bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-297 - The peculiarities of Organization Consultative Liaision Psychiatry/psychotherapy in Multiprofile General Hospital (12-years Experience)
Authors: Prokudin V. , Boyko Y. , Kyrov N. 
Published: June 2010

On base 12-years experiense of activity of Department Psychotherapy (2 psychiatrists, 2 psychotherapeutists and 1 medical psychologist) in Moscow City Clinical Hospital (CCH) №36 revealed the peculiarities of organization psychiatric and psychotherapeutic care of somatic patients with comorbid mental disorders. Since 1997 we worked out “Statute of Department Psychotherapy in CCH” and functional duties of every of specialists; more-over owing to select of specialists created of team of adherents on principle “team work”; in the same way cary out educational seminars for internidts on increasing their knowled-ge in “border-line” psychiatry, somaform and psyhosomatic disordres. We selected the optimal of organization consultative liaison psychiatry/psychotherapy in condition in gene-ral hospital - model “liaison-attachment”. Durind 12 years carry out consultative liaison psychiatric treatment 22638 somatic patients with comorbid mental disorders (5,8% from all treated patients in the hospital for 12 years - 390310). On psychiatric diagnosis comor- bid mental disorders distributed on 2 groups: at 13402 patients(59,2%) revealed comorbid non-psychotic mental disorders (neurosis, neurosis-like, somaform, psychosomatic, per- sonality disorders); at 9236 patients(40,8%) with psychotic mental disorders(acute soma- genic psychosis, alcohol delirium and/or mental retardation). Distribution on age: 18-19 years-1,6%,20-39 -20,2%, 40-59 - 32,8%, 60 years and more - 45,4% patients.In result: 12-years experience showed that the functioning of specialists of Department Psychothe-rapy in CCH 36 distincly assisted of improving psychosomatic disorders in 5,8% somatic inpatients (betwen them turned out 45,4% elderly persons - 60 years and more). Treatment in CCH conducted without any stigmatization and discrimination.
P01-301 - History of Myocardial Infarction and Cognitive Representation of Illness in Post-MI Patients
Authors: Bagherian R. , Saneei H. , Bahrami Ehsan H. 
Published: June 2010

ObjectivesMedical patients construct schematic representations of illness which may impact on their recovery and adjustment with their medical condition. The purpose of the present study was to examine relationship between the history of myocardial infarction (MI) and illness representations among post-MI patients.MethodsOne hundred seventy six consecutive patients following MI admitted to the CCU wards were selected based on the inclusive and exclusive criteria. The patients completed demographic questionnaire and Brief Illness Perception questionnaire (B-IPQ). Their medical data were obtained from medical records and history of MI was confirmed by cardiologist based on one of the following criteria: clinical symptoms, Enzima indices, electrocardiographic changes, echocardiography, and angiography. Therefore, the patients were divided into two groups with and without previous MI. Chi-squared test, Student's t-test, MANCOVA and Covariance were used to analyze the data.ResultsThe findings showed that 30.1% had previous MI. The results of MANCOVA indicated that Significant difference between two groups in B-IPQ scores (F= 2.653, P= 0.025). Also, the results of covariance showed that significant differences in three domains of illness perception including identity (F= 4.776, P= 0.03), consequences (F= 70671, P= 0.006) and timeline (F= 10.092, P= 0.002). However, there were no significant differences in controllability (F=0.165 P= 0.687) and treatability (F=0.26, P=0.611) between two groups.ConclusionsGenerally, post MI patients with previous MI likely develop negative schema about MI. Also having previous MI may impact on perception of identity, consequences and timeline of MI.
P01-302 - The Effects of Cardiac Surgery on Health - Related Quality of Life, and Emotional Status Outcomes: a Follow-up Study
Authors: Rothenhäusler H.-B. , Stepan A. 
Published: June 2010

ObjectiveThe aim of this study was to assess the course of quality of life and emotional status outcomes during the six months after elective CABG.MethodIn a prospective study, we followed up for 6 months 138 of the original 147 CABG patients. A series of psychometric self - rating scales were administered.ResultsThe ratings obtained from the BDI reflected significant decreases in levels of depression from preoperative to 6 - month follow - up assessments (before surgery = 6.5 ± 4.9; at 6 - month follow - up = 4.6 ± 4.7; p < 0.001). The PTSS - 10 ratings from the whole sample reflected significant decreases in levels of PTSD symptoms from preoperative to 6 - month follow - up evaluations (before surgery = 18.2 ± 6.7; at 6 - month follow - up = 17.3 ± 8.0; p < 0.01). The measurements of health - related quality of life indicated significantly higher SF - 36 values on all of the eight health - related domains from preoperative to 6 - month follow - up. However, at 6 - month follow - up, patients with clinical depression and posstraumatic stress symptoms had significantly lower SF - 36 values on a variety of SF-36 domains.ConclusionElective CABG is associated with significant improvements in HRQOL relative to the preoperative period, but impairments in HRQOL were found in a subgroup of post - CABG patients with evidence of PTSD, or depression at 6 - month follow - up.
P01-303 - Huntington's Disease in An Asian-Indian Male - a Case Report and Discussion
Authors: Roy B.B. , Rao K.P. , Ward C.D. 
Published: June 2010

ObjectivesTo present a case of Huntington's Disease and discuss neuropsychiatric management.MethodsCase presentation.We would like to present a case of Huntington's disease in an adult asian-indian male. The poster consists of a case report followed by a discussion on Huntingtons. We discuss the aetiopathogenesis, presentation and recent management trends of this neuropsychiatric condition.Mr. H was an Asian Indian immigrant in the United Kingdom. He presented with gradually worsening chorea, personality change and cognitive decline. Psychiatric symptoms closely followed with the development of aggression, paranoid delusions and visual and auditory hallucinations.Management included a multidisciplinary approach involving psychiatrists, neurologists, the local Huntington's disease service and a host of Para clinical teams.In the discussion, we trace the aetiology of Huntington's disease, the epidemiology and regional variations in Incidence and prevalence rates. The presentation, disease process and prognosis of Huntington's Disease is discussed. We present recent trends in management including the use of Omega 3 Fatty Acids.ConclusionThough there has been a significant increase in the amount of research on the condition, this appears to have been concentrated mainly on those populations with a higher prevalence. Studies on the causes of lower prevalence in Asian, especially Indian populations are still few in number. Such research could provide valuable clues including detection of protective factors in these populations. These in turn could prove useful in the management of the disease on both an individual and wider socio-economic level.
P01-306 - Trait Anxiety Predicts Quality of Life in Patients with Heart Failure Independently of the Severity of Disease
Authors: Samartzis L. , Dimopoulos S. , Manetos C. , Agapitou V. , Bouchla A. , Tasoulis A. , Drakos S. , Terrovitis J. , Nanas S. 
Published: June 2010

ObjectivesThe objective of this study was to investigate the relationship between anxiety personality trait, Quality of Life (QoL) and severity of disease in a Greek population of patients with Chronic Heart Failure (CHF).MethodsTwenty-seven consecutive CHF outpatients (22 males, 5 females; age: 56±12) were asked to answer the Greek version of the Trait Anxiety subscale of the State-Trait Anxiety Inventory (STAI), as a part of a thorough cardiological and psychiatric clinical evaluation. QoL was assessed with the Greek version of the disease-specific Kansas City Cardiomyopathy Questionnaire (KCCQ). Multiple linear regression was conducted to determine the best linear combination of Trait Anxiety scores and severity of disease scores, for predicting KCCQ Overall Summary Score. The indices of disease severity that were used were New York Heart Association (NYHA) class in the first model and VO2peak in the second model.ResultsFor the first model (adjusted R2=0.557, F(2,20)=14.816, p< 0.001), NYHA class (B=-8.430, SE=3.965, beta=-0.323, p< 0.05) as well as Trait Anxiety (B=-0.886, SE=0.225, beta=-0.597, p< 0.05) significantly predict KCCQ Overall Summary Score.For the second model (adjusted R2=0.616, F(2,19)=17.848, p< 0.001), VO2peak (B=17.998, SE=8.374, beta=0.317, p< 0.05) as well as Trait Anxiety (B=-0.884, SE=0.208, beta=-0.626, p< 0.001) significantly predict KCCQ Overall Summary Score.ConclusionsTrait Anxiety predicts QoL independently of disease severity in CHF and therefore should be considered in the assessment of patient health status as well as in the design of treatment interventions and rehabilitation.
P01-307 - Levothyroxine, Mental Confusion and Attempted Suicide
Authors: Santos A. , Botega N.J. ,   Consultation Liaison Psychiatry Study Group
Published: June 2010

ObjectivesTo illustrate, with a case report, the risk of suicide in general hospitals among inpatients with acute confusion or delirious states.MethodsThe review of a patient record who represents an instance of this risk is reported.ResultsA Brazilian farmer, with incomplete elementary education, was admitted to the General Infirmary of Adults, from the Clinical Hospital of the State University of Campinas-Brazil (Unicamp), diagnosed with a hypothyroidism mixedematous myopathy, which led to the following clinical sequence: rhabdomyolysis, myoglobinuria and acute renal failure. An accidental iatrogenic levothyroxine poisoning precipitated or exacerbated the confusion in this previously weakened patient, leading to psychiatric symptoms of delirium. When a bed was brought to the corridor by nurses, he considered it an ambush. Anxious, wanting to flee, he pitched himself from the 6th floor (8 meters). The fall was partly contained by a protection net. Following the episode, the psychiatric disorder was reversed, after temporary introduction of haloperidol, with no new episodes.ConclusionsPhysicians should recognize confused states to identify and treat the underlying causes and to prevent the development of its complications. Besides clinical and psychiatric care for patients with confused and agitated states, several other measures are recommended when aiming to prevent suicide in a general hospital, such as: restriction of access to means of suicide (windows and hazardous balconies); placement of protective nets; training of the care team for early detection and intervention in any mental disorders; assessment of suicide risks before hospital discharge.
P01-310 - Fatigue, Anxiety and Depression in Cancer Patients
Authors: Tel H. , Tel H. , Dogan S. 
Published: June 2010

ObjectivesThis study is realized as a descriptive study in order to investigate the fatigue, anxiety and depression in cancer patients.MethodsThe study was conducted on 80 patients who stay in an oncology hospital between 1st of February and 31st of July 2009 with the diagnosis of the cancer. The data of the study was collected with personal information form (PIF), Cancer Fatigue Scale (CFS) and Hospital Anxiety and Depression Scale (HADS).ResultsA positive significant relation was determined between fatigue, anxiety and depression levels of the patients (p< 0.05). As the fatigue increased, anxiety and depression also increased. It was determined that there was a negative significant relation between hemoglobin level and fatigue, anxiety, depression. As the hemoglobin level decreased, fatigue, anxiety and depression increased. The level of fatigue, anxiety and depression was higher in female patients. Patients who have another disease and indicated that the disease hinders the activities of daily living had a higher level of physical ad cognitive fatigue. Literate patients had high level of physical, emotional, cognitive fatigue and depression; patients who are high school graduates had higher levels of emotional fatigue.ConclusionsThere is a close relationship between fatigue, anxiety and depression in cancer patients. As the fatigue increases, anxiety and depression also increase. Convenient attempts should be planned in order to evaluate the case of fatigue, anxiety and depression comprehensively in treatment and care process of the cancer patients.
P01-313 - Psychotic Exacerbations in a Patient with Multiple Sclerosis
Authors: Yazici A.B. , Yazici E. , Kirpinar I. 
Published: June 2010

ObjectiveThere is retrospective evidence of a correlation between psychosis in multiple sclerosis (MS) however comorbidity of Psychosis in MS patients is a less frequent condition and the treatment of this condition seems to be hard and complex.Case32 years old, male patient with MS had psychotic symptoms simultaneously with exacerbations of MS symptoms for three times in three years.The first psychiatric episode was one year after he had the diagnosis of MS due to episodes of difficulty in walking and determination of demyelination plagues by MRI. Irritability, delusions of jealousness and persecutions, agitation, drug refusal were occurred simultaneously with the exacerbated symptoms of MS as right sided hemiparesia. He had been hospitalized and treated with olanzapine and high dose of corticosteroids. After this first episode he had two simultaneous episodes of psychosis with similar symptoms to previous one and exacerbations of MS with more severe symptoms as additional urinary incontinence. He was treated with olanzapine and corticosteroids in all episodes. The psychotic symptoms were remitted and the symptoms of MS were improved partially.ConclusionPsychosis is not a prominent feature of MS, occurring in 5% of cases. The relationship between lesions of the central nervous system and psychiatric illness has not been established yet. Some reports have implicated the contribution of acute demyelination to psychosis. In this case the simultaneous episodes of MS symptoms and psychosis suggest a common etiology. Prospective studies are required both about the common etiology and treatment.
P01-329 - Development and Evaluation of an Aboriginal Mental Health Screening Instrument
Authors: Janca A. 
Published: June 2010

ObjectivesTo develop and evaluate a culturally appropriate instrument for screening of mental health problems in Aboriginal people.MethodsA ten-item screening instrument has been developed in collaboration with indigenous and non-indigenous health and mental health professionals. Subsequently, the instrument was evaluated in urban and rural parts of Australia for its cultural applicability, reliability and validity. The evaluation process included collection and analysis of both quantitative and qualitative data.ResultsA novel instrument entitled “Aboriginal Here and Now Assessment” is based on the Aboriginal holistic view of health and covers ten culturally relevant physical and mental health domains including: general wellbeing, physical health, anxiety, depression, suicide risk, substance use, psychotic experiences, functioning, contextual issues and resilience. The instrument uses a visual severity scale and contains a symptom summary which can be used for providing a feedback to the individual.ConclusionsThere is a paucity of culturally appropriate instruments for screening and assessment of Aboriginal mental health problems. The newly developed tool appears to be culturally applicable for screening of mental heath problems in Australian Aboriginal people. The instrument is available for further evaluation across other indigenous populations around the world.
P01-333 - Alcohol problems Among Foreigners and the Natives: a Prevalence Study in Belarus
Authors: Osain Welcome M. , Alekseevic Pereverzev V. 
Published: June 2010

BackgroundAlcohol use is a major public health problem and contributes to the burden of disease world-wide. The problem of alcohol use might defer among the natives and foreigners in a given cultural milieu.AimTo screen for the prevalence of alcohol use among the native Belarusians and foreigners.Materials and methods1517 respondents (172 foreigners and the rest native Belarusians) from different cities in Belarus enrolled for the study. Standardized questionnaire containing the AUDIT, CAGE, MAST and other alcohol-related questions were administered to all respondents. The Student's t and Pearson, χ2 tests were employed for analysis of results.ResultsAlcohol users were 90% native Belarusians and 62% foreigners. Problem drinkers were 16% native Belarusians and 30% foreigners. A significant increase (in approximately 2 times) in the rate of alcohol use after a 2-4 years stay in Belarus was noted among the foreigners (p< 0.05).ConclusionThere is a significant difference in the pattern of alcohol use among the foreigners and native Belarusians. The rate of alcohol use and related problems is higher among foreigners, compared to the native Belarusians.
P01-336 - Motivational Factors of Alcohol use Disorders: a Report of Students’ Survey in Belarus
Authors: Osain Welcome M. , Alekseevic Pereverzev V. 
Published: June 2010

IntroductionStacy and coauthors have noted that cognitive motivations of a person might be necessary for many behavioral patterns (drug or alcohol use etc). The expected consequences and perception determine whether the individual starts to use alcohol or not, regularly or misuse it, consequently leading to alcohol problems or not. Expectations and motives are the proximal factors in alcohol use. Many theories have been used to explain the pattern of alcohol use in the society. The self-effectiveness and motivational theories have been widely used to explain why people use alcohol. Alcohol users are mostly affected by the motives they prefer. For example, social factors are mostly associated with alcohol misuse. Alcohol use to reduce stress is associated with solitary drinking. As in many other countries, alcohol use is a major public health problem in Belarus.AimTo identify the motivational factors of alcohol use and related problems within the general students’ population in Minsk, Belarus.Materials and methodsWe analyzed the results of 1599 students in Minsk, Belarus, using the AUDIT, CAGE and other alcohol related questions.Results and conclusionDrinking to reduce bad mood (16.4%, p< 0.000001); on days of wages (14.9%, p< 0.00001); for the sweet qualities of alcohol (24.8%, p< 0.05); to get drunk (26.7%, p< 0.0001) were reported by 87.5% alcohol users (of which 17.7% were problem drinkers) as the major motivational factors of alcohol use and related problems.
P01-341 - Skin Color, Identity and Discrimination Among Brazilian University Students
Authors: Santos A. , Dogra N. , Neves M.C.C. , Dalgalarrondo P. 
Published: June 2010

ObjectivesTo study the role of skin color as a distinct social component of racial/ethnic cultural identity in the context of Brazilian higher education students.MethodsFrom an existing database holding information on 1,306 students at a Brazilian public university, economic, academic and demographic differences relating to skin color were explored, as well as their experiences of discrimination and stereotypes held by Black and Brown minority groups of students. As they share many features, they were analyzed together, regarding quantitative variables, and compared to the White majority group. Blacks and Browns were compared to one another when there was any quantitatively significant difference between them and for their responses to open-ended questions about racial/ethnic identity, experiences of racism and discrimination.ResultsBoth Blacks and Browns share social markers of disadvantages in Brazilian society, which is accentuated in university populations. Black students show the worst social-economic status. Blacks also have a more established involvement with ethnic traditions and they report more experiences of discrimination than the Brown group of students.ConclusionDifferent factors influence the individual's cultural identity, which, in turn, leads to the development of particular perceptions, thoughts and attitudes. Blacks and Browns in Brazilian society share, besides African origins, similar indexes of social markers and both are socially disadvantaged, when compared to the White population. Nevertheless, they are not similar in other respects. This study found that self-declared Black students usually have a more developed sense of ethnicity and participation in themes related to Afro culture.
P01-348 - Gerontopsychiatry in Short Stay Units
Authors: Arnaiz A. , Zallo E. , Sarasola A. , Sánchez M. , Enjuto S. , Zumárraga M. 
Published: June 2010

ObjectivesMental care of elder people has became very important in the last decades because of the development of gerontopsychiatry as an specialized area.The aim of our proyect is to study the first admission in people over 60 years old in a psychiatric hospital.MethodsThis is a descriptive, retrospective study. There are analyzed clinical features of the first hospitalization of people over 60 that entered the hospital of zamudio during one year.Results65 people over 60 years old were admitted in the hospital for the first time. The main diagnoses were dementia (35%), bipolar disorder (35%) and psychotic disorders (24%). We didn’t find a relation neither between the days of hospitalization and the destination when release (t=-0,0503; p=0,617); nor between the days of hospitalizations and the diagnoses (ANOVA; F=0,17; p=0,841). In the other hand, there is a statistical signification between diagnoses and derivation when release, resulting that 60% of patients that went to asiles suffered from dementia (Fisher's exact test, p=0.012)ConclusionsThere is more evidence that some kinds of illness that start when people are old appeared to have different characteristics and probably a diverse ethiology. To resituate elder people when release depends on both psychological and social factors.
P01-356 - Casuistic Series with Escitalopram Treatment of Bpsd in Patients with Alzheimer's Disease
Authors: Konrad J. , Topinkova E. 
Published: June 2010

ObjectivesBehavioral and psychological symptoms of dementia (BPSD) are common during the course of dementia and are associated with poor outcome for patients. There are some clinical data indicating that SSRI antidepressants have a positive influence on BPSD. Escitalopram has an excellent side-effect profile and might be a suitable treatment for BPSD in older demented patients.MethodsAn open-label observation of inpatients aged 65 to 90 years with a clinical diagnosis of probable AD and an MMSE score of 6 to 20 points and NPI total score ≥20 points treated with escitalopram for 8 weeks. The evaluation of improvement/worsening counted as ±10% change from baseline score in NPI and CMAI short. The results expressed in numbers of improved, unchanged and worsened patients.Results13 patients, 12 women and 2 men. The average age was 79.3 years, the average MMSE was 12.8 points. Three patients discontinued due to AEs (bronchopneumonia, progressive worsening of dementia, transfer to another institution). The other AEs were mild and not related to study medication. NPI patient scaleCMAI short scaleBaseline Day 1 (N=13)31.229.9Day 14 (N=13)27.126.9Day 28 (N=11)22023 7Day 56 (N=10)16.921 52 unchanged3 unchanged8 improved7 improved(5 of them much improved) defined as ≥62% reduction of score(5 of them much improved) defined as ≥38% reduction of scoreConclusionsMost patients exhibited a reduction of BPSD, half of them with a very substantial reduction. Patients exhibited very good tolerance of the medication.