bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-235 - Does screening for auditory hallucinations among adolescents using a single question predict psychopathology on clinical interview?
Authors: Devlin N. , Kelleher I. , Cannon M. , Keeley H. 
Published: June 2010

BackgroundIndividuals who report psychotic-type experiences are at increased risk of future clinical psychotic disorder. They constitute a ‘at-high risk’ group for studying the trajectory to schizophrenia and related illnesses. Psychotic disorders are a significant risk factor for suicide, especially young people. Previous research has used screening instruments to identify this high risk group but few studies have followed up by an in-depth clinical interview to assess the relationship between psychotic symptoms and suicidality or other psychopathology.MethodologyAs part of a community study, a 50-minute self -reported screening questionnaire which included one item designed to assess psychotic symptoms (auditory hallucinations) was administered to 900 adolescents aged 14 years in community schools, in Cork, Ireland. The following question (“Have you ever heard voices or sounds that no one else can hear?”) was used as it has been shown previously to have best predictive power (Kelleher., 2009). Other screening questions assessed suicidality and other psychopathology. Detailed clinical interviews by experienced child and adolescent psychiatrists were subsequently carried out with some of these adolescents who endorsed a positive answer to screening questions.ResultsWe plan to calculate the sensitivity and specificity and positive predictive value for the specific screening symptom on auditory hallucinations and its relationship to psychopathology as verified on clinical interview.ConclusionOur results will be of value to those engaged in treating children and adolescents with psychiatric disorder and will inform on the clinical significance of a positive answer to a screening question on auditory hallucinations in adolescence.
P01-238 - Alopecia universalis causes serious personality derangements: first report of negative impact of a medical condition on personality (279 patients)
Authors: Pirkalani K. 
Published: June 2010

ObjectiveTo evaluate the reason of major behavioral problems in patients with alopecia universalis, we tried to examine by way of the Millon's MCMI- III whether these signs are transient or ingrained.MethodsPatients with alopecia universalis (279 consecutive) were studied before and 3 months after treatment with MCMI-III and scheduled psychiatric interview. They were stratified in regard to sex, age, socioeconomic class, age of onset of alopecia (before or after 18yrs.) and response. The results were compared with 3000 normal examinees.ResultsThere was significant preponderance of personality disorders among patients with early onset (p< 0.003) but not late onset (p=0.1) alopecia including schizotypal, schizoid, self defeating, borderline and avoidant personalities compared to the general population. This was not affected by treatment. (p< 0.004) All alopecia patients showed higher scales in axis II disorders including depression, anxiety, drug abuse, alcohol abuse in addition to major thought disorders. (Overall p< 0.02) These were ameliorated with treatment of alopecia. These data were confirmed by scheduled interviews.ConclusionThis is the first report of severe personality disorder in the context of a medical condition. We conclude that childhood onset chronic illnesses can cause serious personality disorders that are a stronger predictor than genetics or learned behavior encompassed in previous theories on personality. Alopecia universalis has a more sustained effect due to jeopardizing the development of self image.
P01-240 - Influence of intrafamily relations on level of uneasiness of children
Authors: Pugach E. , Simonenko E. , Tsapro N. 
Published: June 2010

Research objectiveDiagnostics of level of uneasiness at children with damage intrafamily relations and working out of the recommendation about the most effective methods of psychocorrectional work.Objective64 persons took part In research. From them 38 maidens. (59,3%), 26 it is small. (40,6%). The age of the surveyed has made from 6 till 10 years.Methods1)a technique of measurement of level of uneasiness of Taylor (adaptation by Norakidze),2)projective techniques: «family Drawing», and «the Nonexistent animal».ResultsAt 46 people (71,8%) high level of uneasiness is revealed; at 18 foreheads (28,1%) the uneasiness average level-was revealed; uncertainty in and a low self-estimation (р≤0,05).More often the surveyed mark such features in intrafamily mutual relations as: verbal aggression from members of a family to the examinee, critical noticed and neglect interests of the child, and as absence of joint activity with parents.ConclusionsPresence of uneasiness, a low self-estimation and sensation of emotional isolation, specify on family desadaptation and use of inadequate approaches in education. In system of complex psychocorrectional work with children of the given contingent, it is expedient to apply a method of group psychotherapy with relaxation elements (respiratory and muscular), dreams therapy.
P01-243 - Depression in Adolescents
Authors: Ruiz Peña M. , Iglesias Hernández M.I. , Madueño Caro A.J. 
Published: June 2010

IntroductionAbout 27% of teenagers have some type of mental health disorder such as anxiety, depression and substance abuse. Depression is a serious disorder, most common in teenagers and often goes unnoticed. However, they can be detected early by teachers and we have effective treatments. Studies in European countries estimated the prevalence of adolescent depression around 12.55%, being more frequent in women. The prevalence increases with age and there are population studies that suggest that the high prevalence of depression is common in adolescents. One of the most important and most frequently associated with depression is suicide, becoming a serious health problem and constitute the third leading cause of death among adolescents between 15 and 24.ObjetivesTo estimate the prevalence of depression in adolescents in Spain. Rate sociodemographic variables associated.MethodsStudy desing: Observational, descriptive.Study scope: Primary Care Health.Subject of the study: Spanish students of 14 to 18 years old.Variables to measure:Depression: Beck's depression index. Sociodemographics: Age, sex, course, repeater, number of siblings, smoker, drinker, toxic consumer, marital status of parents.Sample size: It is calculated by accepting a signification level of 95%. A sample size of 2347 patients is estimated, including losses.ResultsWe will do an univariate analysis of qualitative variables by frequency and quantity by the mean, median and standard deviation. We will do a bivariate analysis using chi-square for qualitative variables and t test and ANOVA for qualitative as quantitative. Logistic regression will assess the factors that are associated with depression.
P01-244 - Psychiatric Emergency Department of an Adult General Hospital - a Look into the Adolescents
Authors: Santo S. , Manuel A. 
Published: June 2010

ObjectiveTo describe a cohort of adolescents presenting to an emergency department with mental health problems.MethodsAn Emergency Department (ED) computerized record system and hospital records were used to obtain data on adolescents aged from 12 to 17 years who presented to an ED of a General Hospital with emotional or behavioural problems.ResultsThere were 213 presentations of 182 adolescents in a 12-month period. 77% were female, 56% were 16 or 17 years old, 8% did not live with immediate or extended family. There was a wide variety of presenting symptoms including anxiety, self-harm, suicide attempts (14,5% presented with suicidal behaviour), behavioural disorders, depression, eating disorders, acute psychosis, developmental disability, substance abuse. Psychosocial problems were frequent. Medication was prescribed in 38% of the presentations and 7.5% of the cases were admitted to a psychiatry ward. 54% had no previous psychiatric history.ConclusionsMany adolescents with mental health problems had no previous or current treatment and were referred to local mental health resources for further evaluation. Psychiatric ED evaluations are an opportunity for recognition of risk factors, screening and early intervention in youth with mental health disorders and their management involves collaborative efforts with multidisciplinary services.
P01-246 - Self Esteem and Self Evaluation During Adolescence. The Contribution of the Rey-Weinstein
Authors: Schweitzer M. , Weinstein G. , Puig-Verges N. 
Published: June 2010

Numerous studies have focused on concepts of self esteem during the period of adolescence, but studies about self portrayal or self image are less frequent. They find their sources in the theories of the contemporary psychoanalytical schools about narcissism and “the Self”concept.The reference to the “Self” is more frequently found in Anglo-Saxon studies. The focus is on the links between “The Self” and subjective experience as well as construction of personal identity in relation with developmental psychopathology. The construction of personal identity is due to a very complex process: the person has to figure up his own physical and psychic features and at the same time has to live in social interaction.In reference to a developmental and psychogenetic approach, the interactions between the “Self” and the group will play an important role during the period of adolescence. It is necessary to focus on the identity process in reference with parental psychopathology and environment.The contribution of the Rey- Weinstein test is focussed precisely on this double approach:André Rey whose concerns were mainly on development and construction of personality created this test, modernized by G. Weinstein, both authors aiming to explore the field ofself image. By doing the test, the adolescent is asked to self evaluate himself on physical, intellectual, social and psychic features and to figure up how he would be evaluated by people surrounding him.Projection of fears and desires, various levels of identifications sustain the self evaluation process and create a specific dynamic during the assessment.In this clinical interactive prospect, the Rey Weinstein self evaluation test and in addition theN. PUIG VERGES AND G.WEINSTEIN self portrait test contribute to the explore the self evaluation process and allow the adolescent to understand the way he lives, the way he builds his self experience and his own identity.
P01-248 - Comparison of the Emotional Stroop Effect on Korean Children with ADHD and Emotional Disorder
Authors: Shin M.S. , Do R. , Park M.Y. 
Published: June 2010

ObjectiveIn classical stroop task ADHD children show core deficit in interference control in the condition of the incongruent color word: more errors and slower speed. In previous studies children with emotional disorder were found to show attentional bias in emotional stroop task in which children are asked to name quickly the color of emotional words such as ‘anxious’, ‘worried’, ‘sad’ and ‘disappointed’, while ignoring the meaning of the words. The aim of this study was to evaluate emotional stroop effect between ADHD and emotional disordered children to investigate attentional bias toward emotional stimuli.MethodsThe subjects were 22 ADHD children and 14 children who have emotional disorder, including anxiety, tic or depressive disorder. Classical stroop task as well as emotional stroop task, IQ test, State-Trait Anxiety Inventory for Children(STAIC) and Children's Depression Inventory(CDI) were administered individually to all children.Results1.Children with emotional disorder obtained higher CDI and STAIC scores than ADHD children.2.There were no significant group difference in emotional stroop task between children with emotional disorder and ADHD even after controlling IQ.ConclusionsWe could not found that children with emotional disorder show more attentional bias toward anxiety or depression-relevant stimuli than ADHD children. Further research with large subjects and more sophisticated assessment of emotional problem is needed to elucidate emotional stroop effect.
P01-251 - Conversion Disorder in Pre-school Children: a Case-report of Conversion Blindness
Authors: Tavares S. , Soares M. , Garrido J. 
Published: June 2010

ObjectivesTo describe a case of conversion disorder in a pre-school girl, affecting the sensory functions.Materials and methodsThe authors revise the specific characteristics of this disorder in pre-school children and highlight its differences from adult's common pictures. With that purpose they describe a case of a 5 year's old girl who attended the ER with sudden blindness complaints. She was admitted for observation and investigation. All possible organic causes where excluded. She was then referred to Child and Adolescent Psychiatry emergency consultation. She was diagnosed with Conversion Disorder triggered by a familiar stressful situation and was medicated with diazepam. Her vision recovered suddenly within a few hours.Results and conclusionsAlthough common among adolescents and older children, conversion disorder is a rare entity among pre-school children. The affected function in this age group is usually the motor function, but in rare cases it can affect the sensory functions causing deafness or blindness. This seems to be associated with stressful events but also has a strong familiar component, where imitation of adult's behaviors and familiar gains take major roles.
P01-253 - Risk Behaviour and Frequensy of Using Psichoactive Substances Among Adolescents
Authors: Spremo M. 
Published: June 2010

ObjectivesAdolescence characterize frequent psychical crisis which are result of biological development, looking for own identity, changes in family relation and many socio-cultural influences. Many of social, economic, other environmental factors make some changes in adolescent population. The main objective was finding how many adolescents had risk behavior and subsequences oftener sexual intercourse and aggressive behavior.MethodsResearch has done in Banjaluka's high schools, involved 202 adolescents age 18 (51 male, 151 female) which are separate in two groups. Adolescents who consumed psychoactive substances were in experimental group and control group involve adolescents who don’t use psychoactive substances. In research used risk behavior questionnaire Q-2000 (K.B. Kelly, 2000).ResultsOut of total number of individuals in the study, 35,6% was cigarette smokers, 56,9% consumed alcohol, 20,2% consumed marijuana, and sexual intercourse 21,7% (75% used contraceptive methods). Adolescents which used alcohol oftener had sexual intercourse(27,8%, p= 0,026) than adolescents who don’t drink (13,8%), and 29,5% was aggressive in last year. Similar results was found in groups with marijuana and tobacco. Group which used marijuana 34,1% (p= 0,052) had sexual intercourse than group who don’t smoke cannabis (18,6%) and they were aggressive 41,8%. Group which used tobacco had sexual intercourse 34,7% (p=0,0017) than group nonsmokers (14,6%), and aggressive behavior 30,5%.ConclusionAdolescents are prone to abuse of psychoactive substances in developing countries. The consequence is higher risk behavior such as violence and promiscuity. Research will be conducted to develop preventive and educational programs in schools.
P01-254 - Living with Tics: Development and Pilot Examination of a Psychosical Treatment to Improve Resilience and Coping in Youth with Tics
Authors: Storch E. , Caporino N. , Morgan J. , Piacentini J. , Murphy T. 
Published: June 2010

ObjectivesMany youth with tics experience distress about having tics and how others may perceive them. Such symptoms are often more impairing and distressing than are the tics and negatively impact self-concept, functioning, and quality of life. Although treatments exist that target the frequency and severity of tics, no intervention has been developed that helps youth with tics cope with their condition and limit associated functional impairment and distress. Given this, we developed a cognitive-behaviorally oriented psychotherapy protocol that promotes adaptive coping and resiliency among youth with tics in addressing varied issues commonly experienced by this population. This poster reports data from the Phase I component of this study.MethodPhase I concentrated on developing the treatment protocol through expert opinion coupled with focus groups with parents and children with a tic disorder. Based on this, we developed a preliminary manual and piloted it in 6 youth with tics who met relevant inclusion/exclusion criteria. Phase II involves a preliminary test of the protocol in that focuses primarily on feasibility issues. All subjects participated in assessments (Screening, Baseline, Post-treatment) conducted by a blinded independent evaluator.ResultsOnly Phase I data will be presented as Phase II is ongoing. Descriptive statistics related to improvement rates; tic severity; child self-esteem and self-efficacy; and child internalizing symptoms will be reported. Qualitative data from the focus groups will also be presented regarding domains of impairment for youth with tics.ConclusionsThis treatment shows early promise of helping youth with tics cope with their condition.
P01-255 - Maternal Postpartum Depression in Association with Autistic Traits in the Offspring
Authors: Salvanos P. , Sylvén S.M. , Papathoma E. , Petridou E.T. , Skalkidou A. 
Published: June 2010

ObjectivesPostpartum depression is a common but yet under diagnosed condition that affects new mothers but has also been linked to psycho-emotional and developmental difficulties in the offspring. Autistic disorder is a severe developmental disorder that has a much better prognosis when diagnosed early. The aim of this study was to examine the possible association between maternal postpartum depression and the presence of autistic traits in the offspring.MethodsWe undertook a longitudinal study in Athens, Greece, following a cohort of 291 women with questionnaires for 24 months after delivery. The women filled out the Edinburg Postnatal Depression Scale (EPDS) at six and twelve months postpartum and the Modified Checklist for Autism in Toddlers (M-CHAT) at around 18 months after delivery. Both questionnaires are used as screening tools, using a cut-off of 12/30 for the EPDS and 3/23 for the M-CHAT.Results95 women who had filled out both the EPDS at 12 months postpartum as well as the M-CHAT were included in the analyses. Self-reported postpartum depression in the mother at 12 months postpartum was strongly associated with the presence of autistic traits in the offspring at 18 months of age (OR= 5.24, 95% CIs 1.15-23.79).ConclusionsMaternal postpartum depression was found to be associated with the presence of autistic traits in the offspring at 18 months of age. These findings stress the need for early identification of postpartum depression cases and careful follow up of both mother and offspring.
P01-256 - Long-term influence of rats with newborn fluoxetine exposure at different period
Authors: Tang J. , Wang G. , Liu Z. , Shu C. 
Published: June 2010

ObjectiveTo evaluate newborn fluoxetine exposure at different period on development and behavior of adult rats.MethodsMale rat pups were randomized to be treated once daily with fluoxetine(s.c.) or saline(s.c.) during postnatal day 1∼7 and postnatal day 8∼21. Recorded the body weight. Starting at 90 days of age, all rats were tested with several experimental facilities, including open field test, elevated-plus maze, novelty- suppressed feeding test and forced swim test.Results:1Weight gain of rats with fluoxetine exposure during postnatal day 1∼7 were lower than controls (P<0.05).2Exploratory behavior decreased and depression anxiety behavior increased in adult rats with neonatal fluoxetine exposure (P<0.05), and more severe with postnatal day 1∼7 exposure (P<0.05).ConclusionsNewborn fluoxetine exposure may result badness weight gain and depression anxiety behavior in adult rats, and the earlier exposure may accompany the larger risk.
P01-258 - Child OCD- Therapeutic Approach. A Case Report
Authors: Tsitsi P. , Roboti P. , Voura N. , Papanikolaou K. , Angelidis G.F. 
Published: June 2010

ObjectiveObsessive Compulsive Disorder (OCD) is an anxiety disorder characterized by obsessions and compulsions, actions which disrupt everyday functioning, and is frequently recognized in youth. Selective Serotonin Reuptake Inhibitors (SSRIs) are widely recommended as first-line pharmacotherapy.The aim of this presentation is to demonstrate Escitalopram monotherapy in juvenile with OCD.Method/materialThe material used comes from the archives of the Child/Adolescent Clinic of the Community Mental Health Center (CMHC) of Katerini, Greece.Discussion/resultsA 9-year-old child was referred to the Child/Adolescent Clinic of the CMHC. The patient presented unwelcome repeated thoughts that induced anxiety symptoms while at the same time he performed several actions (compulsions) to neutralize his obsessions. From his history, a mood disorder episode was described at simultaneously with the onset of OCD. Then, the patient was admitted in a General Hospital (for a month) and was treated with Fluoxetine on and off for several years. Due to relapse of the symptoms, Risperidone was introduced (1mg/day). The scheme was not beneficial enough, so another SSRI (Escitalopram) was initiated while Risperidone was withdrawn gradually. Six months after the initiation of Escitalopram, the patient's situation is stable, the obsessions and compulsions have been restricted and he appears in better mood.ConclusionsMonotherapy with Escitalopram seems to provide significant levels of symptomatic improvement in cases of OCD in juvenile producing effective results to this young patient.
P01-259 - Supporting the Neonatal Intensive Care Parent - Research into Parental Supports and Perceptions of the Intensive Care Experience in Australia
Authors: Turner M. 
Published: June 2010

ObjectiveIn 2008 a new support group based on psycho-educational principles, attachment theory and neurodevelopmental practice, began at the Womens and Childrens Hospital (WCH) in South Australia. This group caters for parents, grandparents and other carers, who have children in neonatal intensive care and special care nurseries.2 years of research have been done to evalaute the parent experience of neonatal intensive care and the support networks available for parents.MethodQualitative interviews have been performed with parents who have attended the group. The 1st set taken when their babies were in the nursery and then 5 months post discharge. Interviews with nursing staff who work within the nursery were also completed in 2009. A survey study using the PSS-NICU is underway at present and will conclude in late 2010.ResultsThe parent interviews were reviewed with framework analysisand indicated a number of themes. The main theme was the loss of control of the parental relationship and the distress at sharing their child with nursing staff. Nursing staff interviews were analysed with framework analysis and the main theme was of chronic parental distress and difficulties managing the parental grief.ConclusionsThese results indicate that psychological support should be focussed on 1. the attachment relationship in trauma and 2.dealing with grief at deviating from the normal parenting experience. These results were used to provide modifications to our parent group and to structure education and support for nursing staff in the intensive care unit.