bluuebunny/crossref_metadata_2025_split huggingface dataset:
ECP09-02 - Psychiatry training in europe: Implementation and evaluation of training programs
Authors: Rojnic Kuzman M. , Giacco D. , Wuyts P. , Simmons M. , Favre G. , Bausch Becker N. , Malik A. , Barrett E. , Nawka A. 
Published: May 2011

Training schemes in psychiatry are developed and evaluated by national education policy makers in the majority of European countries. However, the requirements that a training program in psychiatry should meet are also defined on the European level in a form of recommendations by the Board of Psychiatry - European Union of Medical Specialists (UEMS).Recently, the European Federation of Psychiatric Trainees (EFPT) which represent trainees from more then 30 European countries, reported data pertaining to the structure of training programs and to the evaluation of training programs in 30 European countries. Whereas in the majority of European countries the structure of training programs and methods of assessment of trainees' competencies are partially compatible with one another and with the existing recommendations at the European level, the quality assurance of training programs varies significantly among countries. Regular evaluations of training programs and mentors, however, contribute to the proper implementation of training programs and help that the theoretical training principles are followed through in practice. As quality assurance of training schemes is an important mechanism how to improve the delivery of training programs, it should gain more focus by responsible authorities who structure the psychiatric training on the national and international European level.
ECP09-03 - Information technologies in psychiatry
Authors: Favre G. , Bausch Becker N. , Giacco D. , Nawka A. , Rojnic Kuzman M. , Simmons M. , Wuyts P. 
Published: May 2011

Even if technology and information are omnipresent, they rarely meet harmoniously. Either the lack of sufficient means prevents good information to reach its target or the technology is too complex to integrate flawlessly in the daily workflow.The use and misuse of information technologies (internet, email, e-learning, social networks) has recently significantly increased among psychiatrists and patients and the changes in behavior of communication and seeking informations are real challenges.Using the European Federation of Psychiatric Trainees network, the self-questionnaires concerning the usage of information technologies and the local patients-therapists communication were distributed among psychiatric trainees of 31 European countries.A review of the results of this study, as well as recommendations about netiquette and useful websites for psychiatrists and scientists will be presented in detail.
ECP09-04 - The european federation of psychiatric trainees' psychiatric resident - industry relationship survey (efpt-prirs)
Authors: Jauhar S. ,   European Federation of Psychiatric Trainees Research Group
Published: May 2011

There is no doubt that, in the modern era, psychiatry and the pharmaceutical industry have a relationship, though the nature of this is not universally well defined. Given that psychotropic medication is widely prescribed (ranking 3rd and 4th in US sales in 2007), and the role of the pharmaceutical industry in medical education has come under scrutiny, it is worth noting that the relationship between the industry and psychiatry trainees has not been studied in great depth.Our Pan-European research group, composed exclusively of psychiatry trainees from at least 18 different countries, as part of the European Federation of Psychiatric Trainees (EFPT) has sought to study this in a systematic fashion. I will present preliminary findings of our survey, PRIRS (Psychiatric Residents-Industry Relationship Survey) which is currently taking place.It is also hoped that this will facilitate a discussion amongst those attending the session, on the role of the pharmaceutical industry in psychiatric training, education and in general.
FC01-01 - Combat stress injury markers predicting ptsd: Preliminary findings from in-depth interviews of combat medics between deployments
Authors: Figley C. , Cabrera D. , Speciale J. 
Published: May 2011

US Army Combat Medics and Navy Combat Corpsmen serve as a critical element of any fighting unit. Their professional responsibilities are for providing the emergency and preventive medical needs of their soldiers with whom they live and serve. These medical professionals are also expected to do any job that maintains the mission of their fighting unit. Because of their importance to sustaining the US fighting forces, Combat Medics may be an ideal group to study because of the high levels of adversity and stress endured while serving both roles. The Medic Mettle Study was established to develop a model of combat stress resilience and a prevention of PTSD. The first step was to identify the psychosocial and bio-behavioral characteristics of combat stress injury. A mixed methods model was utilized and over 700 recently deployed Combat Medics were enrolled. The presentation discusses both the early quantitative results and elaborates on the qualitative interviews conducted with the most resilient combat medics, as nominated by their peers. Preliminary findings of the 16 intensive, videotaped interviews with Combat Medics between war deployments using a Variable Generating Activity (VGA) protocol(1) found 138 variables that appear to provide some missing pieces in our understanding of combat stress injury and its psychosocial markers;(2) Identified five variable domains within a nomothetic network of medic resilience;(3) utility of annual surveys to validate the qualitative findings.
FC01-02 - Homelessness and experiences of psychological trauma in the western world: A research review and a qualitative study
Authors: Sundin E.C. 
Published: May 2011

Over the last forty years, and particularly within the last decade, homelessness is recognised as a multifaceted problem. Homelessness is associated with poverty, because the ability to access employment is limited by the lack of a stable address. Secondly, homeless people often experience severe difficulties with housing related services, health services and education. These problems are often sustained or exacerbated by, e.g., poor physical and mental health and the need to support alcohol or drug dependencies. What role does traumatic events, in particular childhood trauma and abuse, have in the lives of the homeless? The negative effects of psychological trauma on psychosocial functioning and wellbeing in the general population are well documented; a quick review of the research on homelessness and trauma suggested that more work is needed.The objectives of this paper are to review research on homelessness and experiences of psychological trauma and evidence from a sample of single homeless adults.The aim of this paper is two-fold: to provide a systematic review of studies on the relationship between childhood trauma and homelessness and to present findings from a qualitative study of adult people who are homeless in London and Nottingham, UK.The systematic review examines research published in the Western world, 1990 - July 2010. The qualitative study collected data through semi-structured interviews with 103 single people, aged 18–69 years.A summary of the results from the review and qualitative study and guidance for further research on the relationships between traumatic experiences and homelessness will be provided.
FC01-05 - The association of traumatic experiences and posttraumatic stress disorder with physical morbidity in old age - a german population based study
Authors: Glaesmer H. , Braehler E. , Gündel H. , Riedel-Heller S.G. 
Published: May 2011

ObjectiveTo examine the relationship of traumatic experiences and PTSD among a representative population sample of 1,456 German elderly (60 years and above). Several studies have suggested that PTSD, but also traumatic experiences are related to adverse health outcomes. However, many past studies are based on selected samples like combat veterans, or survivors of natural disasters. To our knowledge this is the first representative population study in the elderly.MethodsBased on self-report data and using regression analyses, we investigated the association of traumatic experiences and PTSD with several medical conditions.ResultsTraumatized subjects had a significantly increased risk for all the medical conditions under study compared to those participants without a traumatic exposure (OR = 1.37 for hypertension up to 5.12 (CI = 2.25–11.6) for cancer). There are significant associations of current PTSD with cardiovascular diseases (Angina pectoris/coronary artery disease; congestive heart failure, peripheral vascular disease) and cardiovascular risk factors (hypertension, elevated cholesterol) (OR = 1.94 for peripheral vascular disease up to 3.76 for elevated cholesterol), as well as with asthma, cancer, back pain, hard of hearing, osteoporosis, stomach problems and thyroid disorders.ConclusionsOur study delivers additional evidence for the association of traumatic stress and PTSD with impaired physical health in a general population sample in the German elderly. It underpins the importance of traumatic experiences and PTSD not only for mental health, but also for physical health as a long-term consequence.
FC02-02 - Prevention of violence among out-patients with schizophrenia (previos i): A feasibility study
Authors: Steinert T. , Hamann K. , Frommberger U. , Schwarz M. , Weithmann G. 
Published: May 2011

IntroductionThe number of beds in forensic psychiatry has increased more than two-fold since 1990 in many countries, mostly due to an increasing number of admitted male patients with psychotic disorders. Most of these patients had previous admissions to general psychiatric units.AimsTo develop a manual for interventions aiming on the prevention of violence based on cognitive behavioural therapy and to test its feasibility.MethodsA manual comprising of 11 different domains of possible interventions was developed. For each patient, the three most relevant domains should be identified. A pilot study was conducted in two psychiatric hospitals. Included patients should receive two sessions as in-patients and consecutively three more as out-patients.ResultsOut of 368 male patients with a diagnosis of a schizophrenic or schizoaffective disorder, 89 (24.2%) had a relevant history of violence. Only 15 (17%) could be recruited for the study, 13 (14.6% of eligible patients) completed the intervention. A considerable proportion refused to participate. The manual was considered to be applicable and relevant. Domains used most frequently were anger management, substance abuse, and medication adherence.ConclusionsThe intervention based on a flexible manual and five sessions was feasible and well accepted by participating patients. However, it turned out to be difficult to recruit this group of patients for an intervention programme and for a study. To conduct a randomised controlled trial, a screening of about 4.000 patients with schizophrenia will be necessary.
FC02-03 - Is there an association between neurocognitive factors and homicide in schizophrenia ?
Authors: Richard-Devantoy S. , Gourevitch R. , Vacheron M.-N. , Voyer M. , Senon J.-L. , Garré J.-B. 
Published: May 2011

ObjectiveThe objective of this systematic review was to investigate which specific and especially neurocognitive factors related to schizophrenia, were associated with homicide risk.MethodsA systematic English-French Medline literature search of cohort studies, case-control studies and transversal studies published from January 1999 to December 2009 was performed combining the MeSH terms “schizophrenia”, “homicide”, “violence”, “mental process”, “cognition”, “risk”, “risk factors”,. Abstract selection was based on the STROBE checklist for observational studies and on the consort statement for clinical trials.ResultsOf the 366 selected studies, 65 observational or prospective studies, 10 systematic reviews and meta-analysis and 2 interventional studies met the selection criteria and were included in the final analysis. Firstly, we highlighted that historical (past violence, juvenile detention, physical abuse, parental arrest record), dispositional (male gender, young age, low socioeconomic status) and contextual (recent divorce, unemployment, victimisation) factors could be considered as general homicide-related factors. Clinical factors (clinical paranoid, delusions of persecution or thought insertion, substance abuse, disorganized thinking, long duration of untreated psychosis, stopped monitoring or treatment) were more schizophrenia-specific factors for homicide. Most of the excess risk appears to be mediated by substance abuse. Secondly, our results suggested that schizophrenics with a history of aggressive behaviour compared to those without such history, had better performances on global neuropsychological tests exploring executive functions but performed more poorly as considering orbitofrontal functions.ConclusionsWe suggest that every comprehensive psychiatric assessment should explore the risk of homicide, including historical, dispositional, contextual, clinical and neurocognitive (low insight capacity, impaired frontal functions) factors of violence.
FC02-04 - Assessment of schizophrenia in adults with intellectual disability and autism - an empirical study
Authors: Bakken T.L. , Martinsen H. , Friis S. , Lovoll S. , Eilertsen D.E. 
Published: May 2011

IntroductionIn adults with intellectual disability and autism, psychosis is rarely detected due to misinterpretation of psychotic symptoms being autism or idiosyncratic communication. The patients can poorly communicate the delusions and hallucinations they experience. Observable indicators are therefore necessary.ObjectivesTo establish reliable and valid behavioural indicators of psychosis in adults with intellectual disability and autism.AimsThe aim was to investigate behavioural indicators of psychosis in adults with intellectual disability and autism.MethodsForty-three patients with intellectual disability and autism from a hospital-based study were recruited. Eight of these patients were assessed as having schizophrenia-like psychosis. They were further examined through a case-report study. Both statistical analysis and data from the case reports were included. Case report data were compared with scores from a validation study of the Psychopathology in Autism Checklist, PAC.ResultsBehavioural disorganisation, severe decreased global functioning, suspected hallucinations and decreased sociability were observed in the eight psychotic patients. The level of disorganisation was significantly higher in the psychotic patients than in the non-psychotic patients - this included patients with “plain” autism. Adequate treatment significantly decreased the level of disorganised behaviour.ConclusionsDisorganised behaviour, occurring concurrent with disorganised speech, severe decreased global functioning, suspected hallucinations and negative symptoms, were found to be reliable and valid indicators of psychosis.
FC02-05 - Grasping behavior in schizophrenia suggests selective impairment in the dorsal visual pathway
Authors: Christensen B. , King J. , Westwood D. 
Published: May 2011

IntroductionThis study frames anomalous functional brain organization among persons with Schizophrenia (SCZ) within an evolutionary model of brain development, the Dual Trends Theory (DTT). The DTT argues that neural architecture develops along two separate pathways: the dorsal’archicortical’ trend and the ventral’paleocortical’ trend. The DTT dovetails with visual system organization, which is also comprised of two independent pathways: a visuomotor dedicated dorsal stream and a perceptual dedicated ventral stream.ObjectivesThe present study examined the integrity of these pathways using a size-contrast visual illusion. Prior research has shown that, normally, perceptual estimations of object size are susceptible to visual illusions, whereas goal-directed actions are resistant. We hypothesized that, unlike control participants, SCZ patients’ goal-directed actions would be susceptible to the illusion, reflecting selective dorsal stream dysfunction.Methods/resultsHere, 42 SCZ patients and 42 healthy control participants grasped and estimated the size of target blocks in both control and illusion conditions. Movement kinematics were measured using a magnetic motion trracking system (Flock of Birds). During estimation, both groups were equally perturbed by the illusion; however, grasping movements of patients alone were influenced by the illusion.ConclusionsThese results suggest disrupted dorsal brain circuitry in SCZ but relatively intact ventral brain circuitry.
FC03-02 - Internet addiction - the new digital disorder
Authors: Wölfling K. 
Published: May 2011

Internet Addiction has become a serious health concern in Europe due to widespread currency and accessibility of various internet applications like online computer gaming, monetary driven gambling or social communities. Under the leadership of the American Psychiatric Association it has recently been proposed to subsume pathological gambling as a behavioral addiction under the new category: Addiction and Related Disorders’ acknowledging commonalities in clinical expression, aetiology and comorbidity with substance related disorders. Also, Internet addiction has been proposed as a new (research) diagnosis in DSM V. The outstanding psychological symptom patients concerned report is an irresistibly urge to be online’. This can lead to constrained behavior which entails psychobiological harm for the user and leads to an addictive behaviour (behavioural addiction). Patients show psychopathological patterns (tolerance, withdrawal, interpersonal conflict, mood modification, relapse) comparable to substance-related disorders.The talk will outline recent results of psychological research and psychiatric as well as clinical characterization of Internet Addiction. A special focus within the lecture will be on different strategies of intervention. This includes counselling of patients and their relatives as well as outpatient group treatment and individual psychotherapy of Internet Addiction. Complementary, first outcomes of the evaluation of a cognitive behavioral based outpatient therapy from the Ambulanz für Spielsucht Mainz’ will be presented.
FC03-04 - Lamotrigine treatment of acute alcohol hallucinosis comorbid depersonalizations disorders: A randomimized double-blind, placebo-controlled study
Authors: Aliyev N. , Aliyev A.A. , Aliyev Z.N. , Aliyev A. 
Published: May 2011

AimsWe compared the efficacy and safety of lamotrigine versus placebo for the treatment of acute alcohol hallucinosis comorbid depersonalization disorders.Methods10 days, randomized, double-blind, parallel study. A total of 40 patients with an ICD-10 diagnosis of acute alcohol hallucinosis comorbid depersonalization disorders were randomized to lamotrigine 300 mg/d (n = 40), or placebo (n = 40). The primary efficacy measure was the PANSS subscale for hallucinosis and Cambridge Depersonalization Scale (CDS).ResultsIamotrigine treated patients demonstrated a statistically significant greater improvement in PANSS subscale for hallucinosis and CDS than placebo-treated patients.ConclusionLamotrigine demonstrated greater efficacy than placebo in treatment of acute hallucinosis comorbid depersonalization disorders and was generally well tolerated.
FC03-06 - Treatment of opioid dependence using a Tele-Psychiatry Model
Authors: Schwager H.A. ,   TeleMental Health: From Research to Clinical Practice
Published: May 2011

IntroductionOpioid dependence has increased greater that 150% from 1965–2008. Almost 2 Million Americans are currnetly opioid depndent. Approxmately 4.4 million teenagers and adults have used opioid prescription painkillers for nonmedical purposes. Greater than 75% of opioid dependnet patients in the U.S. go untreated. Greater than 60 % of opioid dependent patients don’t seek reatment due to lack of accessibility of treatment centers or programs.Method100 opioid dependent patients (illicit street and iatrognenic) volunteered and entered a “TELE-PSYCIATRY MODEL” for treatment of their depencence (age range 19,– 61. 58 males,42 females). Utilizing the Bupernorphen protocol, all patients were intrviewed, examined, induced, and regularly followed, ALL utilizing SECURE VIDEOCONFERENCNG interactive treatment methodologies. No in-person contact was made with any patients.Results2 patients dropped out, 98 remain in treatment, and opioid free after a 7 month average. All patients found the Tele Psychiaty model to be acceptable, effective and prefeable.
FC04-01 - Restricted women's rights: is there a link with young women's (15–24) suicide? Comparing two catholic continents
Authors: Pritchard C. , Pritchard C. 
Published: May 2011

QuestionAre restricted Women's Rights, i.e. limited access to family planning, including abortion, associated with Young Women's (YW)(15–24) suicides in two Catholic formal continents, Catholic Western Europe (CWE) and South American Countries (SAC).MethodWHO female Suicide rates per million (pm) were compared and ratios of YW to Total (All Age Suicides) calculated. To explore possibility that undetermined deaths, categorised as ‘Other-External-Causes of Death’ (OECD), might be a source of under-reported suicides, OECD and suicides are correlated. Each SAC mortality patterns, using chi square test and average CWE rates are compared to determine any differences between the two continents, sharing the same formal religious culture.ResultsTotal CWE suicides at 64pm and OECD 15pm were significantly different from SAC suicides 27pm and OECD 24pm rates.Most SAC YW mortalities were higher than their Total rates, the reverse was true for the majority of CWE.SAC Average YW to Total suicide ratios were 1.82: 1 compared to 0.54:1 in CWE and SAC YW to Total OECD ratios were 1.09: 1 and amongst the CWE 0.43:1. There were significant positive correlations between suicides and OECD rates for both CWE age bands but non-significant negative correlation for SAC, showing a marked disparity between the two continents.SAC YW births rates correlated positively and significantly with their OECD rates.ConclusionsIn the majority of SAC patterns of YW suicide and OECD were significantly different from CWE and SAC YW OECD results might well contain more ‘hidden’ suicides possibly linked to restricted Women's Rights.
FC04-02 - Traumatic experiences as a risk factor for suicide in adolescence
Authors: Delalle M. , Dodig-Ćurković K. , Filaković P. 
Published: May 2011

IntroductionToday, the general interpretation of the etiology of various psychopathological symptoms in adolescence does not talk about causes, but the risk factors.AimWe tried to determine whether traumatic experiences among adolescents represent a risk factor for suicide.MethodsThe study was conducted at the University Department for Child and Adolescent Psychiatry, University Hospital Osijek in 2006. and 2007. years.In the study period we included 100 patients, the experimental group consisted of 50 patients who were admitted to the department for attempted suicide in the order of admission to hospital treatment, the control group consisted of 50 patients admitted to the department for other psychiatric disorders, also in the order of admission to treatment / diagnosed according to DSM IV/.ResultsAge range of 13–18 years. There was no statistically significant difference between the two groups of subjects according to age (χ2 = 5289, df = 5, p = .382) and according to sex (χ2 = .694, df = 1, p = .405). In the suicidal group 38 patients (76%) reported traumatic experiences /most in family context/ while in nonsuicidal group 27 patients (54%) what is statistical difference (χ2 = 5319, df = 1, p = .021).ConclusionIn daily psychiatric work we must focus on adolescents who have experienced traumatic experiences and is therefore extremely important in anamnesis always ask for the lived traumatic experience. Family practitioners, specialists in educational institutions, parents and adolescents themselves have a role in early recognition of these risk factors.