bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-116 - A Critical Review of 30 Social Phobia Cases or Social Anxiety Disorder's Recorded in a Rural Indian Clinic in 2009
Authors: Acharya A. 
Published: June 2010

IntroductionFear or phobia is an old & basic instincts that may be as old as mankind. Fear is cenrtal feature in numerous mental disorders like Schizophrenia, delusional disorder, depression, anxiety disorders and as the only distressing symptom in phobic anxiety disorder.ObjectivesAnatomical or physiological pathways of fear transmission also involves circuit that is primitive part of brain including amylgdolia, hippocampus, rhinenochephalon & papez circuit. In social phobia persistent & distressing anticipatory fears in the scenario where there is a chance of several strangers, or an imaginatory scrutiny by others in performnance/in appearance is so intense that the person avoid such situation or dreaded in enfronting such situations.AimsThis study is a clinical review of such cases seen very recently, & look into the patterns of their presentation.Methods30 cases those were diagonosed as social phobia as per diagnostic criteria of DSM-4TR & were seen in a district clinic 126k.m far from capitol town of Kolkata during the period 1st Jan-31stoct09 are taken here for consideration. 18 males & 12 females, all in the age group of 18-42 with a median average of 25 years, were recorded. There were Panic state mimcking distress to majority of patients who were present into gathering unknown to them or in some sort of performance like public delivery of speach on some subjects, or sing or even in imaginatory situation where scope of escape was not feasible.ResultsReliefs were partialy achived in 3 weeks of pharmacotherapy using clonazepam, SSRI/Paroxitine/Sertaline/fluvoxamine or TCA's clomipramine & behavior therapy.ConclusionsAn arena of further study.
P01-117 - “Death Anxiety” in Special and General Ward's Nurses
Authors: Aghajani M. , Valiai S. 
Published: June 2010

Background & aimThe thought of death can be frightening and cause anxiety. Death anxiety is a mankind experience, some profession such nursing face with it routinely and communication with dying patients is major problem of nurses that insufficient preparation to deal constructively with the process of dying and death effect on nurses productivity and patients outcomes. Aim of this preliminary study was compare of death anxiety in special and general ward's nurses.Material & methodsThis study was cross-sectional and 387 nurses (155 from general & 232 from special wards) in census method were recruited from Shariati Hospital of TUMS. Demographic information and Death anxiety (Templer's Death Anxiety Scale) were measured by self-report questionnaire then information analyzed by SPSS.ResultsResults show significant difference between mean score of Death anxiety in special (8/262/1) and general (8/302/4) ward's nurses and was correlated with some variables such as marriage (p=0/046), organizational situation (p=0/001) and the ward which nurses now worked (p=0/02). But has not significantly correlated with age, sex, shift, care of end stage patients, partnership in CPR and etc.ConclusionDeath anxiety effect physical and emotional aspects of nurse's life and so effect process of caring present by them. Results show death anxiety was higher in special ward nurses and they faced more than general ward nurses to dying and death so they need special attention to death anxiety and investigation causes of it, development of institutional support to enable nurses to provide good quality care for patients.
P01-118 - Religiosity Correlates Significantly with Paranormal Beliefs and Magical Ideation in Patients with Anxiety Disorders
Authors: Agorastos A. , Muhtz C. , Kellner M. , Jellinek L. , Moritz S. 
Published: June 2010

IntroductionReligiosity and spirituality are transcultural parameter of human experience with a complex, multidimensional construct. However, research shows religious commitment and practices being not only important for the personal beliefs, but also for physical and mental health. Findings suggest also other personal beliefs, such as magical ideation and paranormal beliefs similarly influencing psychiatric disorders and mental health. However, these factors are far more multidimensional than once thought.ObjectivesThe objective of the study is the investigation of the relation of religiosity/spirituality, magical ideation and paranormal beliefs in anxiety disorders and the specification of potential differences in beliefs between OCD and other anxiety disorders.MethodsUnselected patients with OCD and other anxiety disorders as core diagnosis have been equally assessed within the first week after admission with self-rating tests including the Brief Multidimensional Measure of Religiosity/Spirituality (BMMRS), Magical Ideation Scale (MIS) and Revised Paranormal Beliefs Scale (RPBS).Results80 patients have been recruited and classified in three groups: OCD, other anxiety disorders and healthy control group. All groups reached in average not significantly deviating RPBS, MIS and BMMRS total scores. However, the three personal belief scales did show an interesting relation to each other. RPBS score correlated significantly with BMMRS (r = .34, p < .01) and with MIS score (r = .56, p < .01), while MIS total scores have shown a significant relationship with almost every subscale of the BMMRS.ConclusionThis study verifies a significant positive correlation between paranormal beliefs, overall religiosity and magical ideation.
P01-119 - Onychophagia in Children and Adults
Authors: Almalmi M. 
Published: June 2010

BackgroundThere are many explanations as to why some people bite their fingernails. Anxiety, stress, genetics, boredom, acquired behavior and self-esteem have all been identified as potential causes. Nail biting can be anything from a bad habit to an outward symptom of a medical or emotional disorder. Nail biting is often a common reaction to stress. A child or even an adult uses nail biting as a coping mechanism to relieve pent-up emotions. The severity differs according the psychological cause is.ObjectiveTo identify the pattern of eating nails disorders in children and adults.Patients and methods25 males patients 6-25 years old presented with shortining, non lusturing and onychoirregularity and nail deformities. Nail scraping for yeasts and fungi was negative.ResultsThe clinical data and invistigations showed the nails of those patients were eated and bitted by thier teeth.ConclusionMany chlidren and adults had onychophagia in thier nails. Anxiety, stress, genetics, boredom, acquired behavior and self-esteem have all been identified as potential causes.
P01-120 - Comparing the Prevalence of Anxiety and Depression between Two Wards of Internal medicine and A & E (2005-2006)
Authors: Amanat N. , Behnam B. , Ghorbani R. , Imani A. , Khankeh H.R. 
Published: June 2010

ObjectivesPsychological disorder such as anxiety and depression have been related to increased mortality in both healthy individuals and medical patients. This study has been done for evaluation of prevalence of anxiety and depression and comparison with a control group (A&E's patients 1.Materials & methodsWe checked three hundred patients of internal medicine and A&E (as a control group) department. They have chosen by a Purposive accessible sampling method. The psychopathological profile was assessed using the SCL-90 questionnaire by Iranian version. Data have been computed and analyzed by SPSS V.17 and we used Student t test for parametric variables and Mann-Whitney for the analysis of nonparametric variables and Linear regression was used to identify the impact of independent variables. The results have been considered significant when the two tailed p-value was less than 0.05.ResultsIn internal ward 69.3% and A&E department 42% of patient have had depression (OR= 3.5; 95% CI, 1.9 to 6.5). Anxiety were observed in 50.7% of internal medicine patients and 12% of A&E's patients (OR= 1.94; 95% CI, 5.1 to 23.7).ConclusionPrevalence of the depression and anxiety in internal ward patients was significantly higher in compare to A&E's patients. Therefore, it's necessary to consider these patients in order to diagnosing for the early treatment.
P01-129 - A Comparative Study on the Prevalence of Fatigue among Students with Trait-state Anxiety in India and Iran
Authors: Didehdar Ardebil M. , Fekri Y. , Hasani Goleyakh M. , Moradzadeh M. 
Published: June 2010

ObjectiveThe aim of the study was to seek the prevalence of fatigue among students with trait-state anxiety in India and Iran which Ardebil of Iran and Aligarh of India was selected. The cases’ quantity was compared and the causes of their differences were studied.Method1000 students of Medical Azad university of Iran branch of Ardebil and 1500 students of Medical University of Aligarh branch of India were selected by stratified sampling method and Spillberger Anxiety trait-state Questionnaire along with Croup Fatigue Questionnaire were used. When anxious subjects were known, the subject's fatigue was analyzed. Descriptive and t-test statistics were used to analyze the data.ResultsResults showed anxiety level in students of Iran is higher than India. Trait anxiety is more than state anxiety in Iran students but both trait and state anxiety in India students are lower than Iran although fatigue is more prevalent in India anxious students. In both countries fatigue prevalence in students who had state anxiety were higher than students who had trait anxiety.DiscussionAccording to the results of this study and the other studies fatigue in anxious people is more than normal people. The reason of High prevalence of trait anxiety in students of west part of country, high prevalence of fatigue in anxious students of north part of the country, and other differences and similarities which have been concluded in this study, is due to cultural, political and environmental factors that have been elaborated in the full text of the study.
P01-130 - Alexithymia and Suicide Risk among Patients with Obsessive-compulsive Disorder
Authors: De Berardis D. , Serroni N. , Ranalli C. , Campanella D. , Moschetta F.S. , Carano A. , Caltabiano M. , Olivieri L. , Salerno R.M. , Martinotti G. , Janiri L. , Di Giannantonio M. 
Published: June 2010

ObjectiveThe aim of our study was to evaluate the relationships between alexithymia and suicidal ideation in a sample of adult outpatients with obsessive-compulsive disorder (OCD).MethodsA sample of 90 adult outpatients with DSM-IV diagnosis of OCD were tested with tested with the Yale-Brown Obsessive Compulsive Scale, Toronto Alexithymia Scale (TAS-20), Scale for Suicide Ideation (SSI) and Montgomery-Asberg Depression Rating Scale (MADRS).Results35 subjects were categorized as alexithymics and showed earlier onset, longer duration of illness and more likelihood to have a chronic course than nonalexithymics; they also scored higher on the MADRS and SSI. Results of a linear regression showed that chronic OCD course together with Difficulty in Identifying Feelings dimension of TAS-20 and higher MADRS scores were significantly associated with higher scores on the SSI.ConclusionsSuicidal ideation is frequent among adult outpatients with OCD and is strongly related to the presence of alexithymia and depressive symptoms. Implications are discussed.
P01-131 - Quality of Life in Bosnian Army Veterans Suffering from Chronic Posttraumatic Stress Disorder
Authors: Dzubur Kulenovic A. , Kucukalic A. , Malec D. , Suljic E. , Bravo Mehmedbasic A. 
Published: June 2010

ObjectivesAssess possible differences in quality of life assessment between the group of veterans who meet the criteria for the diagnosis of chronic PTSD and the group of veterans who do not meet the criteria for the diagnosis of chronic PTSD. Compare and analyze possible differences between the two groups in socio-demographic characteristics.Subjects and methodsThe subjects were 100 adult men, veterans with combat exposure who met the inclusion criteria for the study and agreed to sign the informed consent. The subjects were divided in two groups, each comprising of 50 subjects. Experimental group consisted of 50 veterans with combat exposure who meet the criteria for the diagnosis of chronic PTSD according to ICD-10. Control group consisted of 50 veterans with combat exposure who do not meet the criteria for the diagnosis of chronic PTSD. The subjects were assessed with the following standardized psychometric instruments: MMSE, MINI, IES-90 R, MANSA; Life Stressor List and a socio-demographic questionnaire:ResultsThe subjects with PTSD assessed satisfaction with all components of the quality of life significantly lower than the subjects from the non-PTSD group. Yet, the scores assessing the satisfaction with family life, although lower than in the non-PTSD group, were relatively high in the PTSD group (4,76 ± 1,3).ConclusionsThe results indicate the importance of factors of both PTSD diagnosis and the posttraumatic environment on the subjective perception of the quality of life for the subjects in this study.
P01-149 - Investigation of Relation between Assertiveness and Anxiety in Midwifery & Nursing Students
Authors: Aghajani M. , Taghavi T. 
Published: June 2010

ObjectiveHigh level of assertiveness and low anxiety are important factors that caused suitable communication and increase of intellectual abilities, abstract thought, power & autonomy and personal well-being in of nursing and midwifery students. Only few studies have been done this issue. The objective of this study was to determine relation between Assertiveness & Anxiety in Midwifery & Nursing students.MethodsThis was a correlational and cross-sectional study. 173 nursing (68 male & 105 female) were recruited respectively in census & rational method and 77 midwifery students were recruited in census method. The data were collected using a self report tool included “personal information form”, “Trait Spilberger Anxiety” and “Assertion Inventory (AI) of Gambrill & Richey”. The data were analyzed using descriptive and inferential statistical methods.ResultsResults show that more than half of nursing and midwifery students (59/5%, 59/7%) have moderate assertiveness. Also 43.3 & 36.4 percent them have moderate & high levels of anxiety. Pearson correlation test revealed that assertiveness and anxiety in nursing (r= -0/51, p< 0/001) and midwifery (r=-0/449, p< 0/001) students were negative and significant correlated.Some variables have significant difference with assertiveness and anxiety of students.ConclusionsIn regard to relation between assertiveness and anxiety and effect on mental health, educational & occupational functions of students, it is need to specific attention of educators to this point. Also interventions is need for increase of students knowledge of interpersonal skills specially increasing assertiveness and decreasing anxiety.
P01-150 - Does Topiramate Adjunction have any Effect on Obsessions and Compulsions in Patient with Obsessive Compulsive Disorder?
Authors: Mowla A. 
Published: June 2010

ObjectiveMany patients with Obsessive Compulsive Disorder (OCD) fail to respond to specific serotonin reuptake inhibitor (SSRI) medications. Glutaminergic dysfunction has been shown to be related to the pathophysiology of OCD. Topiramate is a novel anti-epileptic drug that inhibits glutaminergic action. The aim of this study is to survey the effects of topiramate on obsessions and compulsions of patients with OCD.MethodThis trial has been designed as an 8-week randomized, placebo-controlled, double-blind study. Eighty four patients suffering from OCD were randomly allocated in to one of the treatment group: fluoxetine plus topiramate or fluoxetine plus placebo. Efficacy measures comprised assessment of obsessions and compulsions and global functioning.ResultsBoth groups demonstrated significant improvement in their clinical condition (P< .000) but the group taking topiramate adjunctive compared to the other group had more decrease in Yale-Brown Obsessive Compulsive Scale (P< .001) and better Clinical Global Improvement (P< .002).ConclusionOur study indicates that topiramate can enhance the effect of SSRIs in treatment of OCD patients and can be considered as an appropriate adjunctive agent. However, it should be noted that our study is preliminary and larger double blind studies are needed to confirm these results.
P01-159 - Influence of the Mild TBI on the Chronic Course of the Posttraumatic Stress Disorder
Authors: Simonovic M. , Radisavljević M. , Milenković T. , Grbeša G. 
Published: June 2010

ObjectiveLong-term follow-up of the patients suffering of combat-related traumatic stress revealed that co-occurence of Posttraumatic Stress Disorder (PTSD) and Mild Traumatic Brain Injuries (TBI) proved to be “the rule rather then exception”.The aim of the paper was to determine the possible influence of the mild TBI on the severity and on the duration of the PTSD.MethodTotaly 60 patients suffering of PTSD were assessed and divided in two groups: with mild TBI and without the history of head trauma. The presence and the severity of the PTSD and TBI were assesed using following instruments: The Clinician-Administrated PTSD Scale for DSM-IV (CAPS-DX) and Glasgow Coma Scale, respectively.The differences between groups were evaluated using Student t testResults obtained showed that two groups differed significantly on the following items of the CAPS score: total severity, severity of the D cluster, functional deficits, and duration of symptoms.ConclusionMild TBI might influence on the clinical course and severity of the PTSD, by diminishing the capacity to employ cognitive resources that would normally be engaged in problem-solving and regulationg emotions after trauma and leaving the individual more helpless and susceptible to persistent trauma related psychopathology.
P01-171 - Medical and Social Consequences of Child Abuse
Authors: Badmaeva V. 
Published: June 2010

Child abuse and neglect are a cause of psychological problems which may have further negative influence on the future life of children. Alongside with symptoms of deprivation, disorders of mental development and affective sphere and vegetal dysfunction such children can display disinhibition of instincts with sadistic propensities and form a personality without positive social attitudes, aspiration for delinquent behavior.Aim of the researchTo study the role of child abuse in genesis of criminal and aggressive behavior in adolescents.Material and methods650 adolescents that underwent forensic psychiatric evaluation in the Serbsky Centre were examined by complex clinical psychopathological, pathopsychological and instrumentally diagnostic methods. The average age of patients was 16.7 years old.Results and discussionsThe research has revealed that 60.5% adolescents have committed aggressive and violent crimes (murder, sexual assault), 86% adolescents of the sample were brought to trial for murder and grave bodily injuries that resulted in death of the victims, 12% have committed sexual crimes. Examination of the micro social factors showed that 80% of the adolescents were brought up in disadvantaged families under conditions of emotional deprivation, 55% of them were physically abused and 30% of them were victims of sexual abuse.ConclusionOur research proves that a factors of “learning of violence” at home play a great role in aggressive behavior formation in children and adolescents. Continuous chain of violence and abuse that a child suffers at home leads to abnormal personal development, distortion of socialization and formation of delinquent behavior.
P01-177 - Peritraumatic Reactions and Post-traumatic Stress Symptoms in School-aged Children Victims of Road Traffic Accident
Authors: Bui E. , Brunet A. , Allenou C. , Raynaud J.-P. , Claudet I. , Fries F. , Cahuzac J.-P. , Grandjean H. , Schmitt L. , Birmes P. 
Published: June 2010

ObjectiveIt remains unknown whether peritraumatic reactions predict PTSD symptoms in younger populations. To prospectively investigated the power of self-reported peritraumatic distress and dissociation to predict the development of PTSD symptoms at 1-month in school-aged children.MethodsA sample of 103 school-aged children (8-15 years old) admitted to an Emergency Department after a road traffic accident were consecutively enrolled. Peritraumatic distress was assessed using the Peritraumatic Distress Inventory (range 0-52) and peritraumatic dissociation was assessed using the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) (range 10-50). PTSD symptoms were measured at 1-month by both the child version of the clinician-administered PTSD Scale (CAPS-CA) (range: 0-136) and the Child Post-traumatic Stress Reaction Index (CPTS-RI) (range 0-80).ResultsMean(SD) participants’ age was 11.7(2.2) and 53.4% (n=55) of them were of male gender. At baseline, mean PDI and PDEQ scores were 21.4 (SD=7.8) and 19.2 (SD=10.2), respectively. At 1-month, mean self-reported (CPTS-RI) and interviewer-based (CAPS-CA) PTSD symptom scores were 23.2 (SD=12.1) and 19 (SD=16.9), respectively. According to the CAPS-CA, 5 children (4.9%) suffered from full PTSD. Bivariate analyses demonstrated a significant association between peritraumatic variables (PDI and PDEQ) and both CAPS-CA and CPTS-RI (r=0.22-0.57; all p< 0.05). However, in a multivariate analysis, PDI was the only significant predictor of acute PTSD symptoms (Beta=0.33, p< 0.05).ConclusionAs has been found in adults, peritraumatic distress is a robust predictor of who will develop PTSD symptoms among school-aged children.
P01-181 - Anthropometric Paramethers in Males with Eating Disorder
Authors: Calero-Fernández R. , García-Murillo L. , Martín M.J. , Costarelli V. , Peláez C. , Picazo J. , Fernández L. , Caballero-Martínez L. , Graell-Berna M. 
Published: June 2010

BackgroundMost of the studies about Eating Disorders in adolescents have been typically focused on females, only to conclude that the approach should be similar in males. It has been stimated that 5-10% of patients with Anorexia Nervosa are males. Later age of onset and higher prevalence of premorbid overweight are considered among the main differences with female patients.ObjectivesAnalysis of the anthropometric variables of a sample of males with diagnosis of Restrictive Eating Disorder.MethodsNaturalistic, Descriptive and Retrospective study-Sample: 22 male adolescents-Inclusion criteria: males with Restrictive Eating Disorder diagnosis (according to DSM-IV criteria) admitted to an Eating Disorder ward during 2007 and 2008-“ad hoc” questionnaire (15 items)-Analysis: PASW statistics 18ResultsAge range: 7-14years (medium age=14,79±2,50years).11 patients (50%) were older than 16 years-old-Medium BMI (Body Mass Index) at the beginning of the admission was 17,79kg/m2.medium weight loss: 13,5±7,02kg/m2 (corresponding to a reduction of 22,24±7,52% of the previous weight)-Medium speed of weight loss: 0,92±1,1kg/54-BMI at discharge: 18,69 ±3,43 kg/m2-19/22 patients (86%) had a premorbid history of overweight-Binge eating: 8 patients (36,4%)-Purgative behaviour: 10 patients (45%)-Laxatives use: 4 patients (18%)-Intense physical exercise: 21 patients (95,5%)-Average duration of current restrictive episode: 13,7 monthsConclusionsIn the studied sample we observed:-High prevalence of premobid overweight-Very high frequency of compulsive exercise-Drastic weight loss and loss of a very high percentage of the previous weight, in short periods of time, reaching very low BMI.