bluuebunny/crossref_metadata_2025_split huggingface dataset:
2754 – Title: A Study to Assess the Stress, Coping Strategies and Domestic Violence in Wives of Alcohol Dependent Individuals
Authors: Nanjundaswamy M. , Sreedevi P.A. , Gangadharaiah H.M. , Viswanath B. , Benegal V. 
Published: July 2013

Introduction:Divorce rates are high among wives of alcoholics and the most frequently identified cause is domestic strife in the form of harassment, torture or beating from the husband and or in-laws. However, there is only limited literature in this regard.Aims and objectives:To study the stress, various coping styles and domestic violence among the wives of alcohol dependent individuals, who are admitted to the de-addiction centre of a tertiary care psychiatric centre in India.Methods:An exploratory descriptive design was adopted. Wives of 75 alcohol dependent individuals, admitted in the deaddiction centre of National Institute of Mental Health and Neuro Sciences, Bangalore were selected. Data was collected by personal interviews with all 75 wives using socio-demographic information schedule, Perceived Stress Scale, Coping with Drinking Questionnaire, and Domestic Violence Questionnaire.Results:Wives of alcohol dependent patients had high levels of perceived stress. Avoidance, discord, fearful withdrawal and sexual withdrawal were the most common coping components identified. Domestic violence was experienced by 90% women, mostly intellectual (69%), emotional (59%), social (58%), physical (47%), economic (42%) and sexual violence (27%). Domestic violence was found to increase the stress and influences the coping styles of these women.Conclusions:Domestic violence is a major problem in wives of alcoholics. Routine screening for domestic violence is needed during the intake of alcoholic for substance abuse treatment so that appropriate interventions can be planned. There is a need for substance abuse treatment providers to be trained on the issue of domestic violence.
2758 – Personality and Treatment Dropout in Depressed Outpatients
Authors: Ramos-Grille I. , Gomà-Freixanet M. , Enero C.G. , Cardona S.S. , Aragay N.V. , Guillamat R.T. 
Published: July 2013

Introduction:Premature termination is common among patients treated for depression with either pharmacotherapy or psychotherapy. Yet little is known about factors associated with premature treatment termination among depressed patients. in other hand, there is conflicting evidence about the influence of personality disorder on outcome in depressive disorders.Aims:The present study assesses whether personality may predict the dropout of a psychotherapy group for patients with depressive disorder.Methods:A personality disorders (PDs) self-report questionnaire based on the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II) was completed by 39 depressed outpatients. All patients attended a group-based CBT program for depression consisted of 10 weekly 90 minutes sessions. Patients were categorized in groups as completers vs. dropouts. Dropout was defined as attendance at less than 7 sessions. Differences between groups were tested using Student's t-test and in order to measure the specific contribution of personality on dropout a logistic regression analyses were performed.Results:Comparing treatment completers (67%) vs. dropouts (33%), groups differed significantly on number of items in schizotypal, narcissistic and borderline PDs. The dropout group scored significantly higher on these PDs than the completer group. Scores on borderline personality disorder emerged as a significant predictor of dropout.Conclusions:Depressed outpatients with comorbid borderline traits are at higher risk of premature termination and may require modified treatment strategies.
2770 – Psychosocial Risk Factors for Postpartum Depression: A Descriptive Sample of Pregnants
Authors: Testa R. , Chiappini S. , D’Oria L. , Righino E. , Bruschi A. , Di Nardo F. , Oliva G. , Janiri L. 
Published: July 2013

Introduction:Postpartum Depression (PPD) is a common problem connected to pregnancy. Related previous data showed a prevalence of depressive symptoms between 8% and 51% and a prevalence of Major Depressive Disorder between 10% and 17%.Objectives:Find a correlation between Psychosocial Risk Factors and the develop of Mood Disorders during pregnancy and post-delivery.Aims:Develop strategies of prevention and treatment of PPD.Methods:A population of pregnants has been analyzed, proposing an anamnestic questionnaire, the Edinburgh Postnatal Depression Scale (EPDS) and the Hypomania checklist Symptoms (HCL-32), in two times: between the 35th and the 37th week of pregnancy and 2-3 days after the delivery.Results:We found that at the first survey were depressed (EPDS score >9) 21 women of 149 (14.1%) and hyperthymic (HCL score >14) 59 women of 149 (39.9%).We noticed that risk factors for depression were a complicated pregnancy (p=0.004), a conflicting relationship with the partner (p=0.009) and a permanence in Italy < 6 months (p< 0.001). An history of illnesses during the pregnancy (p=0.042) and previous psychological problems (p=0.049) were correlated to an hyperthymic state. At the second survey, data were confirmed: the incidence of depression was 17,4% (12 /69 women) and that of hyperthymia was 44% (30/69 women).Conclusions:Our data confirm previous evidences about the incidence of PPD and the contribution of risk factors of the pregnancy in its pathogenesis; moreover, high scores at HCL can express an hyperthymic dimension peculiar of pregnancy, rather than a mood disorder, considering HCL as a dimensional assessment.
2771 – Thyroid Function and Post Postpartum Depression
Authors: Yazdchi K. , Keshavarzi F. , Farnia V. 
Published: July 2013

Introduction:Thyroid function is known to be affected during pregnancy. Risk of depression is particularly high for women during the prenatal period.Objective:Various investigators have attempted to establish a link between thyroid function and post partum depression. While the pathogenesis of postpartum mood disturbances remains unclear.Aims:This study aimed to investigate whether thyroid function differs in women with postpartum depression compared to a control group.Methods:In this case-control study, Forty eight patients suffering from postpartum depression according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition totally revised (DSM-IV-TR), and 65 normal controls underwent diagnostic evaluation using Structured Clinical Interview for DSM-IV-TR. Then the Persian version of Edinburgh Postnatal Depression Scale (EPDS) was completed by the participants. Finally, their thyroid functions were assessed. Data analyses were done using the SPSS program 13.Results:No statistically significant differences were observed between thyroid function tests and postpartum depression. According to multiple regression analysis with stepwise method, subjects with lower serum TSH, T3RU and T3 levels tended to have higher EPDS scores (P-value=0.008).Conclusion:The present study reports that those women with postpartum depression had a no greater prevalence of thyroid dysfunction than the control subjects. It seems that thyroid dysfunction should be considered in women with postpartum depression individually, but the role of thyroid as an important cause of this condition is not yet established. This suggests that future studies should concentrate on this concept in postpartum depression.
2775 – The Issues Involved in the Management of Foreign Mentally Disordered Offenders in the Uk at the Point of Entry
Authors: Patil P. , Olumoroti O. , Witharana D. , Rasquinha N. 
Published: July 2013

Aims and objectives:This literature review examines the issues facing foreign mentally disordered offenders (FNMDOs) in accessing psychiatric care in the UK.Methods:Studies/reports relevant to FNMDOs in Healthcare, Probation services, Inspectorate of prisons, Crime reduction charities, Department of Health were examined. Keywords searched on MEDLINE and Psychinfo: ‘foreign, mental,*offender,*criminal.*’Results:According to 2009 statistics, 14% of UK prisons consisted of foreigners of which 80% suffered mental health problems. FNMDOs face a number of issues like negative stereotyping, racism, poor family contact, language/cultural barriers, which hinder accessing psychiatric help. Indefinite detention of foreign prisoners, post-amendment of the UK Borders Act 2007, has been found to result in increased depression and suicidal ideation. Self-inflicted deaths increased since 2006. Research on migration-morbidity hypothesis and refugees/asylum-seekers demonstrates higher psychiatric morbidity. A 2005 meta-analysis reported worse outcomes for institutionalized refugees. Detention centres often have poor healthcare provision, though prevalence of PTSD, depression, anxiety, somatoform disorders is high. FNMDOs face limitations in availability of legal aid and immigration advice across the prison system. Lack of a clear care pathway compounded by poor inter-agency communication and understanding of immigration procedures adversely affects treatment and continuity of psychiatric care.Conclusions:FNMDOs are a vulnerable group with complex needs which may go unidentified. Improving care and outcomes for FNMDOs requires adequate prison staff training, ready interpreter access, facilitation of family visits/cultural contact. Effective multi-agency collaboration in early identification, intervention, clarity in care pathway and immigration advice would result in reduced psychiatric morbidity in this vulnerable group of offenders.
2776 – Mental Disorders in Old Age Persons Undergoing Hip Fracture or Femoral
Authors: Kalyn Y.B. , Ponomareva E.V. , Gavrilova S.I. 
Published: July 2013

Introduction:Traumatic injury, advanced age, concomitant somatic disorders promote the development of the elderly with hip fractures of various mental disorders.Objectives:To establish the prevalence, nosological spectrum, dynamics and prognosis of mental disorders in elderly and senile patients undergoing hip fracture or femur.Methods:The study included 101 patients aged 60 years and older (mean age - 76.4 + 8.2 years) with a fractured neck of femur or femur, being treated at the trauma wards of several hospitals of Moscow.Results:A survey of patients in elderly undergoing hip fracture or femoral found that 82.2% of the patients at the time of the study had various mental disorders. Fracture of the femoral neck or the femur can be seen as provocative or etiological factors such as mental health states of confusion (19.8%), due to situational depressive disorder (8.9%), which appeared isolated sleep disorders (5.9%), alcohol delirium (3%). Depressive spectrum disorders in the background of hip fracture or hip are more common in younger persons (p < 0.03), whereas the state of confusion - in older individuals (p < 0.01). By the time catamnesis (on average, a year after the first examination) died 27.8% of persons included in the follow-up of the group.Conclusions:The study confirmed the expected high rate of adverse outcome of hip fracture or femur in elderly and senile patients with a state of confusion or dementia. Probability of reduction of mental disorders occurring against hip fracture or femoral increases significantly when the surgical treatment.
2778 – Identification of Dependents During Emergency Psychiatric Assessments
Authors: Nabi S. 
Published: July 2013

Introduction:Child protection guidelines within a London mental health trust state that all mental health professionals should identify patients who have dependents, if so it should be established that these dependents are safe, and any concerns should be taken forward to relevant agencies.Objectives:Establish if child protection guidelines are being followed in emergency psychiatric assessments.Aims:Establish whether patients are being asked whether they have dependents, if the dependents are safe, and whether concerns are being discussed with child protection services.Methods:An audit was carried out in which documentation from 3 days of emergency assessments where examined to see whether the above questions were being asked.Results:In cycle 1, 11 out of 18 patients asked about dependents, 7 had dependents, 4 were documented as being safe, 3 raised child protection concerns, 0 taken forward.In cycle 2, 7 out of 17 patients asked about dependent, 6 had dependents, 3 documented as being safe, 0 child protection concerns were raised.
2786 – Gender Influence on Relation of Suicidal Intents to Clinical Characteristics of Suicide Attempters
Authors: Paravaya O. , Lasy Y. 
Published: July 2013

Objective:To evaluate severity of suicide intents and its connection to some clinical characteristics in men and women.Methods:Clinical examination, The Pierce Suicide Intent Scale (SIS), Brief Psychiatric Rating Scale (BPRS), Beck Suicide Ideation Scale (SSI), Beck Hopelessness Scale (BHS), Beck Depression Inventory (BDI), The Symptom Checklist 90 Revised (SCL 90 R), Global Quality of Life Self - Rating Scale.Object of study:Suicide attempters over 15 years admitted to the psychiatric hospital within one month after parasuicide (N = 264; 114 men, 149 women).Results:Based on SIS rating of intent to die patients were divided into three groups (low, intermediate, high intent). The scores of hopelessness (BHS), depression (BDI), SCL-90-R in general, suicide ideations (SSI) and intensity of psychosis (BPRS) increased with the severity of intent to die in the whole sample not taking into account gender.In women separately general SCL-90-R score, suicide ideations (SSI) and intensity of psychosis (BPRS) correlated positively with increase of intent to die score. Besides, only in women elder age was associated with stronger intent to die.Exceptionally in the sample of men the lower quality of life was associated with the higher scores on SIS scale. Other characteristics (general SCL-90-R score, suicide ideations and intensity of psychosis) were significantly higher in men with the stronger intent to die.Conclusion:Our findings confirm that socioeconomic status is connected to men's pattern of suicidality. Psychiatric disorders together with the strong suicide ideation bring people to more dangerous suicide attempts.
2787 – Advance Statements by Patients in a Forensic Regional Secure Unit in South West England
Authors: Mohandas A. , James A.J. , Talwar N. , Sachin B. , King A. 
Published: July 2013

Introduction:Advance statements are expressions of wishes made by an individual anticipating future mental incapacity to express treatment choices, spiritual or cultural needs and to nominate someone to be consulted in the event of future incapacity.Advance statements about medical treatment are usually positively-framed treatment choices or requests. An advance statement could also inform the process of determining a person's best interests under the Mental Capacity Act 2005 procedure. Advance Directives project was initiated at Langdon Hospital(Regional Secure Unit with medium and low secure as well as open Forensic wards) in early 2011 and rolled out across site by late 2011.Aims and objectives:To audit the opportunity for patients at Langdon Hospital to have Advance Statements in place and its recording on Rio electronic system.To find out areas within the procedure that need improvement and changes.Methods:Data was collected from Rio electronic records of all patients of all wards at Langdon Hospital during a 3 week period.Results and conclusions:Most wards had offered above 80% of patients a chance to make Advance Statements. 2 wards achieved 100%. The uptake by patients who were offered an opportunity was high at 70%. Most patients prefer to have a named advocate.In some cases patients specifically asked for a relative not to be involved.Improvement needed in using recommended format and uploading it to Rio. Some staff were concentrating mainly on physical health/end of life decisions. Improvement needed in including questions related to management of future aggression and violence.
2795 – Delusional Social Isolation: Criteria Attempts for Psychotic Depression and Late Paranoid Schizophrenia
Authors: Engel C. , Dugand N. , Baudu C. , Pringuey D. , Benoit M. 
Published: July 2013

Introduction:Chronic social isolation in the elderly may be related with diverse psychiatric disorders: chronic depressive episode, paranoia-type personality, and late non-schizophrenic psychosis.Objectives:In order to separate psychotic depression and non-schizophrenic psychosis with depressive mood, there is a need for more clearly defined criteria.Methods:We report the case of a 68 yrs. women living alone at home for more than twenty years, with a complete social isolation for two years. This behaviour was found associated with severe delusion: she unreasonably felt persecuted by her flat's owner and she dissimulated an extensive basocellular carcinoma on her face threatening her life. A history of a short depressive episode at the time of her divorce was only found, as she demonstrated at initial assessment many paranoia personality traits. A review of literature on this disorders’ association was therefore undertaken.Results:Evolution after admission revealed the lack of effectiveness of antipsychotic treatment on delusion, but some efficiency of antidepressant. Nevertheless, personality traits remained unaffected by care. Literature on the association between mood disorders and non-schizophrenic psychosis is rare, and we suggest some criteria that may account for psychotic depression and be useful to treatment choice.Conclusions:In the absence of a history of chronic mood or psychotic disorder, it is hypothesised that paranoia symptoms may account more for a psychotic depression than for late paranoid schizophrenia. This may have consequences for therapeutic strategy.
2796 – Resistant Depression in The Elderly: Effects of Treatment on Symptomatology, Cognitive Functioning and Functional Abilities
Authors: Gomez S. , Mazzone F. , Baudu C. , Pringuey D. , Benoit M. 
Published: July 2013

Introduction:Severe depression after mid-life has significant clinical, cognitive or functional consequences. These related dimensions may have a different evolution under treatment, and their assessment may be useful to evaluate treatment efficiency.Objectives:To measure differential treatment effect on clinical, cognitive and functional dimensions in elderly severe depression.Aims:The relation between these three dimensions has been examined from the inclusion through six weeks of treatmentMethods:Three different treatment (antidepressant, ECT and rTMS) were proposed to ten patients aged more than 60. The clinical, cognitive and functional dimensions were compared at inclusion and J42, and their evolution was also measured. At the end, we tried to assess trends for difference between the three types of treatment. Three types of evaluation were performed: clinical (depression, anxiety and apathy), neuropsychological (memory, attentional and executive functioning) and functional (activities of daily life, autonomy).Results:This preliminary study put in evidence a common pre-treatment profile of depressive symptoms (mood disorder), cognitive (executive difficulties) and functional (loss of autonomy, physical problems) abilities. Clinical improvement was associated with similar cognitive and functional progression, whatever therapeutic method was proposed.Conclusions:Repetitive evaluation of symptomatology, cognitive performance and everyday life functioning seems to have a major importance in post midlife depressive episodes. It might be useful to determine if non-pharmacological treatment may result in a different evolution of these dimensions.
2799 – A Comparison of Depressive Symptom Manifestation: Adolescents with Low and High Level of Alexithymia
Authors: Tam B.K.H. , Wong W.S. 
Published: July 2013

Introduction:There is a dearth of literature on the effect of alexithymia on somatizing depression. Yet, the symptom manifestation of depression among people with alexithymia has not been well-investigated. The objective of this study was to examine symptom presentation in adolescents having high (HDA) or low (LDA) degrees of alexithymia.Methods:A total of 590 adolescents aged 11–18 years participated in this school-based study. of 269 adolescents with mild to severe depressive symptoms (Center of Epidemiological Studies—Depression Scale (CES-D)>15), 136 participants were selected and identified as either having HDA (n = 100) or LDA (n = 36). Confirmatory factor analyses (CFAs) tested the fit of a correlated two-factor structure (somatic and affective symptoms of CES-D) to the data. HDA adolescents were compared to those with LDA on somatic and affective symptoms of depression, negative affect and somatization symptoms.Results:Results of CFAs confirmed the two-factor model in HDA (CFI = 0.863) and LDA (CFI = 0.874) adolescents. HDA adolescents reported more somatic symptoms of depression (t = −2.97, p = 0.004) and negative affect (t = −3.53, p = 0.001) compared with LDA adolescents. No significant difference was observed between HDA and LDA adolescents on affective symptoms of depression and somatization symptoms (p > 0.05).Conclusions:Our findings underscore that (1) HDA adolescents reported affective symptoms of depression in a similar manner to LDA adolescents, and (2) though the tendency toward reporting somatic symptom of depression is evident, HDA adolescents did not report significantly more somatization symptoms. These findings refute the notion that patients with alexithymia articulate their emotional and psychological distress primarily through physical symptomatology.
2804 – Asenapine After Clozapine: Is Possible?
Authors: Matteo P. , Mula M. , Basaglia C. , Favaretto E. , Schwitzer J. 
Published: July 2013

Bipolar disorder is a common, severe, long-term condition, characterized by manic/hypomanic, depressed, or mixed states(1)Lithium is the traditional treatment option, and valproate and carbamazepine have been introduced to better treat and stabilize manic/depressive cyclicity. Recently antipsychotics turned into a broader therapeutic option for bipolar disorder, as both alternative and adjunct to traditional mood stabilizers.(2)Asenapine is an atypical antipsychotic indicated for the treatment of schizophrenia and of the manic or mixed episodes in bipolar I disorder (1,3). “Mrs. O.M.”, is a caucasian woman aged 55 suffering from bipolar disorder type I since she was 22 years old, with mood cycles characterized by long manic episodes with soft mixed and cognitive features. Readmitted for a manic exacerbation, the increasing of clozapine up to 250 mg/day was accompanied by hyperphagia, weight gain, cognitive impairment, sedation, fatigue, anergy, resistant chronic constipation. To that point clozapine was abruptly replaced with asenapine 20 mg/day with rapid clinical improvement within two days without major side effects. After 6 months the patient is still showing a good affective stability, without side effects. Our case report underlines the possibility of rapid switch from clozapine to asenapine in bipolar I disorder therapy resistant manic patients, presenting extrapyramidal, cognitive and metabolic side effects with atypical and typical neuroleptics.