bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-193 - Effectiveness of a Mental Health Training Programme for Social Agencies and Community Partners
Authors: Lee C. 
Published: June 2010

IntroductionThe Community Mental Health Team (CMHT) in Singapore provides home-based psychosocial rehabilitation services for people with severe mental illness (SMI). Besides the direct clinical intervention to the patients and their caregivers, the multidisciplinary team also collaborates with social and non-governmental organizations in the community. It provides training, consultation and support to these agencies so as to strenghten their capability in the understanding and management of people with SMI.Objectives and aimsSince the inception of CMHT in April 2007, it has networked with family service centres, non-governmental mental health service providers, police, religious groups and other community partners. CMHT provides 2 types of mental health training programmes - basic and skill-based mental health training. The former programme introduces the participants to common mental disorders and the clinical services of CMHT. The latter programme is customized for the community partners and would entail the management of violent, aggressive and suicidal behaviours encountered in the settings of the community partners.MethodsEffectiveness of the training is assessed by a pre- and post survey of the participants. Satisfaction score were also obtained from the participants.ResultsPre-knowledge of the participants were assessed to be of the range of 22.5% to 29.8%. This improves to 95.6 to 97.8 % after the training. At least 81 % of the participants were satisfied with the training.ConclusionsIt is important to train and engage social agencies and community partners so that people with SMI can experience a coordinated and seamless care in the community.
P02-194 - The Sang Bok Lee Neurocognitive Dream Orientations Scales for Screening Traumatic and PTSD-Related Dreams
Authors: Lee S.B. 
Published: June 2010

AimThe objective of this study was to differentiate ordinary dreams from traumatic and PTSD-related dreams, by using The Sang Bok Lee Neurocognitive Dream Orientation Scales assessing the narrative dream contents.Methods1248 dreams were collected from 416 Korean college students, Yongin, South Korea - 198 males (M age=20.46 years, SD=1.32) and 218 females (M age=20.17, SD=1.26). The collected dreams were evaluated to find traumatic and PTSD-related dreams by using The Sang Bok Lee Neurocognitive Dream Orientation Scales, designed by Sang Bok Lee. These scales particularly asked about the dreamers a series of cognitive orientations that cover location, person, event, the dreamer's perception and coping action in the dream narratives. The PTSD-related dreams were hypothesized as having (1) frequently recurrent, (2) unfamiliar, (3) unexpected and accidental, (4) emotionally dreadful or fearful, and (5) not actively coped by the dreamer.Results392 dreams (31%) of 1248 collected dreams were found as traumatic or very/extremely anxious dreams according to The Lee Anxiety Dream Scales (Mean=4.56). 36 dreams (0.9%) of 392 traumatic dreams were frequently recurrent and evaluated as PTSD-related. Strong positive correlation was found between 392 traumatic dreams and independent variables (unfamiliar: r=.85, p=0.0001; accidental: r=.82, p=0.0001; dreadful or fearful: r=.95, p=0.0001; not coped by the dreamer: r=.87, p=0.0001).ConclusionIn this study, the traumatic and PTSD-related dreams were associated with unfamiliar, accidental, emotionally dreadful or fearful, not coped by the dreamer, and recurrent events.
P02-195 - Patient Outcome Expectancy from Bariatric Surgery
Authors: Lier H. , Biringer E. , Stubhaug B. , Eriksen H.R. , Tangen T. 
Published: June 2010

AimThe aim of the present study was to examine if patients’ expectancy after bariatric surgery was related to improvement of body appearance, health, physical fitness, or ability to work. Further, the relationship between psychiatric comorbid disorders and outcome expectancies after surgery was investigated.MethodThe study population consisted of 94 patients (F/M:74/20) age 22 to 62 years (mean 41.1, SD=10.2), with BMI from 33.4 to 64.7 kg/m2 (mean 44.9 kg/m2, SD=5.5). Psychiatric assessment was done prior to bariatric surgery, and included structured psychiatric interviews (M.I.N.I. International Neuropsychiatric Interview and Structured Clinical Interview for DSM IV Axis II disorders). The patients were asked to identify their most important expectancies after surgery.ResultsThe overall prevalence of current psychiatric disorders was 47%, with Social Phobia (18%, n=17), Dysthymic Disorder (14%, n=13), and Avoidant Personality Disorder (17%, n=16) as the most common ones. Thirty-six percent (n=34) rated improvement of health, 34% (n=32) physical fitness, 22% (n=21) improvement of body appearance, and 7% (n=7) ability to work as their most important expectancy after surgery. Patients with psychiatric comorbidity rated significantly more frequent improvement in body appearance as their most preferred outcome than patients without psychiatric comorbidity (34%/ 12%, p= .01, chi-square test).ConclusionPatients with psychiatric disorders rated improvement in body appearance as their most preferred outcome after surgery more often than patients without psychiatric comorbidity. Future studies should examine whether patient expectations predict outcomes and satisfaction after surgery.
P02-198 - Teaching Medical Students Psychiatry ; One Teacher's Perspective
Authors: Agius M. 
Published: June 2010

BackgroundConcern has been expressed about the number of medical students who are not choosing psychiatry as a career.Aims/ObjectivesWe describe the methods used by one teacher to teach medical students psychiatry in a medical school in England.MethodsThe teacher describes methods which he has found worthwhile in teaching psychiatry.ResultsAn important method is one to one working with a student and a patient during clinic. The student takes the patient's history and the teacher sits with him, intervening when necessary, thus making the environment ‘safe’.Socratic questioning is frequently used in order to enable the student to think for himself.Students are encouraged to take the opportunity of the attachment to carry out an audit or a piece of research or an in depth case report of their choice using literature searches or the database of patients and conditions held by the teacher's team. If successful, the student is helped by the teacher to publish the work in a pubmed journal or as a poster in a major conference.Most important is debriefing students after seeing patients. Opportunity is taken to teach about Michael Balint's understanding of communication skills, and the value of the student's own personality in the doctor-patient relationship and the importance of this in aiding patients to recover from illness.ConclusionExperience is that these methods are appreciated by students. Students are likely to be influenced in their career choices by meeting doctors who can demonstrate that they value the student's own worth.
P02-204 - Autism Spectrum Disorder in Adulthood - are we Meeting the Needs?
Authors: Michel T. , Sheldrick A. , Habel U. , Schneider F. 
Published: June 2010

Recent epidemiological studies report that Autism, or the so called “autism spectrum disorders” (ASD), have a prevalence of one percent. Increasingly, self-help groups as well as parent's initiatives have been complaining that specialist's services for diagnostics and therapy in adulthood are very limited. This study gives an overview about the situation of Specialists clinics for ASD diagnosis and interventions in University hospitals in Germany.MethodsA questionnaire, which was sent to the 33 German University Hospitals, was evaluated. Furthermore, we have evaluated the demographic data and diagnosis of the patients that presented themself at the Specialists Service for adults with Autisms spectrum disorders at the RWTH Aachen University “Aachen Autism Clinic for Adults” (AACA) within the first 18 months after it has been established.ResultsAt the time of the evaluation, only 9 University Hospitals offered a Specialists clinic for diagnostics and/or treatment for adults with ASD in Germany. A total number of 73 patients were seen at the Aachen Autism Clinic within the first 18 month after establishing this service.ConclusionThere is still great need of Specialists services at University Hospitals in Germany for adults with ASD.
P02-224 - Telepsichiatric Consultation and Treatment for MOBBING VICTIMS
Authors: Stojakovic M. , Vukadinovic S. , Stojakovic B. , Trkulja D. 
Published: June 2010

AimsIn this paper, we showed the experience, application and effect of various treatment models, including telepsychiatric conusltation use for MOBBING VICTIMS. Telepsychiatry, as a branch of telemedicine, may be defined as the delivery of psychiatric treatment remotely, using live two-way video-teleconferencing equipment.MethodsTotal sample data is 165 examinees, in the age of 18-65 years. They have been treated in Center for telepsychiatry in virtual psychiatry Ambulance for various psychiatric syndromes, all having the same denominator-mobbing, as ethiopathogenetic factor.In the research, the following instruments were used: Questionnaire of socio-demographical, Telepsychiatric interview (with teleconsultation), Beck's scale for self-esteem of depression, Hamilton's scale for depression (HAM-D) and Hamilton's scale for anxiety (HAM-A).ResultsUpon evaluation, it was identified that major proportion of examinees showsMental health and psychiatric dignosis 105 (63,64%)And other Diferent somatic diagnosis 57 (34,55%)And only 3 (1,81%) without any diagnosis.From 105 (63,64%) Mental health and psychiatric diagnosis 83 (79,04%) is with symptoms of depression (p< 0,01).With treatment by telepsychiatry with teleconsultation 105 (63,64%) patients with psychiatric diagnosis after mobbing, result is 75 (71,42%) reduces consequences to mental health.ConclusionsWith treatment by telepsychiatry result is significantly reduces consequences to mental health for mobbing victims. These facts are best confirmed by measurement instruments used during this research. Analysis of results of research according to socio-demographical characteristics, time interval of mobbing exposure, used measurement instruments, diagnostic catagories and applied therapy measures, confirms the need for further research and treatment of mobbing victims.
P02-226 - On the Way to Recovery from Schizophrenia: Sharing Evaluation Tools and Experiences of Psychosocial Improvements Between Professionals and Families
Authors: Svettini A. ,   European Federation of Family Associations of People with Mental Illness
Published: June 2010

While psychopharmacotherapy for psychosis is effective in reducing symptoms, improving the patient’s overall functioning and re-integration into society becomes increasingly the key target of psychiatric care. The goal is now moving beyond symptom remission, towards the patient’s recovery in his personal, relational and vocational functioning (Liberman et al., 2002).Measurement of psychopathologic dimensions of psychosis is common practice; on the contrary, the assessment of psychosocial functioning and its impairment is not so commonly used, even with the availability of valid instruments like the Personal and Social Performance (PSP) Scale (Morosini et al., 2000).Even less importance has till now been given to what personal and social functioning actually means to patients and their families and why this is such an important treatment goal.Aim of this study is to provide tangible examples of improvements in personal and social functioning, to facilitate greater understanding of its importance amongst a broad range of European audiences including carers, patients, healthcare professionals.During an informal roundtable session at the EUFAMI congress in Vilnius, Lithuania (26-27.11. 2009), a group of carers from all over Europe will discuss how they define personal and social functioning, sharing a series of personal, real-life scenarios that demonstrate an improvement in personal and social functioning of people with severe mental illness.Each scenario will focus on one of the four main domains of the PSP scale: self-care, socially useful activities, personal and social relationships, disturbing and aggressive behaviour.Results from the roundtable will be collected and discussed.
P02-228 - Writers who Hate Psychiatrists
Authors: Torreblanca M. , Uriarte J.J. 
Published: June 2010

ObjectivesMental Health related stereotypes are very common in literature and cinema, with a great influence on public opinion and attitudes. In many cases, a message is transmitted that reinforces prejudice towards mental diseases and people who suffer them. Prejudice often affects mental health professionals, particularly psychiatrists, thus adding to a slanted, pejorative image of those professionals. Stieg Larsson's Millennium trilogy, and its main protagonists, Lisbeth Salander and Mikael Blomkist, have got an enormous popularity, becoming a literary hit almost without precedents. The saga's success has also been fueled by cinematographic superproductions based on the novels. To examine whether Millennium trilogy transmits negative messages about psychiatry and psychiatrists that can potentially influence public opinion and contribute to misconceptions and stigmatization of those mental health professionals.MethodsMillenium characters related to mental health are analyzed, as well as the stereotypes transmitted by the novels, especially in the case of psychiatrists, represented by ominous Dr Teleborian.ResultsThe potential of this successful trilogy for spreading negative misconceptions about Psychiatry and psychiatrists is discussed, as compared with the much more benevolent treatment of other general health and mental health professionals appearing in the novels.ConclusionsLiterature and cinema have a strong impact on public opinion, can potentially have the effect of increasing stigma and may also contribute to creating a distorted image of mental illness, psychiatry and psychiatrists.
P02-232 - Social Network Addiction : a New Clinical Disorder?
Authors: Karaiskos D. , Tzavellas E. , Balta G. , Paparrigopoulos T. 
Published: June 2010

BackgroundInternet addiction disorder is excessive computer use that interferes with daily life. There is debate over whether or not to include it as a diagnosis in the next DSM edition.We present a case of a 24-year-old woman who although not meeting criteria for addiction was referred to our clinic due to excessive use of social networks which severely interfered her daily life.Case reportA woman presented to our clinic accompanied by her parents because she had been spending approximately 5 hours/day checking her facebook webpage. She had subscribed to facebook 8 months before her examination and already had over 400 webfriends. During the previous 7 months, she ceased several of her activities, remained home most of the day in order to check her facebook and lost her job as a waitress because she repeatedly left her post in order to go to the nearest internet café. Noteworthy, during her examination she took out her mobile phone and tried to establish an internet connection and check facebook. On clinical examination mild anxiety, sleep disturbances were present, but she refused any further psychotherapeutic or pharmacotherapeutic help.DiscussionAccording to the prevailing view regarding addiction, facebook addiction can be considered as an “urge-driven disorder” with a strong compulsive component. Although our patient had been using internet for the past 7 years she had never been previously addicted to internet use. We suggest that facebook addiction may be another subcategory of the internet spectrum addiction disorders.
P03-08 - Perceived Psychological Burden of Multiple Sclerosis on Primary Caregivers
Authors: Assimakopoulos K. , Karanasios P. , Argyriou A. , Iconomou G. , Giannakopoulou F. , Makris N. 
Published: June 2010

ObjectivesPrimary caregivers are more likely to have a higher risk of depression and a lower quality of life (QOL). Multiple sclerosis (MS) can adversely affect the psychological and physical function of patients as also of their caregivers. Our aim was to assess the perceived psychological burden and QOL in a sample of primary caregivers of patients with MS under natalizumab treatment.Methods20 males and 10 females primary caregivers (mean age 50.6±12.9 years) of an equal number of patients with MS completed the Greek validated version of the Hospital Anxiety and Depression Scale (HADS) and the EuroQOL (EQ-5D), an instrument measuring health outcome and QOL.ResultsOur sample experienced higher degree of anxiety than depression. The mean score on the 7-item HADS-A subscale (range 0-21) was 10±3.8 and the mean score on the 7-item HADS-D subscale (range 0-21) was 7.8±3.4. Twenty-one caregivers were diagnosed as manifesting anxiety (7 mild/14 moderate anxiety), whereas 13 of them also had depression (5 mild/8 moderate depression). The increased psychological distress was supported further by the responses on the anxiety/depression dimension of health of the EQ-5D. Sixteen persons reported moderate and 5 extreme degree of anxiety/depression. Mean EQ-VAS scores were 60.2±14.5 (range 40-100). Ten caregivers rated their health status with a score of 50 or lower.ConclusionsOur study revealed that caregivers of patients with MS are psychologically burdened in a significant degree, a fact that obviously deteriorates their QOL. Appropriate psychopharmacological interventions are warranted to reduce caregivers’ burden.
P03-10 - Psychological Impact of Chemotherapy Induced Alopecia
Authors: Baati I. , Mnif L. , Masmoudi J. , Allouche C. , Damak R. , Halwani N. , Feki A. , Ayadi N. , Jaoua A. 
Published: June 2010

ObjectivesThe aim of this work was:•to understand and measure the emotional effects of chemotherapy-induced alopecia by exploring self-esteem, body image, anxiety and depression in cancer patients•to analyse the strategies used to cope with hair loss.MethodsThis was a cross-sectional study. It involved the use of a questionnaire with patients from the medical oncology unit of the Habib Bourguiba University Hospital. The questionnaire included Socio-demographic data, type and stage of cancer, data concerning the alopecia (partial or total) and its impact on social life, work, and sexuality.Four measurement scales were used:-Rosenberg's Self-Esteem scale,-Bruchon-Schweitzer's Body image questionnaire (QIC)-Hospital Anxiety and Depression scale (HAD)-Brief copeResultsPreliminary studyIt was a population of 24 patients. 55.2% were males. The mean age was 45.9 years. 75.9% were married.Alopecia was the most distressing side effect of chemotherapy in 30.4% of cases. 45.8% were suffering from the stigma of the alopecia which disturbed their social interaction. It led to a loss in self-confidence in half of patients and altered sexuality in third. Self-esteem was low in 34.5%.The average score of the scale body image was 61. 41.4% of patients were anxious and only 27.6% were depressed.The religion was the major strategy used to cope with alopecia.ConclusionThe findings suggest that the chemotherapy-induced alopecia has the potential to affect various aspects of patient's life, but Tunisian cancer patients seems to be less affected compared with literature.
P03-14 - A Quasi-Experimental Controlled Intervention to Reduce Violence on an Acute Psychiatric Ward
Authors: Beezhold J. , Williams P. , Taylor J. , Harris A. , Kandasamy S. 
Published: June 2010

IntroductionViolence and aggression are a major concern in acute inpatient psychiatric wards. Hard outcome data on the impact of service change are scarce. This poster presents the outcomes of service changes designed to improve the acute ward environment and patient experience.Aims and objectivesTo implement changes to the delivery of acute inpatient psychiatric services and to measure the outcome of these changes in objective verifiable form.MethodSignificant changes were introduced to an acute psychiatric inpatient service. These included introducing a dedicated inpatient psychiatrist “hospitalist”, replacing weekly ward rounds with daily multidisciplinary care and discharge planning meetings and promoting increased roles for nursing staff in decision-making and patient contact. Outcomes measured included routinely recorded incidents of violence with and without injury, use of restraint for medication and use of constant nursing observation. The control group was a similar service in the same hospital subject to the same general policies and admitting patients demographically comparable, but that did not at the time undergo the interventions implemented in the trial service. All data was recorded by staff who were unaware of this study or even that any analysis of the data would occur.Results and conclusionsViolent incidents in the intervention ward dropped by 34% per patient (p=< 0.02) whilst increasing by 3% in the control ward; restraints decreased by 28% (p=ns) whilst increasing by 12% in the control ward; with an overall reduction in constant observation. The intervention was highly effective in reducing violent incidents.
P02-240 - Personality Factors Related to Emerge of Stress in University Students
Authors: Aghajanipour H. , Homayouni A. 
Published: June 2010

ObjectivesThe study aimed to investigate relationship among personality dimensions (introversion-extroversion E/I, intuition-sensing N/S, thinking-feeling T/F, perceiving-judging P/J) based on Jungian personality types and stress in university students.Methods200 students of university were randomly selected and Hogan-Champagne's Personal Style Inventory (PSI) and Coudron's Stress Inventory (CSI) were administered on them. The PSI assesses eight personality dimensions based on Jungian personality types mentioned above. The data were analyzed with Pearson correlation coefficient.ResultsFindings showed significant positive correlation between introversion and stress and significant negative correlation between extroversion and stress. In addition, more analysis of personality dimensions showed female are more sensing than male and male are more intuition than female.ConclusionsIn regard to introverted are independently constraints and prodding from situation, culture, people, or things around them, so facing to stress factors interrupt their own world and reduce their function, cause to variability in situation and stress emerge.