bluuebunny/crossref_metadata_2025_split huggingface dataset:
P03-83 - Ekbom syndrome: a case report
Authors: Lloret M. , Tatay A. , Harto M.A. , Merino T. , Porcel A. , Calabuig R. 
Published: June 2010

IntroductionDelusional parasitosis, also known as Ekbom syndrome, is the most frequent among the somatic delusions. It may occur at any age but is more common in the elderly, particularly in females. It is a syndrome in which the patient has the false belief that he is infested by some type of insects, lice, worms or other invertebrates, and that they live or grow under their skin or inside their body. Psychiatric interventions are usually rejected by these patients and long-term treatments are frequently abandoned.Objectives and methodA clinical case was followed and reviewed to illustrate the links between somatic delusions, hypochondriasis, somatization and obsessive disorders.ResultsA 58-year-old female presents delusions of infestation. She has a long history of somatization and hypochondria, which can be interpreted as a continuum in the onset of the delusional syndrome. In this case, delusions of infestation are projected onto a third person. Psychophramacological treatment with long acting injectable risperidone was then introduced, as an alternative to drugs previously used.ConclusionsThe effectiveness of pimozide and risperidone for the Ekbom syndrome has been documented in the literature. In our case, we decided to introduce long acting injectable risperidone after several rejections or long-term discontinuation in oral treatments.
P03-84 - Immune reactivity and variants of clinical-social adaptation in schizophrenia
Authors: Lobacheva O. , Vetlugina T. , Semke A. 
Published: June 2010

Study of clinical and biological components of adaptation in schizophrenia currently is of relevance.ObjectiveIdentification of interrelationship immunity with clinical-social adaptation of schizophrenic patients.We examined 107 schizophrenic's (76,1% - patients with paranoid schizophrenia with continuous and episodic type of course, F20.00, F20.01, F20.02).The psychometric scale PANSS was used to estimate the dynamics of psychopathological symptoms during treatment. The immunological examination included the definition of phenotypes of surface receptors of immunocompetent cells, level of IgM, IgG, IgA. The research was carried out in two points: first - at admission, second - in 6 weeks of treatment.Four adaptation types have been revealed: integrative (combining high clinical and social indices, 40,1% of patients); introvert (high clinical and low social indices, 38,3%); extrovert (low clinical and high social indices, 11,2%); destructive (combining low clinical and social indices (10,4%).It has been shown that patients with extrovert and destructive adaptation types characterizing by great severity of psychopathological symptoms (high score) according to PANSS.At 1st point Т-immunodeficiency was diagnosed among the schizophrenic patients, which was kept within 6 weeks of treatment. In the therapy course peculiarities of psychoneuroimmunomodulation have been revealed: relatively favorable in immunological aspect are integrative and introvert types of adaptation. In integrative type number of immunocompetent cells does not change and has trend toward normalization. In destructive type greater suppression of T-immunity has been revealed (CD2+-, СD3+-, and СD4 +-lymphocytes decrease); HLADR+-lymphocytes remain high.Thus, clinical-social differences between groups have been confirmed by data according to immune reactivity.
P03-86 - Shared decision making in medication use: an emerging best practice in mental health
Authors: Mahone I. , Mistler L. 
Published: June 2010

PurposeA primary goal of recovery-oriented mental health services is to increase client voice and empowerment. Shared decision-making (SDM) technologies can help achieve this goal. We report on two projects that aim to increase engagement around antipsychotic medications by people with serious mental illness (SMI).Method:Project 1: Using a participatory-action research (PAR) orientation, a partnership between a university and a public MH clinic developed around a shared goal of finding an acceptable SDM intervention targeting medication use by persons with SMI. We solicited input about SDM from national experts and via focus groups of local stakeholders and analyzed the qualitative data.Project 2: The US Substance Abuse and Mental Health Service Administration (SAMHSA) contracted with Advocates for Human Potential (AHP) to develop a decision aid (DA) for consumers considering use of antipsychotic medication. Based on the results of literature reviews and stakeholder needs assessments, we constructed a multi-module consumer-centered DA that follows the International Patient Decision Aid Standards (IPDAS) for DAs. The DA is still under construction; however, we have completed entering the format and content of several of the modules.ResultsAudience responses to the concept of SDM have been mixed. The PAR group identified multiple barriers to implementing SDM in practice, including consumer factors, information exchange, skill requirement, and outcomes expected from using SDM.ConclusionAdapting shared decision-making technologies to mental health settings has unique challenges. We are using the barriers identified by the PAR group to guide creation of the SAMHSA DA.
P03-91 - Descriptive Study Of Consecutive Admissions Of Patients With Delusional Disorder
Authors: Martínez-Formoso S. , Portillo-Díez J. , Ramos-Ríos R. , Alonso-San Gregorio J. , Pérez-Pérez J. , Páramo-Fernández M. 
Published: June 2010

ObjectivesTo determine the clinical profile of patients diagnosed of delusional disorder (DD) admitted to a psychiatric ward.MethodRetrospective chart review of inpatients with diagnoses of delusional disorder (DD) according ICD-10 criteria admitted to a psychiatric ward (Hospital de Conxo, Santiago de Compostela) between January 1998 and December 2008. Sociodemographic and clinical variables were collected, with special attention to comorbidity and presumed risk factors.ResultsThe sample consisted in 56 inpatients (30 women, mean age 54 ± 11). 64.3% were single including never married (33.9%), divorced, separated and widowed and 33.9% lived alone. The most frequent type of DD was persecutory (67%) followed by mixed type (16%). 16.1% presented hallucinations (most frequent auditory). In comparison with the other types, patients with persecutory delusions usually lived alone (p < 0.05). Most frequent comorbidities were substance abuse and affective disorders. Familiar background of psychoses was recorded in 21.4% and history of emigration in 12.5%. 5.4% suffered deafness. During the period studied 53.6% were admitted two or more times. After the most recent admission 32.1% were on depot antipsychotic.ConclusionsIn concordance with other previous reports, DD seemed to be more prevalent in women in middle or late adulthood and persecutory were the most frequent delusions. In our sample, most patients were not married and high prevalence of family antecedents of psychoses was found. It could be related with its hospital origin; then it could be hypothesized living alone and having familiar background of psychoses to be risk factors of hospitalization.
P03-97 - Saccadic Movements And Schizophrenia: A Study Of The Utility Of A-Dem Test
Authors: Mozos Ansorena A. , Pérez García M. , Brenlla González J. , Páramo Fernández M. , Paz Silva E. , Ramos Ríos R. 
Published: June 2010

JustificationIn our work we propose to use the adult developmental eye movement test (A-DEM) of Gene Sampedro et al, for the study of saccadic movements in schizophrenia.ObjectivesTo study the importance of saccades and attention in a sample of institutionalized patients with schizophrenia in a Unit of Psychosocial Rehabilitation.MethodsSample formed by 30 people.15 patients and 15 controls. 15 patients were corresponding to all the schizophrenic patients admitted in January, 2009 in a Unit of Psycosocial Rehabilitation of Conxo's Psychiatric Hospital. The 15 of the group control were selected of random form between sanitary personnel without psychiatric pathology, homogenizing the variables chronological age and sex with regard to the group of investigation.ResultsThe A-DEM vertical half to 44.37 seconds in the control group versus 59.54 seconds in the sample of patients. Regarding the results of the horizontal A-DEM obtained an average score of 47.07 seconds compared to control group obtained 60.68 seconds in the group of patients. The schizophrenic patients are characterized for having an attention diminished in 87 %, opposite to 47 % of the group control that they have a normal attention and 40 % increased. These differences of saccadic movements and of the attention are statistically significant.ConclusionsSchizophrenic patients have few saccades both horizontally and vertically slower than normal people.Schizophrenic patients show a marked deficit of attention to the normal population.
P03-156 - Soceital Burden In Schizoprhenic Patient'S Family Is Many Fold & The Cost Is High In A Rural Indian District
Authors: Acharya A. 
Published: June 2010

IntroductionNiether the patient alone in schizophrenia, but the spouse & children and other members involved are all facing several difficulties.ObjectivesHere in a population of schizophrenic patients all treating in the author's rural district clinic in 2009 are evaluated for ther familial stess& burden.The cost seems high even in a rural society in India, where joint family situation exists.AimsThe current loss involving a schizophrenic patient after more than 5-10yearsof suffering is reassed to find an insight to this grave problem, still rampart in different countries of the devoloping world.Methods180 patients who were diagonosed as suffering from scizophrenia as per ICD-10 creria was evaluated.They were 96 male, 84 females with onset of ilness 5-10 yrears back & in the age group 28-42 with a median age of 35 years.
1.Maritalstatus & satisfaction was assesed first, with a divorce of 7in female and 4 inmale groups. There was desertion of spouse in13 case in male group & living apart status in10 females.Sexual lfe in the last 6months was was absent in 24 females & in10 of male group, those living together.Satisfaction in sex was reported poor by 30% of females &25% of males.2.Living status & where there is a fall in previous 5years was repoted as 30% in female groups & nearly 50% in male groups.3.Childrearing & education was poor in40% of male &55% in females.ResultsSocietal burden in few parameters is immense.ConclusionI In all dimensions burden&cost is high.
P03-158 - Review Of Communication With Primary Care And Appropriateness Of Providing Ongoing Care To Patients In A Psychiatric Clinic
Authors: Agyapong V.O.I. , Olorunfemi A. , Nwachukwu I. , Guerandel A. 
Published: June 2010

BackgroundClose collaboration and communication between specialist psychiatric services and primary care is essential in achieving an effective and efficient level of patient care.AimsTo assess the rate of six monthly communication between specialised psychiatric service and primary care and to determine from patients records those that may be suitable for discharge back into primary care.MethodsA retrospective chart review of all patients attending the relevant local psychiatric out-patient clinic was carried out to identify parameter relevant to the objectives of the study. This was followed by a multidisciplinary discussion to determine the appropriate ongoing care for the patients. The data was analysed with SPSS (version 17).ResultsA total of 105 patients’ charts were reviewed in the audit. Overall, only 36% of patients’ charts had a record of communication with primary care in the last six months. Only one variable,’ changes made to the patents medication in the last six months’ was significantly associated with the likelihood that there had been communication with primary care with an odds ratio of 15 and a p-value of 0.00. It was recommended that 60% of the patients needed continuing care with psychiatric services, 35.2% could be discharged back into primary care and 4.8% could be managed jointly between psychiatric services and primary care.ConclusionA six monthly review has a potential to improve the level of communication between specialised psychiatric services and primary care. It also identifies patients who could be discharged back into primary care.
P03-161 - Patients’ Subjective Experience Of Psychiatric Admission
Authors: Borbé R. , Klein A. , Steinert T. 
Published: June 2010

ObjectiveAssessment of patients’ subjective experiences is an important approach of qualitative research in mental health care. It also strengthens the patient-centred view on mentally ill people. Here we focus on the admission to a psychiatric hospital.MethodsSubjective experiences of psychiatric admissions were recorded with a semi-structured interview in 72 fairly representative in-patients. Patients’ satisfaction with treatment was recorded with the ZUF-8 questionnaire. Additionally, 52 in-patients on nine wards were interviewed in focus groups.ResultsFrom the patients’ point of view, the most important aspects of the admission were staff, ward atmosphere and fellow patients. Violence and coercion played only a minor role. In the face-to-face interviews, assessments were generally positive. The results of the patient-satisfaction-questionnaire (ZUF-8) showed a tendency to positive ratings as well. In focus groups, also negative experiences and criticism were reported.ConclusionsPatient's subjective experiences of an admission to a psychiatric hospital could be well assessed. Future surveys should be conducted anonymously to minimize social desirability bias. Focus groups yield an important extension of individual interviews.
P03-162 - The Adhd Cluster: Comparing Aples With Elephants?
Authors: Brand Flu R. 
Published: June 2010

AimTo study the differential psychopathology of ADHD according to the Conners and ICD/DSM criteria.MethodStudying hyperactivity, attention and impulsivity features in children in relation to sensory processing difficulties, specific cognitive impairment and anxiety.An extensive developmental questionnaire and old notes are also used to detect cognitive style, rate of development, communication and learning needsPreliminary results86/136 63% (208-209) children with a learning disability are assessed according to the Conners rating scale. An additional 21 are assessed for attention deficit without the use of the Conners. 27/86 meet the criteria of an attention deficit syndrome according to the Conners. 6/21 are meeting the criteria of ADHD according to international diagnostic criteria (total 33 cases). 13/33 cases display ADHD features of response inhibition and general utilisation behavior. 5 with a hyperactivity syndrome respond tosensory material such as a bean bag, a slow rhythmic voice and a squiggly cushion. 18 cases have no attentional difficulties on preferred activities. Four attentional cases resolve with tailored educational input. One case of ‘typical ADHD’ recovers at resolvement of abuse. 9 display ADHD features as a form of communicating distress. Of the twenty cases 17 are meeting the criteria of an autistic spectrum disorder.ConclusionThis study needs expanding, under experimental conditions and with multiple researchers to optimize blinding. However, this unfinished pilot demonstrates that ADHD criteria do not cater for qualitative differences in presentation and etiology. This has very serious treatment and ethical implications.
P03-164 - The Influence Of Group Psychotherapy To Crisis Frangibility And Coping Style In Community Residents
Authors: Weidong J. , Quoquan Z. , WL F. , Jun W. , Yunqing G. 
Published: June 2010

ObjectiveTo understood the influence of group psychotherapy to crisis frangibility and coping style in community residents, seek the methods and value of community psychological coping intervention, and provide the basis of psychological theory and practice for the work of community mental health.MethodsThe scale of crisis frangibility and BCQ were employed to evaluate and compare the mental state before and after intervention.Results1)Crisis frangibility of residents was negatively correlated with positive coping, positively correlated with negative coping.2)After group psychotherapy, scores of scale for crisis vulnerability and negative coping droped.3)Through the regression model analysis, the linear relationship between positive coping factor and the crisis vulnerable is closest.ConclusionGroup psychotherapy in community is a effective method to reduce resident's crisis frangibility, and the setup of experimental model has provided the theory and the practice basis for development psychology counseling in community.
P03-183 - A Stress-Coping Model Of Mental Illness Stigma: Cognitive Stress Appraisal, Emotional Reactions, Coping And Outcomes
Authors: Rüsch N. , Corrigan P.W. 
Published: June 2010

BackgroundStigma is a major stressor for many individuals with mental illness. Recent stigma models highlight the role of cognitive stress appraisal, emotional and cognitive coping responses, and their impact on outcomes such as self-esteem and social interactions. We tested this model, applying it to mental illness stigma.MethodsIn 85 people with mental illness, stigma stress appraisal and stress predictors (level of perceived stigma, rejection sensitivity, ingroup perception) as well as emotional reactions (anxiety, shame) and cognitive coping responses to stigma-related stress were assessed. In addition to selfdirected outcome (self-esteem, hopelessness), social performance in contact with outgroup members (i.e. members of the general public) was assessed by role-play and seating distance measures.ResultsHigher levels of perceived stigma, rejection sensitivity and holding one's ingroup in low regard predicted high stigma stress which in turn was associated with anxiety and shame, but not with cognitive coping responses. Anxiety and shame predicted lower self-esteem and more hopelessness; the coping mechanism of ingroup comparisons predicted poorer social performance.DiscussionOur findings support the stress-coping model of stigma when applied to people with mental illness. Emotional reactions to stigma stress as well as coping responses predicted largely negative outcomes. Trade-offs between different stress reactions may render them helpful for some, but harmful for other outcome domains. Predictors of stress appraisal and poor outcomes could be useful targets for interventions that aim to reduce the impact of stigma on people with mental illness.
P03-185 - Self-Stigma, Group Identification And Perceived Legitimacy Of Discrimination As Predictors Of Mental Health Service Use: A Longitudinal Study
Authors: Rüsch N. , Corrigan P.W. 
Published: June 2010

BackgroundIt has often been claimed that mental illness stigma is a barrier to service use and treatment participation among people with mental illness (Corrigan 2004). Empirical findings to support this assertion, however, are scarce (Schomerus and Angermeyer 2008). We therefore studied stigma and stigma-related cognitions as predictors of service use over six months in people with serious mental illness.MethodsAt baseline, we measured the level of perceived stigma, self-stigma, group identification and perceived legitimacy of discrimination in 85 people with schizophrenia, schizoaffective or affective disorders. After six months, 75 participants reported whether they had used individual counseling/psychotherapy, mutual-help/peer-support groups, or psychiatric hospitalization after baseline assessment.ResultsControlling for baseline psychopathology and perceived stigma, low perceived legitimacy of discrimination, but not self-stigma or group identification, predicted use of counseling or psychotherapy. Participation in mutual-help groups was predicted by strong group identification. High self-stigma at baseline was associated with subsequent psychiatric hospitalization. Results were independent of diagnosis.DiscussionCognitive stigma-related variables may predict use of outpatient mental health services, whereas self-stigma may be a risk factor for psychiatric hospitalization. Distinct aspects of stigma appear to predict use of different mental health services.
P03-190 - Structure Of Clients Of The Group Of Neurotic Stress Associated And Somatoform Disorders Treated In Daily Hospital 1998 And 2008
Authors: Stevanovic M. , Mihajlovic S. , Stojanovic I. 
Published: June 2010

Objective of the workThe objective of this work is to check the assumption that changed social and economic factors causes change in some of the characteristics of non-psychotic clients treated in the daily hospital.MethodThe investigation included 77 clients treated in the daily hospital in 1998 and 82 clients in 2008. Distribution of both groups was done according to the age, work status, duration of previous psychiatric treatment and diagnostic categories.ResultsThe result of the work indicates that the profile of a non-psychotic client changes showing an increase of the number of the clients over 50 (participated as 22.07% and 47.56% in 1998 and 2008, respectively). The increase of the number of unemployed of 9.09% in 1998 and 42.68% in 2008 was observed. The increase of number of the clients treated less than one year was also observed (23.37% and 50% in 1998 and 2008 respectively). There are no more significant percentage differences regarding affective disorders (32.46% in 1998 and 34.14% in 2008) and in the category of personality disorder and adults behavior disorder (9.09% in 1998 and 9.75% in 2008).Neurotic stress associated and somatoform disorders were slightly increased in 2008 (50%) in relation to 1998 (40.25%), with significantly increased number of the clients in F 43 diagnostic category, from 7.79% during 1998 to 31,70% during 2008.ConclusionThe results obtained point out that change in social and economic factors causes changes in the profile of non-psychotic clients in daily hospital.
P03-194 - Profile Of Substance Abuse Disorder Patients Detained In Two Rural District Drug De-Addiction Centres In India
Authors: Acharya A. 
Published: June 2010

IntroductionSubstance use or alcohol use were not a much concerned category in a far away district town 126 k.m away from state capital, Kolkata.But the 2 drug de-addiction ceners those have a provision for a institutional therapy in such a rural Indian district remains almost full through out the year, here in Midnapore.ObjectivesHere is a repressentation of a present scenario in those 2 drug deaddiction center namely UTTARAN meaning upliftment, and JANANI meaning motherly care, during the period march2008- feb09.AimsThere patterns and profile are analysed to make a comparism in some other situation in other parts of the world.MethodsAll patients admitted in those 2 Drug-deaddiction centere were analysed trough their records & there were 2 visits to longitudinaly analyse the persons there in 1.1.09.There were 134 patients in 1st center & 122 patient's turn over in the 2nd center. There were mainly male persons in the age range of 22-56 years with a median age of 39 years. Alcohol use detained patients were majority(>64%), followed by Marijuana smokers(5%), and heroine addicted patient(>10%), followed by medicinal coughsyrup, glue, & benzodiazepin like nitrazepam.There were co-morbid other Psychiatric illness like BPMD, hypomaniac, or depressive disorders, and Personality disorders, like Borderline personality Disorder & Asocial personality disorder.ResultsThere were divorce in 4% cases, jobless in >65% case. and their period of stay remains 3 weeks to 8weeks usually.Recovery, or refraining from drug/alcohol after 3 monthhs is over 60%.ConclusionsTreatment in Institutional-setting do the best &should present evrywhere.