bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-71 - Competence to Give Informed Consent in Acute Psychiatric Hospitalization. Preliminary Results from a Case-control Study
Authors: Mandarelli G. , Parmigiani G. , Tarsitani L. , Polselli G.M. , Biondi M. , Ferracuti S. 
Published: June 2010

ObjectivesTo asses competence to consent to treatment in involuntary committed patients (ICP) for a mental disorder, as compared to matched acute voluntary hospitalized patients (VHP). To evaluate the effect of psychopathology severity and cognitive dysfunction on decisional capacity.MethodsCases were recruited among ICP at the Umberto I Hospital, ‘Sapienza’ University of Rome; controls were age- and sex-matched VHP, in the same ward and time period. Subjects were diagnosed according to DSM-IV-TR criteria and further evaluated through a) MacArthur Competence Assessment Tool for Treatment (MacCAT-T) b) Brief Psychiatric Rating Scale-24 (BPRS) c) Raven's Colored Progressive Matrices (CPM) d) Mini Mental State Examination (MMSE).ResultsEighteen cases were enrolled (67% women), mean age was 25.1 ± 2.8 years. There were no differences between groups in: diagnostic distribution (40% schizophrenic spectrum disorders, 40% mood disorders, 20% other diagnosis), disease duration, MMSE. ICP had higher BPRS total scores (mean difference ± S.D.= 10.3 ± 19.4; [95% C.I.= 0.6 ÷ -20.0]), and performed worse than VHP in MacCAT-T comprehension (-1.0 ± 1.3; [95% C.I.= -1.6 ÷ -0.3]), appreciation (-1,7 ± 2.0; [95% C.I.= -3.0 ÷ -0.7]), reasoning (-2.1 ± 2.9; [95% C.I.= -3.6 ÷ -0.7]) and expression of a choice (-0.8 ± 1.0 [95% C.I.= -1.3 ÷ -0.3]). Competence to give informed consent was associated with psychopathological dimensions but not with MMSE and CPM scores, in the sample overall.ConclusionCompetence to consent to treatment was reduced in ICP compared to VHP. Involuntary commitment was not necessarily associated with incapability of making treatment decisions.
P02-76 - Risk Factors for Criminal Behavior in Persons with Schizophrenia in Rural Community
Authors: Chen P.-Y. , Ran M.-S. , Liao Z.-G. , Mao W.-J. , Tang C.-P. , Chan C.L.W. , Chen E.Y.H. , Conwell Y. 
Published: June 2010

ObjectivesThe risk factors of criminal behavior in patients with schizophrenia are not well explored. This study is to explore the risk factors for criminal behavior in patients with schizophrenia in rural China.MethodsWe used data from a 14-year prospective follow-up study (1994-2008) of criminal behavior among a cohort (n=510) of patients with schizophrenia in Xinjin County, Chengdu, China.ResultsThere were 489 patients (95.9%) who were followed up from 1994 to 2008. The rate of criminal behavior was 13.5% among these patients with schizophrenia during the follow-up period. Compared with female subjects (6 cases, 20.0%), male patients had significantly higher rate of violent criminal behavior (e.g., arson, sexual assault, physical assault, and murder) (24 cases, 80.0%) (p< 0.001). Bivariate analyses showed that the risk of criminal behavior was significantly associated with being unmarried, of younger age, previous violent behavior, homelessness, lower family economic status, no family caregivers, and higher scores on measures (PANSS) of positive, negative, and total symptoms of illness. In multiple logistic regression analyses being unmarried and previous violent behavior were identified as independent predictors of increased criminal behavior in persons with schizophrenia.ConclusionsThe risk factors for criminal behavior among patients with schizophrenia should be understood within a particular social context. Criminal behavior may be predicted by specific characteristics of patients with schizophrenia in rural community. The findings of risk factors for criminal behavior should be considered in planning community mental health care and interventions for high-risk patients and their families.
P02-101 - Effect of Acute Care Model in Provision of General Adult Psychiatric Services
Authors: Krishna S. , Alam F. , Jaganathan G. 
Published: June 2010

IntroductionThe emergence of Acute Care Team has changed the delivery of services in the United Kingdom. The Acute Care Team led by a senior psychiatrist, is composed of in-patient and home treatment teams, which work in close liaison. As this is a relatively new model, the effectiveness is yet to be proven.ObjectivesThe study was performed to evaluate the influence of the Acute Care Team on service delivery.AimsThe aim of the study was to determine the difference in the number of admissions and duration of hospital stay, following the inception of the model at Clatterbridge Hospital, in the Northwest region of England.MethodsRetrospective data was obtained for a 14 month time period before and after introduction of acute care team in June 2007. All consecutive admissions to a general adult psychiatric ward were included in the study. The outcome measures were the number of admissions, average duration of hospital stay and average bed occupancy. Data was obtained from the hospital register.ResultsThere was no difference in the total number of admissions. However, the length of stay reduced significantly from 58.9 days to 14.4 days (reduction by 75%). The average bed occupancy was also reduced by 38%.ConclusionsOur study suggests that the Acute Care Team is an effective system of health care delivery and can have financial implications on the organization of mental health services in the future.
P02-103 - Medical Students Test Anxiety
Authors: Latas M. , Pantic M. , Obradovic D. 
Published: June 2010

IntroductionMost students experience some level of anxiety during the exam. However, when anxiety affects exam performance it has become a problem. Test anxiety is a special form of anxiety, which is characterized with somatic, cognitive and behavioral symptoms of anxiety in situations of preparing and performing the tests and exams. Test anxiety becomes problematic when is so high that it interferes with test preparation and performance.AimThe objective of this study was to ascertain the presence of test anxiety in medical students and to analyze some aspects of test anxiety in medical students of different gender, different year of studying and possibility of falling the year of studying.Sample and methodsStudy sample consisted of 198 students of Belgrade University School of Medicine of all grade years. The assessment of test anxiety was conducted by The Test Anxiety Inventory - TAI.Results1)Medical students generally present moderate level of test anxiety;2)female students have statistically significant more intense symptoms of test anxiety than male students;3)most intense symptoms are in III year and the least are at VI year of studies;4)there is no statistically significant difference in presence of symptoms of test anxiety between the students who repeated some year of studies and regular students.ConclusionThere is considerable number of medical students who have intense symptoms of test anxiety and those students require help and support.
P02-106 - Ascertainment of Individual Specifications of Addicts Admitted to Tehran Treatment Centers
Authors: Moraveji M. , Bazargan M. 
Published: June 2010

PurposeThis is an analytical-descriptive study aimed at analyzing individual specifications of addicts who have gone to treatment centers of Tehran in the year 2008.Materials and methodsInvestigation members were all addicts admitted to treatment centers of Tehran, investigation method was random sampling, investigation place was Behzisty rehabilitating drug addicts and NGOs, the number of all members was 256 and input assembling instrument was questionnaires comprising Demography and MMPI questionnaire. The results are derived from descriptive and deductive statistics and are analyzed by SPSS software.ResultsThe results demonstrate the fact that 19.1% of addicts are jobless, 38% are lessees, 2.3% are illiterate, 60.5% are single and 57.8% of them have an income of less than 2,000,000 Rials, reflecting the fact that unemployment has no relation with the tendency to addiction - Even those with high economic and educational position have a great tendency to addiction mirroring the failure of society's supporting. Based upon MMPI, the amount of exposition to danger in addicts consists of 7.81% in mania, 28.12% SC, 12.5% in paranoia, 33.98% in unsociability, 12.5% mysterious?,57.42% in depression and 22.26 in self-assumption of illness, reflecting disorder in their personality.ConclusionSo, according to MPI, if the results of D, PD and SC in addicts are high and the L and K rates are low, treatment and consulting service is advised.
P02-108 - A Survey of Letters of New Patients to General Practitioners
Authors: Najim H. , Rafiq R. 
Published: June 2010

Communication between primary and secondary care is the cornerstone of care for patients in general, and it is more important in community psychiatry.A survey was done about the standard of new a patient's assessment letter send to General Practitioner was done in the Mental Health Unit Basildon University Hospital.It reviewed 90 letters sent to GPs from six Consultant Psychiatrists clinics from January to July 2008.99% had the date of the clinic stated.70% stated the place of the clinic.48% mentioned others attended.75% stated the diagnosis.64% stated current medication.80% stated the current mental state.21% stated the risk assessment.39% stated current social situation.29% stated investigation arranged71% stated change of medication.13% indicated who will prescribe medication.57% mentioned other therapeutic interventions.16% indicated that Community Psychiatric Nurse is involved.29% indicated that other agencies are involved in providing care.69% arranged for a follow up.No letter indicated anything about prognosis.Only 4% mentioned that information was given to patients.This survey indicated that communication with General practitioner was good and it needed to be improved on areas such as diagnosis, which should mentioned in all letters Risk assessment also should be covered in 100% of letters. Management plan was missing from 31% of the assessment, an area which needed to be improved. Prognosis was missing from all, practice should be improved in that area also.
P02-114 - Cliniko-psychopathological Features of Patients with the Syndrome of Angry Intestines
Authors: Pugach E. , Simonenko E. , Zinkovskaia E. 
Published: June 2010

Research objectiveTo study kliniko-psychopathological features at persons about a syndrome of angry intestines.Objective47 patients with a syndrome of angry intestines at age from 18 till 40 years Have been surveyed.Methodsmethod of a colour choice - Lusher, «the Clinical questionnaire for revealing and an estimation of neurotic conditions», the Scale of jet and personal uneasiness Spilberger-Hanin; a statistical method of research.ResultsIn RDC the universal system on differentiated diagnostics of organic and functional frustration is created. By results of diagnostics «the Clinical questionnaire for revealing and an estimation of neurotic conditions» indicators on scales: “Uneasiness” - 42 persons (89,4%,) «Neurotic depression» - 29 persons (61,7%), and «Vegetative infringements» - 32 person (68,1%) (р< 0,05) clinically significant level. «A scale of jet and personal uneasiness Spilbergera-Hanina»: high level of personal uneasiness at 36 persons (76,6%.). (р < 0,05). By results of psychodiagnostics by technique Lusher high level of uneasiness at 34 people (72,3%) is diagnosed; high level of an emotional pressure within 8-11 balls at 39 people (82,9%), decrease in working capacity at 18 people (38,3%). (р < 0,05)ConclusionsRevealing at the patient of psychopathological symptoms, such as the alarm, depression, phobia and high personal uneasiness at an exception of organic disease of intestines, confirm the diagnosis «a syndrome of angry intestines» that allows to appoint adequate treatment.
P02-117 - Quality Improvement in Ambulatory Mental Health Settings
Authors: Secret-Bobolakis I. , Laborie H. , Aziz F. , Benazzouz L. , Cariclet N. , Rimlinger L. 
Published: June 2010

Ten ambulatory Mental Health Settings have been commited in a national pilot intervention aiming at improving the quality of the service they deliver from July 2008 to July 2009. This twelve months intervention allowed teams to set operational objectives, to describe their organization, to implement an actions’plan and to evaluate their results.The main operational objectives they chose were the following:·Delay for an initial appointment.·Delay for an appointment following a discharge from hospitalization.·Rate of non attendance.The framework to analyse their organisation included a focus on Human ressources, on Operations, on Strategy and on Information Sharing.The main findings were awide variations in performance from a setting to one another (median delay for a first appointment with a psychiatrist ranging from one to seven weeks, paid psychiatrist working time for a single appointment ranging from 0.6 to 2.5 hours…), lack of formalisation of processes, the absence of objectives set by the managemers.Actions'plans included very basical actions as setting dashboards and objectives, setting strategy to decrease non attendance, sharing diaries, reorganising meetings, mapping patient's pathway, descriptive brochure for ambulatory Mental Health Settings.Finally, some results were obtained as:·reduction of delays for first appointments.·reduction of delays for a appointment after hospital discharge.·Reduction of rate of non attendance.
P02-123 - Home-based Care Compared with Hospital Care for Acute Psychiatric Illness: Impact on Consumer Satisfaction and Family Burden
Authors: Apantaku-Olajide T. , Gibbons P. , Cocoman A. 
Published: June 2010

Aims and MethodsThis study compares levels of satisfaction of patients and carers in the provision of home-provided acute care with traditional in-patient care, and further compares subjective level of family burden in both treatment settings.Patients and their carers completed Verona Satisfaction Questionnaires, and carers completed family burden scale. Responses were compared between groups receiving home-delivered acute care and those receiving hospital-based care.ResultsSatisfaction scores for home-care patients are higher for 28 of the 34 questions, and this difference reaches statistical significance (p < 0.05) for four questions, and approaches significance (p< 0.1) for two further questions. Carers in home care group indicate a higher degree of satisfaction on all 18 Verona Questionnaire items, this difference reached significance at p< 0.05 level for 4 items and p< 0.1 level for a further 5 items.Results from family burden measure indicate consistent lowering of subjective burden in home care group, with lower burden scores in 20 of the 22 questions. This difference reached statistical significance (p< 0.05) for 5 items, including the summative item (Total Family Burden Score), and was close to significance (p< 0.1) for 3 other items.Clinical ImplicationsThese results indicate both patients and carers express a consistent preference for home-delivered care for acute psychiatric illness, compared with hospital-based model. In-addition, families report a reduction in burden related to illness episodes. These findings provide evidential support for continued development of community delivered care in meeting the increasing demand for acute psychiatric care services in Ireland.
P02-85 - Health State and Academic Performance in a Sample of Undergraduate Students
Authors: Amaral A. , Fernandes C. 
Published: June 2010

ObjectivesThe purpose of this study was to examine the impact of health variables and work variables on academic performance of undergraduate students. We have two main goals:1)Examining the relationship between emotional and physical disturbances and academic performance;2)Investigating the influence of a parallel professional activity on academic performance.MethodsData was obtained on Superior School of Health Technology of Coimbra, in 2 different times: time 1 (T1), at the beginning of the academic term (195 students) and time 2 (T2), at the end of this term (177 students). A correlational design was used.ResultsMain results suggest that:1)Students that have a parallel professional activity have a performance academic worst than those who haven’t this activity;2)From all the variables considered, only age may be considered predictor of the academic performance;3)Students that have been medically assisted had a worst performance;4)No statistically relevant differences were found on the academic performances of individuals with and without chronic diseases, and of individuals with and without emotional disturbances;5)No statistically relevant differences were found either the start and the end of the academic term, on the physical and emotional symptoms under evaluation.ConclusionsGiven the results obtained, the main conclusion can be drawn from this study is: Although the emotional and physical symptoms are not relevant, when they are medically assisted, they report worst academic performance.
P02-92 - Mental Health and Defenses Mechanism of Thai Inmates and Prisoners
Authors: Graipaspong D. 
Published: June 2010

ObjectivesThe purposes of this study were to determine the mental health and defenses mechanism level, to compare mental health with defenses mechanism, personal and cases data, and to compare defenses mechanism with personal and cases data among country-wide Thai inmates and prisoners.Materials and methodsThe samples, selected from jails and prisons around country by stratified systematic random sampling, comprised of 5,274 inmates and prisoners during March to May, 2003. Data were collected by three sets of questionnaires, which were personal and case data, Thai Mental Health Indicators (66-items version), and Defense Style Questionnaire 40 (DSQ-40) respectively. Data were analyzed by using descriptive statistics, Pearson chi-square test, Mann-Whitney U test and Kruskal-Wallis test.ResultsMost of samples, classified by types of jails and prisons, had poor mental health. Their mature defenses mechanism score was higher than neurotic and immature defenses mechanism respectively. The respondents who stay in different types of jails and prisons; who had different age, educational levels, sentenced status, numbers of crime-doing and numbers of criminal cases, had significantly different mental health level. They used different defenses mechanism significantly among different mental health, age, sex and educational level. The samples who had different numbers of crime-doing and numbers of criminal cases, and who convicted to different crimes, used some different immature defenses mechanism significantly.ConclusionThe results of this study can be used as the basic benchmark for mental health development monitoring in the jails and prisons.
P02-98 - Improving Cognitive Functions of Seniors by Reading and Solving Arithmetic Problems
Authors: Nakamura K. , Taira M. , Kawashima R. 
Published: June 2010

ObjectivesIn general, recent cognitive training has received increasing interest as a solution to age-related cognitive decline. Although the general public's interest in cognitive or brain training is increasing, the generalizing or transfer effect of such training remains unclear. We previously introduced a new cognitive intervention program for senile dementia, named learning therapy. The principle of learning therapy is to activate the prefrontal cortex by solving simple mathematical and language problems. The purpose of this study was to examine the beneficial effects of a new cognitive intervention program designed for normal aged people, the concepts of which are is derived from learning therapy.MethodsWe applied a similar daily cognitive training program to community-dwelling seniors to determine the effects of training on cognitive functions, particularly on the function of the prefrontal cortex, by a single-blind randomized controlled trial and a large scale cohort study. In these studies, neuropsychological measures were determined prior to and after six months of the intervention (post-test) by mini-mental state examination (MMSE), frontal assessment battery at bed side (FAB), and a digit-symbol substitution test (DST) of WAIS-R.ResultsThe results indicate that the transfer effect of cognitive intervention by reading and solving arithmetic problems on non-targeted cognitive functions was demonstrated in both studies, and are convincing evidence that cognitive training has the beneficial effects of maintaining and improving cognitive functions.ConclusionThe psychological stimulations made possible by expertise and technology in brain science can improve the higher cognitive functions of seniors.
P02-99 - Can Emotional Intelligence Predicts Addiction to Internet in University Students?
Authors: Khatiri Yanesari M. , Homayouni A. , Gharib K. 
Published: June 2010

ObjectivePositive influence of emotional intelligence (EI) on psychological functions originaly indicated and entered by Golman (1995) in scientific literature. Now it is fast growing use in academic settings organizations and showed that higher levels of it can be important in positive behavior of humans. So the aim of this study was measuring the relationship of emotional intelligence and addiction to internet.Method100 university students randomly selected and Schutte's Self- Report E / I Test (SSREIT) and Addiction to Interne Inventory (AII) administered on participants. It was hypothesized that higher levels of emotional intelligence would be associated with lower levels of addiction to internet.ResultsFindings showed that there is negative significant correlation between components of emotional intelligence including appraisal of emotion, utilization of emotion and general score of emotional intelligence. It confirmed that higher levels of emotional intelligence related to lower levels of addiction to internet.ConclusionFor decreasing of addiction to internet it is advised to apply plans to foster and increase of emotional intelligence components and decrease addiction to internet.
P02-132 - Evaluation of Psychological Impact of Facial Lipoatrophy in HIV: the “Assessment of Face & Body Change and Distress” Questionnaire
Authors: Ferrara M. , Murri R. , Bertaccini E. , Orlando G. , Vandelli M. , De Paola M. , Bucciardini R. , Rigatelli M. , Esposito R. , Guaraldi G. , Ferrari S. 
Published: June 2010

ObjectivesTo construct and test the validity of a new psychometric questionnaire to assess psychological impact of facial lipoatrophy (ABCD-F), that is the most stigmatizing feature of HIV-related lipodystrophy.MethodsConstruction: The development went through Focus groups and Content Validity, Item reduction and Exploratory Factor Analysis.Validation: ABCD-F questionnaire was administered together with ABCD and MOS HIV questionnaires. The Cronbach's Alfa was used to test internal consistency, while convergent validity and divergent validity were analyzed by the correlations with MOS, ABCD items and BMI and CD4 counts respectively.Results42 HIV+ people participated to focus groups. In the EFA the 17 Items were aggregated around psychological distress and role functioning domains.ABCD-F showed high internal consistency (Chronbach's alpha = 0.95). Both convergent and divergent validity were confirmed. ABCD-F scores were highly correlated to Physical Health Summary (B 0.59; 95% [CI] 0.35; 0.84; p< 0.0001), Mental Health Summary (B-1.54; 95% [CI] 1.15; 1.93; p< 0.0001), and weakly correlated to CD4 count (B-0.02; 95% [CI] -0.01; 0.06; p=0.54) and HIV viral load (B-0.004; 95% [CI] -2.69; 2.69; p=1.00).ConclusionsABCD-F is a valid and reliable questionnaire to assess psychological impact of facial lipoatrophy (FLA).ABCD-F may result as a useful tool both in clinical and research settings: it's able to identify people experiencing greater psychological impact due to FLA. It may become an objective instrument to evaluate priority and efficacy of plastic surgery to treat lipodystrophy. In research setting may be used to compare different populations or different treatments of FLA.