones (r=-0.194, p=0.000; r=-0.181, p=0.000). At the same time, greater concern about COVID-19 and a greater assessment of its impact on the emotional state is associated with patients’ fear for the health of loved ones (r=-0.267, p=0.000; r=-0.242, p=0.000) and more severe course of the disease (r=0.107, p=0.035; r=0.126, p=0.013). Less sense of control in a COVID-19 disease situation is associated with a more severe course of the disease and greater fear for the health of loved ones (r=-0.174, p=0.001; r=0.154, p=0.002).ConclusionsThus, whether the patient has recovered after COVID-19 or not yet, how severe this disease was, how satisfied he was with the attitude of medical workers towards him during the illness and how much he fears for the health of loved ones during the pandemic, is related to such perceptions about COVID-19 disease as an assessment of the disease duration, its impact on life, emotional state, concern about one’s own illness and understanding of its nature.Disclosure: Research is supported by the Russian Science Foundation, project No. 21-18-00624.Disclosure of InterestNone Declared
The “Hector” case and the community rehabilitation of offenders with Intellectual Disability and psychiatric disorders
Authors: Santambrogio J. , Francia Emma , Giancontieri Antonino , Clerici Massimo , Santarone Alessandro 
Published: August 2024

AbstractHector, 44 years, with mild Intellectual Disability and impulse control disorder, committed serious sexual offences against two children of his partner. Considered “socially dangerous”, he was put in prison, then with a deferment of the enforcement of the prison sentence in the forms of home detention he was hospitalized in a psychiatric facility due to his depressive condition. Upon entering the Community, he presented a deflected mood as a reaction to the discomfort from the custodial experience, which was not cognitively integrated. Both psychotropic and rehabilitation treatments started. He has been involved in a gardening activity, too. After a first period of high degree of denial of the facts and a defensive mode marked by stolidity and fatuity, revealing his poor cognitive resources, during the psychiatric sessions he became even more conscious of his crime and the suffering of the victims. Services/pathways available for offenders with ID and psychiatric disorders will be presented.Disclosure of InterestNone Declared