bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-250 - Tourette Syndrome - Description of a Case Report
Authors: Soares M. , Pedroso S. , Simoes M. , Joaquim A. 
Published: June 2010

IntroductionM. is a 12 year old girl, whom since the age of 3 has been increasing the frequency of tics (screeches, closing the eyes, clenching the fists, exposing her teeth, repeating countlessly “I’m kidding!”, “You’re a whore”).She has a younger sister. Her mother was diagnosed with anxious depression and her father suffers from chronic alcohol abuse.The complementary diagnostic tests performed (CT, EEG, MRI), requested by the physicians that she consulted previously, were normal.With sorrow, M. states on her first appointment “I’m hyperactive and I cannot control myself”.ObjectivesThe authors aim to present a short revision of the literature on Tourette syndrome, describing a clinical case, highlighting the therapeutic intervention (psychopharmacological and psychotherapeutic) and the clinical course.MethodsClinical case presentation and revision of the literature.ConclusionManaging patients with Tourette syndrome requires a comprehensive intervention, which includes medication and a psychotherapeutic approach.In the case described, a psychoeducational intervention was performed with M.’s family and M. teachers (information about the disease and strategies to reduce stress inducers and undervalue the tics), family counseling (exploring the impact of the tics in their lives and how this could be minimized), cognitive-behavioral techniques and administration of a dopamine antagonist agent.In this particular case, family intervention was paramount to the favorable clinical outcome, since it was a dysfunctional family.
P01-252 - Symptom of Eating Disorders and Eating Attitudes
Authors: Spremo M. 
Published: June 2010

IntroductionEating disorder becomes a problem in the moment when the changes in the way of food consumption are changing the quality of life.MethodsIn the population of secondary school students, 610 students,have been chosen by the method of systematic sampling. The study is prospective, control, clinical-epidemiological, descriptive and analytic. The applied instruments are Eating Attitudes Test and Eating Disorders Inventory by Garner. The respondents who have the score of 20 or higher on the EAT-26 are the experimental group, and control group is consisted of adolescents who did not show high scores on these scales. What is being compared between the groups are the scores of the Eating Disorders Inventory by Garner and EAT-26 scales.Results and discussionThere were(59%) females and males (41%). 56 (9.2%) had a high score on the EAT-26, Salčić S. (2005) found 10.3% of respondents with a high sum on the EAT-26. 67.9% of respondents who are in the group of critical score on the EAT-26 (x2 = 8,049, p = 0005) show a desire for slenderness. Dissatisfaction with their own body shows 91.1% (x2 = 5,638, p = 0018). 53.6% from the experimental group show an interceptive awareness (x2 = 24,207, P = 0000). 42.9% (x2 = 11,602, P = 0001) have an expressed perfectionism.ConclusionChanges in the nutrition attitudes are also followed by certain changes in body perception and mood, which is reflected in the development of clinical forms of eating disorders.
P03-02 - Therapeutic Alliance in the Cognitive Behavioral Treatment of Pediatric Obsessive-Compulsive Disorder
Authors: Geffken G. , Storch E. , Keeley M. , Ricketts E. 
Published: June 2010

ObjectivesThe purpose of the current study was to investigate the influence of therapeutic alliance (TA) as a treatment process variable on outcome in cognitive-behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). Although CBT for pediatric OCD disorder is considered a first-line treatment, not all youth have positive treatment responses, suggesting the need for investigating factors that enhance or reduce treatment effects.MethodsTwenty-five youth aged 7-17 years (M = 13.16, SD = 2.69) with a principal diagnosis of OCD and parents participated in the study. Using a multiple-informant, multiple-time point design, the current study examined the role of TA in family-based CBT for pediatric OCD.ResultsFindings indicated(1)stronger child-rated, parent-rated, and therapist-rated TAs were predictive of better treatment outcome,(2)larger, more positive early alliance shifts (rated by changes in child-rated TA between sessions 1 and 5) were predictive of better treatment outcome.ConclusionsTA was a predictor of subsequent change in OCD symptoms in youth treated with CBT. These findings correspond with alliance-outcome research among youth treated with evidence based therapies for behavior disorders.
P01-265 - Chronic Low Back Pain in Chronic Combat Related Posttraumatic Stress Disorder
Authors: Bras M. , Loncar Z. , Gregurek R. , Milunovic V. , Boban M. , Djordjevic V. 
Published: June 2010

ObjectivesChronic pain disorders have been accepted as one of major comorbid disorder in chronic posttraumatic stress disorder (PTSD). The main purpose of this research was to evaluate subjective processing of the pain in war veterans suffering from chronic PTSD and low back pain.Methods227 Croatian war veterans participated in this study. Based on their personal history, psychiatric and surgical assessment they were divided in three groups: subjects suffering from PTSD and chronic low back pain (N=88), subjects suffering from chronic low back pain (N=50) and healthy controls (N=89). The following questionnaires were used in assessment of PTSD, depressive disorders and pain: Trauma Symptom Inventory, Hospital Anxiety and Depression Scale and the short-form McGill Pain Questionnaire.ResultsWe have shown the significant differences between three groups. The group of PTSD patients experience the higher level of the intensity of pain and have an altered perception of pain complaining more of the affective and sensory pain than the group suffering from the chronic low back pain only. Both groups suffering from pain show depressive pattern rather than the the control group. We have shown that the affective and sensory pain is in the strong positive correlations with the specific PTSD symptoms and depression.ConclusionPatients suffering from PTSD seem to have an altered processing of the pain, especially the affective component of pain, probably because of functional pain disorders in many those patients. However, the neurobiological mechanism is needed to thoroughly understand the processing of pain in chronic PTSD.
P01-269 - Psychopathological Distress, Body Image Perception and Social Phobia in Patients with Hearing Aids and Cochlear Implants
Authors: Eleuteri F. , Forghieri M. , Ferrari S. , Marrara A. , Monzani D. , Rigatelli M. 
Published: June 2010

ObjectivesHearing-impaired adults with hearing aids or cochlear implants have been proved to suffer from social isolation and that the under-use of these devices is possibly related to its impact on one's body image. The aim of the research was to evaluate the presence of social phobia and body image preoccupation, handicap perception, social functioning and psychopathological distress in patients with hearing aids or cochlear implant.MethodA clinical group of 70 hearing aid and/or cochlear implant wearers was compared with a control group of 75 healthy adults (age: 18-65) referred to the ENT Clinic of Modena University from 01/01/09 to 01/ 09/09. Both groups were administered the following psychometric instruments: Social Functioning Questionnaire, Brief Symptom Inventory, Liebowitz Social Phobia Scale, Body Uneasiness Test. Hearing-impaired subjects were also assessed by means of the following tests: International Outcome Inventory for Hearing Aids, Attitude towards Hearing Loss Questionnaire, Hearing Handicap Inventory for Adults.Resultsthe case group statistically differed from the control group as to lower level of social functioning (p< .05), higher level of somatization (p< .01), obsessive compulsive behaviour (p< .01), interpersonal sensitivity (p< .01), depression (p< .01), anxiety (p< .05), phobic anxiety (p< .01), paranoid ideation (p< .01), psychoticism (p< .01), social phobia (p< .001) and body image preoccupation (p< .05).ConclusionSocial phobia and body image preoccupation are critical aspects in determining the psychosocial well-being and the compliance, the benefit and the personal satisfaction of hearing-impaired subjects in using the hearing aid and/or cochlear implant.
P01-270 - Quality of Life and Sociodemographic Factors of Patients with Unexplained Symptom in General Practice
Authors: Erinfolami A. , Olagunju A. , Oguntuase A. , Akinbode A. 
Published: June 2010

ObjectivesWe aimed to assess the quality of life and psychosocial factor of patients presenting with medically unexplained symptom at a private general practice in Lagos Nigeria.MethodA total of 150 subjects presenting with unexplained symptoms out of 1,450 G.P consulted had world health organization Quality of life (Brif) questionnaire obtained. The Quality of life score and social factors were compared with patients without unexplained symptoms.ResultsMajority of patients with unexplained symptom were female, with mean age of 42(±8) and unemployed. Among the patients, 80% had unexplained pain symptoms. Quality of life was poor in subject with unexplained symptoms and was significantly different in comparison with those without medically unexplained symptoms.ConclusionGeneral practice patients with medically unexplained symptom had remarkably poorer quality of life and associated sociodemographic factors include age, sex and unemployment. Early identification and prompt treatment should be encouraged.
P01-271 - Evaluation of HIV Positive Recipients of Orthotopic Liver Transplant (OLT): an Observational Study in the Modena Consultation Liaison Psychiatric Service
Authors: Borsari L. , Ferrara M. , Barbanti Silva V. , Pingani L. , Cocchi S. , Guaraldi G. , Gerunda G.E. , Rigatelli M. , Ferrari S. 
Published: June 2010

ObjectivesTo evaluate psychiatric features in liver post transplant HIV recipients.MethodsAn observational study was conducted. Different psychiatric rating scales to evaluate cognitive status (MMSE), anxiety and depressive symptoms (HAM-A, HAM-D), social phobia (BSPS), quality of life (SF-36), sexual satisfaction (ISS), coping strategies (Brief Cope) and alcohol-drug abuse (LDQ) were submitted to a population of 11 HIV outpatients that underwent to OLT (19% of the Italian HIV transplant recipients). Scores were statistically related to socio-demographic and clinical data.ResultsAll patients were male, aged between 33 and 54 years. In the past 8 patients were drug abusers, three suffered from depression. At the moment of the evaluation 8 patients didn't suffer from any psychiatric disease while the three youngest patients presented a mild depressive status. BASIS-32 scores were related to HAM-D and to a history of drug abuse (p< 0.01). SF-36 was related to age (p< 0.05), HAM-D (p< 0.01), BSPS and BASIS 32 (p< 0.02).ConclusionsDespite the higher risk for a HIV patient of developing an anxious or mood disorder, our population isn’t affected by psychiatric diseases; this is an encouraging data considering that post transplant period can be very stressful. This result may be due to a personality organization or a coping style strengthened by a long term disease such as HIV. Further studies are needed to investigate psychosocial outcome of OLT in HIV and to improve our knowledge of this controversial issue and guarantee a better take in care of these complex patients.
P01-273 - Anxiety and Hope in the Relatives of the Patients in Intensive Care Unit
Authors: Tel H. , Pekin İşeri Ö. 
Published: June 2010

ObjectivesThe this study was carried out to determine the anxiety and hope status of the relatives of the patients in intensive care unit.MethodsFirst degree relatives of 116 patients in the intensive care unit of a hospital were involved in the present study. The data of the research was collected using a personal information form, the Spielberger State Anxiety Scale and Hope Scale.ResultsIt was found that the relatives of the patients were anxious. There was a statistically significant negative relationship between the numbers of visit by the relatives of the patients and their hope scores (r=-.357, p=.000). The more they visited the patient the more they lost hope. It was found that hope score was low in the patient's relatives who were female, spouse or parents of the patient, anxiety was high and hope was low in the patient's relatives who were literate and who had low income, hope was high in the patient's relatives who lived in a city and who had social security.ConclusionsThe first-degree relatives of the patients in the intensive care unit experience anxiety. As the number of visits by the relatives of the patients increases, their hopes about the recovery of the patient decrease. Therefore, continuous communication with the medical personnel and being continuously informed about the status of the patient will be helpful for the relatives of the patients in the intensive care unit to deal with the present situation.
P01-274 - Medically Unexplained Symptoms - a Perspective from General Practitioners in the Developing World
Authors: Husain M.I. , Duddu V. , Husain M.O. , Chaudhry I.B. , Rahman R. , Husain N. 
Published: June 2010

ObjectivesIn this study, we explored the attitudes towards Medically Unexplained Symptoms (MUS) of 500 GP's in Karachi, Pakistan. Using a questionnaire previously developed by Reid et al (2001), we aimed to investigate whether GP's attitudes towards medically unexplained symptoms are similar to those of GP's in the developed world.Methods500 GP's on the database of primary care centres at the Pakistan Institute of Learning and Living in Karachi, were all sent a covering letter explaining the purpose of the survey with a case vignette, a questionnaire, and a stamped addressed envelope. One month later, non-respondents received a telephone call from an investigator to remind them of the study.ResultsOf the 429 respondents, 68.5% (294) were male and 31.5% (135) female. Although 80.2% of respondents felt that the main role of GP's was to provide support and reassurance, 76.9% of respondents also agreed that GP's had a role in referring patients with MUS for further investigations to identify a cause. 204 (47.55%) respondents agreed that somatization was useful concept, only 146 (34.03%) felt that there was effective treatment for it.ConclusionFor the most part Pakistani GPs’ attitudes towards MUS are similar to those of their counterparts in the West. Both agree that the GP had an important role in providing reassurance and counselling. However, our survey also shows that Pakistani GP's are less likely to place emphasis on an underlying psychiatric diagnosis and tend to focus on looking for an underlying physical cause.
P01-283 - The Relation Betweeen Severity of Cardiac Illness and Anxiety
Authors: Linden M. , Muschalla B. 
Published: June 2010

BackgroundPathological anxiety is characterized by the absence of a reason for anxiety. However, the presence of fear provoking stimuli does not exclude the possibility for a pathological course of anxiety, i.e. “Pathological Realangst”. An example are hypochondriac anxieties in patients with severe somatic disorders. An open question is to what degree severity of somatic morbidity is related with anxiety.MethodIn 209 patients (37,8% women) from a cardiology inpatient unit general anxiety, heart-related anxiety, progression anxiety, and job-anxiety were measured. Physicians rated the degree of severity of the somatic (heart-)disorder using the Multidimensional Severity of Morbidity Rating (MSM rating). Relationships between the degree of anxiety and somatic morbidity parameters were investigated.ResultsAnxiety did not or to a very low degree correlate with objective indicators of somatic morbidity. Subjective suffering showed a moderate significant correlation with heart-related anxiety and progression anxiety, and was also correlated with sick leave duration.ConclusionSeverity of somatic illness is a multidimensional phenomenon and not regularly related in a special way with anxiety, except the dimension of subjective suffering. Pathological fears, even when occurring in the context of somatic disorders, are not related to objective endangerment, but have to be described as mental problems.
P01-285 - Depression and Acute Ischemic Coronary Syndrome
Authors: Lougon M. , Antonio de Mattos M. , Rangel Tura B. 
Published: June 2010

ObjectiveThis research aimed to evaluate the prevalence of psychic depression in patients with acute coronary syndrome (ACS) and the interdependency with risk factors for coronary artery disease (CAD).MethodsProspective stdy of patients consecutively admitted with ACS and screening for depression through the Beck Depression Scale, which was used within the first 5 days after admission. Patients who presented simultaneous diagnosis of severe neoplasia, use of antidepressant medication, incapability to communicate or comprehend, were excluded from the research. Statistical analysis included the t test of Student or Mann-Whitney, qui-square test or Fisher's exact test and the log-linear model to evaluate interdependency among risk factors for CAD.Results98 out of the 135 patients admitted with ACS presented acute myocardial infarction, while 37 presented unstable angina, mean age of 61.8 years,of which 40% were female.Prevalence of depression in this study was 53.3%. (n=72) distributed in three groups according to the degree of intensity:28.1% with mild depression,14.1%moderated depression, and 11.1% with severe depresion. Among in-hospital deaths, 88.9% (n=8) were in patients with depression and only 11.1% (n=1) in patients without depression, with relative risk 0f 6.99 (p=0.027) Depression was more prevalent in female patients. Depression was present in association with great numbers of risk factors: dislipidemia, sedentary habits, sex (p=0.0259), family history systemic arterial disease and hypertension (p=0.0098)ConclusionThe results of this study show a high prevalence of psychic depression among patients with acute coronary syndrome with elevated mortality risk and interdependency with other risk factors.
P01-288 - The Development of a Pro-forma for the Assessment of suicide Intent and Mental State in Selfharmers by Casualty Doctors
Authors: Ulhaq S. , Subramanyam D. , Agius M. 
Published: June 2010

IntroductionPatients presenting with self harm account for a significant proportion of attendances to the emergency department. NICE guidelines recommend these patients must undergo full psychosocial and risk assessment with mental state examination.Objectives/AimsAims included to investigate the demographic factors of those presenting to the emergency department with self harm and explore methods of self harm. Also, to review the psychiatric history, exploration of suicide risk factors and assessment of suicidal intent, the mental state examination and referral for further treatment.We also wished to make recommendations to improve the history taking process should this be proved necessary.MethodsData was collected retrospectively from February to August 2009. Twenty-five casualty cards were collated at random for patients who presented with self harm. Evidence of exploration of the objectives were investigated.ResultsSuicide risk factors and suicidal intent were poorly documented. The mental state examination was not documented in all cases. 18 were referred for psychiatric review.ConclusionsPsychosocial and risk assessment of those presenting to the emergency department with self harm is poor. As a result of this study, We have designed and introduced a proforma to be completed by doctors in the emergency department. This incorporates the mental state examination and is to aid the assessment of suicidal intent in patients presenting with self harm. The effectiveness of this proforma will be assessed with a re-audit planned in 3 months time.
P01-293 - Psychiatric mis-diagnoses and escitolopram treatment of mood and anxiety disorders in myasthenia gravis: a case report
Authors: Pan E. , Algul A. , Ebrinc S. , Basoglu C. , Semiz U.B. , Ates M.A. , Senol M.G. , Cetin M. 
Published: June 2010

Myasthenia gravis (MG), is a chronic, autoimmune disease involving neuromuscular junctions [1]. Psychopathological disturbances and misdiagnosed as a psychiatric disorder are frequently reported in patients with MG because of variable and fluctuating course of disease [2]. However, during the course of the disease, mainly depression and anxiety disorders can be added to the clinics [1].CaseThe complaints such as weakness, difficulty swallowing and speaking that worsening at evening, may be easily supposed neurotic disorders, in a twenty-two year old male patient, has started about two months ago. In neurology clinic, in requested psychiatric consultation; there were complaints like inability to breathe, sweating, palpitations, reluctance, pessimism and unhappiness.The patient has diagnosed according to DSM IV-TR as “Agoraphobia without panic disorder” and “Major Depression, Single Episod”. Escitolopram titrated by 20 mg/day has started. Depressive and agoraphobic symptoms have disappeared at the end of four weeks (HAM-A-D:24;11-21;9).DiscussionMG patients, especially during the beginning of disease symptoms in almost all patients with the appeal was referred to the psychiatric services and 1/3 of it has been reported as psychiatric mis-diagnosis [1,2]. Choice of psychotropic drugs is important that do not affect the respiratory center and neuromuscular transmission. Agents, used in the treatment of MG, can inflame psychopathology and can create resistance to psychotropic treatment. Therefore, cooperation of neurologist and psychiatrist is important.
P01-294 - Depression and Agoraphobia in a Patient with Myasthenia Gravis
Authors: Pan E. , Algul A. , Basoglu C. , Ebrinc S. , Ates M.A. , Semiz U.B. , Senol M.G. , Cetin M. 
Published: June 2010

Myasthenia gravis (MG), is a chronic, autoimmune disease involving neuromuscular junctions [1]. Psychopathological disturbances and misdiagnosed as a psychiatric disorder are frequently reported in patients with MG because of variable and fluctuating course of disease [2]. However, during the course of the disease, mainly depression and anxiety disorders can be added to the clinics [1].CaseThe complaints such as weakness, difficulty swallowing and speaking that worsening at evening, may be easily supposed neurotic disorders, in a twenty-two year old male patient, has started about two months ago. In neurology clinic, in requested psychiatric consultation; there were complaints like inability to breathe, sweating, palpitations, reluctance, pessimism and unhappiness.The patient has diagnosed according to DSM IV-TR as “Agoraphobia without panic disorder” and “Major Depression, Single Episod”. Escitolopram titrated by 20 mg/day has started. Depressive and agoraphobic symptoms have disappeared at the end of four weeks (HAM-A-D:24;11-21;9).DiscussionMG patients, especially during the beginning of disease symptoms in almost all patients with the appeal was referred to the psychiatric services and 1/3 of it has been reported as psychiatric mis-diagnosis [1,2]. Choice of psychotropic drugs is important that do not affect the respiratory center and neuromuscular transmission. Agents, used in the treatment of MG, can inflame psychopathology and can create resistance to psychotropic treatment. Therefore, cooperation of neurologist and psychiatrist is important.