bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-315 - Somatic Symptoms Amongst Individuals also Reporting Whiplash: A Norwegian Population-Based Study (HUSK)
Authors: Myrtveit S.M. , Skogen J.C. , Mykletun A. 
Published: June 2010

ObjectivesWhiplash associated disorder (WAD) is a common, yet poorly understood condition. It has both been considered a chronic pain disorder, due to injury in neck, and a functional somatic syndrome. Based on the hypothesis that chronic WAD lies closer to functional somatic syndromes than to organic pain disorders, we compared the reported level of symptoms associated to somatization (including among others, abdominal pain, nausea, chest pain, breathlessness, skin discoloring and headache) of persons reporting WAD and persons not reporting WAD.MethodsData from the population based Hordaland Health Study (HUSK) in Norway 1997-99 (n = 18.581) were used. In this study, 489 participants reporting whiplash also answered questions on symptoms linked to somatic syndromes. These questions were also answered by 13.490 participants without whiplash. Comparing these two groups, independent t-tests were employed for a range of somatic symptoms. Subsequently, a linear regression model was used, enabling adjustment for possible confounding factors, including gender, anxiety, depression, education, poor sleep, benefit recipiency, physical activity, alcohol consumption, smoking, somatic diagnoses and marital status.ResultsThe WAD group reported a significantly higher prevalence of all the reported somatic symptoms (all p< 0.01), compared to the control group (mean difference in somatization tendency 0.6 SD). Adjustment for covariates, only marginally reduced the association between whiplash and somatic symptoms.ConclusionOur results indicate an association between WAD and somatic symptoms, supporting the notion that WAD should be considered a functional somatic syndrome.
P02-316 - Somatization -Diagnostic Dilemma
Authors: Pavešić Radonja A. , Grahovac T. , Rončević Grežeta I. 
Published: June 2010

IntroductionSomatization (Greek, soma = body) is a disorder in which the psychological and emotional problems are expressed in physical symptoms. People prone to somatization tend to complain about the pain within the multiple organic systems although it cannot be find any organic cause.ObjectivesSomatization as a separate diagnostic entity exists in the Somatoform disorder, but it occurs in a number of other psychopathological entities, such as mood disorders, panic disorder (in the attack), generalized anxiety disorder, delusions in schizophrenia, dependence on psychoactive substances, etc. Also, some personality disorders are more related to the expression of somatization. There is usually referred Histrionic, borderline, antisocial personality disorder etc.AimsBecause of possible multiple access to somatization as a symptom of psychopathological entity, the case of patient who expressed somatization was selected for presentation. Focus was on the course of hospitalization and differential diagnostic dilemmas with which we encountered in the diagnostic procedure according to DSM-IV.MethodsPsychiatric interview, mental status, EEG, Psychological Testing, SCID I DSM-IV.Results and conclusionAccording to the used methods it was selected -Unspecific Somatoform disorder- as solution to the dilemma in our case.
P02-320 - Chronic Fatigue Syndrome: An Effectiveness Study of a Brief Mindfulness-Based Cognitive Treatment Program
Authors: Stubhaug B. , Kvale G. ,   Frihamnsenteret Clinical Research Center of Psychological Medicine
Published: June 2010

Patients (n=70) fulfilling criteria for Chronic Fatigue Syndrome (CFS) were offered a brief (4 days) group treatment program based on education, stress reduction through mindfulness training, cognitive-oriented therapy focusing on coping abilities, and physical activity with body awareness. Patients were referred from GPs and medical specialist centras to a specialist CFS clinic, recruited consecutively, participated in groups of 8, in an open naturalistic study.Outcome measures were assessed pre and post (1 week and 3 months post) treatment, through self-report questionnaires. There was a significant decrease on all symptom scales (Fatigues Scale), significant increase in level of functioning (SF-36) and changes in illness perception (Illness Perception Questionnaire) towards more coping and less impairment. The treatment program seems to be an effective model for improving symptoms and impairment in CFS. The results indicate that CFS can be treated effectively and that the prognosis is far less gloomy than often expected. The attitude among professionals and public towards treatment and prognosis of CFS should be challenged.
P02-324 - Obsessive Symptoms and Traits in a Sample of Spanish Outpatients with Anorexia and Bulimia Nervosa
Authors: Ramos-Ríos R. , Tajes-Alonso M. , Martínez-Gómez P. , Gastañaduy-Tilve M.J. , González-Lado I. , Martínez-Formoso S. , Arrojo-Romero M. 
Published: June 2010

ObjectivesNowadays several authors defend the existence of an obsessive-compulsive (OC) spectrum in which eating disorders (ED), especially anorexia nervosa, would be include. We investigated the presence of OC symptoms in bulimic and anorexic patients and its relationships with personality traits.MethodThe Maudsley Obsessive Compulsive Questionnaire (MOCQ) and the revised version of the Temperament and Character Inventory (TCI-R) were administered to patients and healthy controls.ResultsPatients show higher scores than controls in the global punctuation of de MOCQ, and in the checking and doubt subscales. Cases also score higher in harm avoidance (dimension associated with personality disorders of cluster C) and in its subscale anticipatory worry. No differences were found between patients subgroups. Restricting Anorexia Nervosa (RAN, n = 21)Binging-Purging Anorexia Nervosa (BPAN, n = 29)Bulimia Nervosa (BN, n = 34)Control (C, n = 52)p MOCQ11.912.611.87.8<0.001RAN, BPAN, BN > CChecking subscale (MOCQ)33.93.41.7<0.001BPAN, BN > CCleanness (MOCQ)3.83.83.93.20.36n. s.Slowness (MOCQ)3.22.82.82.80.64n. sDoubt (MOCQ)3.843.721.4<0.001RAN, BPAN, BN > CHarm avoidance (TCI-R)116.1118.4116.7104.50.005BPAN, BN > CAnticipatory worry vs optimism (TCI-R)39.238.238.431.9<0.001RAN, BPAN, BN > C[Results]ConclusionsPatients present more OC behaviours in comparison with healthy population but measures of obsessivity do not differ between the types of ED. Traits of personality characteristically associated to cluster C and to anxiety disorders seem to be also common features. These results do not support a separated classification of RAN into the OC spectrum.
P02-325 - Personality Types A/B and D, Cholesterol and Homocystein in Major Depression Compared to PTSD with and Without Depression
Authors: Topić R. , Aukst-Margetić B. , Ćima A. , Štimac Z. , Jakovljević M. 
Published: June 2010

BackgroundMajor depression and post-traumatic stress disorder (PTSD) are commonly associated with coronary heart disease (CHD) as well as hyperhomocysteinemia and hypercholesterolemia. Personality types A and D are claimed to be risk factors for CHD.AimTo evaluate relations between risky personality types, cholesterol and homocystein serum levels in patients with major depression compared to PTSD patients with and without depression.Subjects and methodsPersonality types A and D, cholesterol and homocysteine level were assessed in 40 patients with major depression and 40 male PTSD patients with and without depression.ResultsHypercholesterolemia and hyperhomocysteinemia were found more frequently in patients with major depression and PTSD patients with depression than in PTSD without depression. Personality type D (tendency to experience negative emotions and social inhibition) was more frequent among PTSD patients compared to patients with depression, while there was no difference in personality A type (competitiveness, time urgency, aggressiveness and hostility) distribution.ConclusionHypercholesterolemia and hyperhomocysteinemia may be useful clinical markers related to specific treatment options in patients with major depression as well as in PTSD patients.
P02-330 - Treatment of Anorexia Nervosa and Obsessive Personality Disorder with Third-Generation Therapies: A Case Study
Authors: Martín-Murcia F. , Langer A. , Cangas A. 
Published: June 2010

ObjectivesWe present a case study of Anorexia Nervosa and Obsessive Personality Disorder as an argument to describe the main therapeutic interventions used framed in so-called third-generation therapies.MethodThe sessions were recorded on videotape by independent observers. Both the particularities of the therapeutic relationship (based on functional analytic psychotherapy) and contextual strategies used (based on acceptance and commitment therapy) were analyzed.ResultsDuring the therapy, several changes where observed. Among them: Better social behavior, congruence between vital values and vital actions, resolution of the eating disorder, greater openness to experience and decrease of obsessive thoughts.ConclusionThe changes that were observed during the therapeutic process will be associated with specific interventions resulting from the contextual-functional approach.
P02-332 - Dynamic Psychiatry - A Group-Dynamic Oriented Psychiatry
Authors: Burbiel I. 
Published: June 2010

The group- dynamic view of any human development and change, both of the individual as well as of a group, is one central premise of Günter Ammon's Dynamic Psychiatry. This understanding postulates that any human being- from birth on- experiences consciously and unconsciously innumerable contacts, expectations, desires, conflicts and interactions in many different groups. Those experiences are substantially moulding a person and his/her personality with its intellectual, psychological, and physical dimensions, including the processes of brain development.The earliest, internalized group- dynamic experiences in particular are having a determining influence in shaping significantly a person's later life. Such archaic group- dynamic traumata, which often lead to pathological developments, are then acted out through an obsessive-compulsive disorder.This is the starting point for a variety of different psychotherapeutic interventions with the intention to initiate processes of recovery through emotional correcting inter-human experiences and psycho-dynamic working on internalised conflicts.Against the background of more than forty years of clinical in- and out-patient experience with empirical validation of treatment results, the author's objective is to discuss the importance of such a group-dynamic oriented Dynamic Psychiatry for the treatment of severe mental illnesses.The aim is furthermore, to demonstrate the contribution Dynamic Psychiatry can provide to a spectrum of various and diverse psychiatric approaches.
P02-336 - Mindfulness Based Cognitive Therapy for Major Depression: A Systematic Review and Meta-Analysis
Authors: Chiesa A. , Serretti A. 
Published: June 2010

ObjectiveMindfulness based Cognitive Therapy (MBCT) is a standardized meditation program which has been proposed as a therapeutic option for the prevention of relapses in patients suffering from major depression (MD). The aim of the present review and meta-analysis is to provide an estimate of the efficacy of MBCT for MD patients.MethodsA literature search was undertaken using MEDLINE, ISI web of knowledge, the Cochrane database, Google scholar and references of retrieved articles. Controlled studies investigating the efficacy of MBCT for MD were entered in the Cochrane Collaboration Review Manager Software (RevMan version 5.0).ResultsReviewed data showed that MBCT in adjunct to usual care was significantly better than usual care alone for reducing MD relpases in patients with 3 or more past episodes of MD. MBCT plus gradual discontinuation of maintenance antidepressants was similar to continuation of antidepressants alone with respect to relapse prevention. The augmentation of MBCT could be useful for patients with current residual symptoms of depression as well.ConclusionsCurrent studies showed preliminary evidence about the efficacy of MBCT for patients with 3 or more past episodes of depression and for currently depressed patients with residual symptoms. However, methodological shortcomings of reviewed studies including small sample size, frequent lack of replications and the absence of studies comparing MBCT to control groups designed to distinguish specific from non specific effects of meditation imply the necessity for further research.
P02-340 - The Effects of Psychodrama on Depression and Mental State Among Women with Chronic Mental Disorder
Authors: Ebrahimi Belil F. 
Published: June 2010

IntroductionAt resent 3desaides management of chronic mental disorders at psychiatric health association tobe high attention.Purpose of studyDetermining effect of psychodrama on depression among women with chronic mental disorder.MethodsThis study was a quasi-experimental study that done in RAZI comprehensive psychiatric center. Community of this research consists of chronic mental patients bedridden at RAZI comprehensive psychiatric center that among them 30 women with chronic mental disease possess entrains criterions selected and with randomized permuted blokes´ allocation to two control and intervention groups. Then them depression examined with beck depression inventory (BDI). Then 12sessions hours long of psychodrama, 2ice per week, 6 weeks for intervention group enactment but control group received routine treatments. When the program ended depression of ills reexamined whit study instrument and analyzed with independent T test, paired T test kolmogroph smernophand Leven and covariance analyzes tests.ResultsMain of depression before and after intervention at control group was not significant but at Intervention group was significant (P=0.000).At two groups after Intervention depression differences revolve significant (P=0.000). Comparison between main of depression after psychodrama even after modification of age and before intervention depression effect by covariance analyzes at two groups showed significant deferens.ConclusionPsychodrama leads to decrease of depression at intervention group.
P02-341 - Teaching of Problem Solving as a Component of Fairy-Tale Cognitive Behavioral Therapy (FCBT)
Authors: Iosebadze T. 
Published: June 2010

1.Teaching of problem solving constitutes a structural component of my Fairy-tale Cognitive Behavioral Therapy (FCBT) model. I believe that fairy-tales have tremendous potentialities to learn how to solve our problems.2.In my model of problem analysis of fairy-tale the following aspects are accentuated:1)in reading a fairy-tale you should draw your attention to problems and ways of their solving presented in the fairy-tale;2)you should reflect upon what other ways of problem solving may be used in the case;3)what mistakes have been made and what successful means of problem solving the characters of the fairy-tale used;4)what has led to the origin of the problem and how it could be avoided;5)what factors influence the problem solving positively or negatively;6)what is needed to solve the problem;7)what resources are needed for the characters of the fairy-tale to solve the problem; do they have these resources and do they use them rightly and effectively;8)peculiarities of the thinking of the characters;9)to what systemic consequences may these or those ways of problem solving have led;10)what strategies of problem solving are used in the fairy-tale and perhaps it is better to use other ones;11)what the fairy-tale teaches us;12)drawing a parallel between situations in the fairy-tale and life situations of the patients; etc.3.A fragment of my group psychotherapy session at which the problem analysis was conducted will be presented at the Congress.
P02-344 - Clinical Investigation by the Psychoanalytic Method in a Case of Child Sexual Abuse
Authors: Jacintho A.C.d.Á. , Pereira M.E.C. ,   Laboratory of Fundamental Psychopathology, UNICAMP
Published: June 2010

ObjectiveTo discuss the use of the psychoanalytic method in clinical research and treatment in cases of child sexual abuse, through the account of assistance to a 9 year old female victim of incest.MethodSession-report of the child.ResultsThe girl, abused by her father, shows up in her introspective first hour of play, refusing to address the abuse. Draws three hearts by writing down their names. In the first, writes her name inside the heart and the name of the mother. Under the second, she writes the name of her stepfather whom she calls “father”. Under the third “mother” and writes her name. Delivers to the design analyst and cries, saying she wants her father, calling the name of her stepfather. Later assembles a puzzle of Noah's Ark. She says that God sent Noah to build the ark to bring an animal of each species. The analyst wonders whether it would be a couple of animals. She curtly replied no.ConclusionsThrough the session hour, we observed the injuries produced by emotional abuse, and the child's need to seek a trusted father figure, represented in the drawing of her stepfather. Because of the loss of confidence, the analyst is an element of persecution for the child, and the “analytic couple” still cannot be formed. Note the importance of understanding the symbolic communication expressed in the play, which highlighted situations of psychic damage and the need to repair the damaged parts of the self.
P02-350 - Universality of Interpersonal Psychotherapy (IPT) Problem Areas in Thai Depressed Patients
Authors: Lueboonthavatchai P. , Thavichachart N. 
Published: June 2010

ObjectivesMany studies showed the efficacy of interpersonal psychotherapy (IPT) on depression; however, there were limited studies concerning the universality of the IPT problem areas in different countries. This study identified whether the interpersonal triggers of depression defined in the manual were present in Thai depressed patients.MethodsThai Hamilton Rating Scale for Depression (Thai HRSD) and Thai Interpersonal Questionnaire were used to assess the 90 depressed and 90 non-depressed subjects in King Chulalongkorn Memorial Hospital, during July 2007 - January 2008. The association between interpersonal problem areas / sociodemographic variables and depressive disorder were analyzed by chi-square test. The logistic regression was performed to identify the predictors of depressive disorder.ResultsMost of subjects were young and middle-aged females, living in Bangkok. All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, and interpersonal deficits) were increased in the depressed as compared to the non-depressed subjects as well as in sociodemographic variables (low education, unemployment, low income, and having a physical illness). Logistic regression showed that all interpersonal problem areas still remained the significant predictors of depression. (grief: adjusted OR = 6.01, 95%CI = 1.93 - 18.69, p < 0.01; interpersonal role disputes: adjusted OR = 6.01, 95%CI = 2.18 - 16.52, p < 0.01; role transitions: adjusted OR = 26.30, 95%CI = 7.84 - 88.25, p < 0.01; and interpersonal deficits: adjusted OR = 2.92, 95%CI = 1.12 - 7.60, p < 0.05)ConclusionsAll four interpersonal problem areas are applicable to Thai depressed patients.
P02-351 - Psychoeducative Model and Network Model in Work with Young Schizophrenic Patients and Their Families
Authors: Marijanac B. 
Published: June 2010

IntroductionSystemic family therapy as psychosocial intervention is focused on family on the whole.It is considered that multidimensional approach is the most appropriate way of treatment.MethodsWe described psychoeducative working model in work with families with young schizophrenic member, aged 20-30years. We worked simultaneusly and paralelly with five families each, total 15 families, in form of network seances lasting 1,5 to 2 hours, during period of three months.Data were obtained through interview and unstandardized test questionnaires - beginning and evaluation one.ResultsWe got expected results, meaning that complete disfunctionality of actual organisation was confirmed. The feelings of helplesness, shame, guilt, uncertain future and anxiety prevails. Identified patient is central point, he/she occupies the top of hierarchy scale. Families have diffuse internal subsystem borders, rigidity of outer borders, and many alliances, triangles and coalitions.In communication there is no directivnes, and there is a presence of paradox, avoiding, denial, and emotional exchange varied from network to extremely distant.ConclusionBased on responses from our evaluation questionnaire, we concluded that implementation of this type of work is necesarry. Our clients accepted it, as it leads to improvement of everyday life, induce self-respect and sense of ones own efficiacy. Family members became supportive network to each other in specific conditions. Instead of network of professionals, the network of people with similar hard expirience and their own ways of help in family crisis situations was formed.
P02-353 - Therapeutic Writing in Psychiatry and Psychotherapy
Authors: Noertemann M. , Friedrich O. , Wiethuechter B. , Rommel T. 
Published: June 2010

ObjectiveTherapeutic Writing ist not yet commonly used in Psychiatry and Psychotherapy although it seems to be a promising supportive and well accepted therapeutic tool. Over the last years we have implemented group therapy for Therapeutic Writing at four psychiatric clinics.Exclusion criteria were insufficiant knowledge of language, illiteracy or insufficiant ability to participate in therapeutic groups. We treated in-patients in a secure environment, on general psychiatric wards and in a day-clinic setting from adolescence to seniority mainly with Schizophrenia, Depression, Bipolar Disorders, Personality Disorders, Anxiety Disorders,and Eating Disorders.This poster outlines our theoretical framework as well as practical aspects of implementing Therapeutic Writing as a group therapy in a psychiatric/psychotherapeutic setting.
P02-354 - Psychotherapy Effectiveness Research: Changes in Social Support in the Course of Intensive Group Psychotherapy
Authors: Mielimaka M. , Rutkowski K. , Sobanski J. , Murzyn-Bialas A. , Muldner-Nieckowski L. 
Published: June 2010

ObjectivesTo evaluate the changes in perceived social support in patients treated due to neurotic and personality disorders with intensive group psychotherapy.MethodsAn analysis of structural and functional social support and personality descriptors evaluated at the beginning and at the end of intensive group psychotherapy has been performed in the group of 60 patients. Social support has been evaluated in terms of informative, emotional and instrumental aspects with the use of Berlin Social Support Scales and in terms of the structure and functional properties with the use of Bizoń’s method of social network and social support assessment. Personality descriptors have been obtained using Neurotic Personality Inventory KON-2006 and NEO-PI-R.ResultsResults of this research support previous findings that successful psychotherapy (in terms of favorable changes in personality descriptors) alters the perceived structure and function of social support. Less populated social support networks become more effectively utilized. Individual members of the networks become perceived as providing social support in a wider range of functional properties. Moreover an overall increase in patients’ satisfaction with available social support has been observed.ConclusionsPromising results of this study, that support previous findings, show the need for further research on the subject matter. Further analysis of relationship between changes in limited personality traits and particular aspects of social support will provide additional valuable data.