bluuebunny/crossref_metadata_2025_split huggingface dataset:
P02-216 - Music Therapy
Authors: Misic P. , Arandjelovic D. , Stanojkovic S. , Vladejic S. , Mladenovic J. 
Published: June 2010

Music has been a medium of therapy for centuries, and there are numerous examples of the curative or healing powers of music in the historical records of different cultures. Music therapy is now accepted as a discipline alongside other paramedical professions such as physiotherapy, occupational therapy, speech therapy and psychology in paramedical services and special educational services provided by health and education authorities.The aim of this work is to summarize the usage of music therapy worldwide.With certain clinical populations (patients), music therapy has been found to be effective and beneficial.It is used with individuals of all ages and with a variety of conditions, including: psychiatric disorders, medical problems, physical handicaps, sensory impairments, developmental disabilities, substance abuse, communication disorders, interpersonal problems, and aging. It is also used to: improve learning, build self-esteem, reduce stress, support physical exercise, and facilitate a host of other health-related activities.For example, research suggests that listening to Mozart’s piano sonata K448 can reduce the number of seizures in people with epilepsy. This has been called the “Mozart effect”.Also, music therapy can help to ease the isolation of dementia and prevent old people from completely losing touch with their loved ones.
P02-217 - The Study on Family Functioning by Patients and Their Family Members in Schizophrenic, ,Major Depressive and Bipolar Mood Disorders
Authors: Ranjbar F. , Pourafkary N. , Rahmati F. 
Published: June 2010

Introduction and objectivesThere are some different ideas about family dynamics -particularly schizophrenic, major depressive and bipolar mood disorders- in psychiatric patient's family.AimsThe aim of this study was to consider therapeutic purposes in Iranian patients.Methods90 randomly selected patients with schizophrenic, major depressive and bipolar mood disorders plus a member of their families - 90 people in 3 groups- who were referred to psychiatric hospitals were evaluated by Iranian version of Family Assessment Device (FAD). Statistical analysis was done at the end.Resultsschizophrenic and bipolar patients who had more negative family functioning were compared with depressed patients. Family members of depressed patients had more negative family functioning compared with family members of schizophrenic and bipolar patients. Family members of schizophrenic and depressed patients had more impaired family functioning in comparison with patients.ConclusionsMore negative perception in schizophrenic patients may be related to the nature of illness and their suspiciousness. Due to negative believes in depressed patients they ascribe family problems to themselves. In general, members of these 3 groups of disorders had more pathologic and more negative functioning compared with patients. That could be the result of presence of ill member and tense interactions in these families.
P02-231 - Individuals with Intellectual Impairment and Complex Needs: Current Trends (Policy and Strategic Direction)
Authors: Travers R. 
Published: June 2010

Objectives1.Inform European colleagues about current transformational changes in the organisation and delivery of care services in England to a vulnerable group of individuals with both intellectual impairment and multiple complex needs.2.Compare and contrast English strategic direction /policy with European Union commitments3.Stimulate debate on how such trends compare with the experiences of colleagues across Europe.MethodsExamination of key English policy drivers including:1.Valuing People Now (Intellectual Impairment).2.New Horizons (Mental Health).3.Putting People first (Social Care)against current European Union commitmentsResultsReview of the implications of:1.Demographic factors2.Economic considerations3.Diagnostic uncertainty4.Scandals as catalysts5.Personalisation6.People being cared for away from their home areasConclusions1.Cost, access and quality considerations are the priority areas under review.2.Though care systems vary enormously across Europe, public expenditure as a share of Gross Domestic Product is unlikely to increase in the short to medium term and this irrefutable fact will challenge strategic intentions and citizens’ expectations, especially in England.3.Both English and European Union strategic directions/policy contexts could be cynically viewed as being strong on principle and weak on implementation.4.There is a profusion and confusion of existing terminology.5.For individuals with intellectual impairment and complex needs and for their carers and families, what they all want is more choice, control and flexibility.6.Affected individuals in England appear more satisfied with the strategic direction than are their carers and families.
P02-233 - Acute Paranoid Psychosis Due to Past Chronic Mangenese Exposure
Authors: Verhoeven W. , Kuijpers H. , Egger J. , Lenssen P. 
Published: June 2010

A male patient aged 49 was referred for evaluation of an acute paranoid psychotic state followed by an apathy syndrome. Since his history, apart from hypertension, did not mention any somatic complaints or psychiatric symptoms, and he had been involved in an adequate professional career as metalworker and welder, MRI- scanning of the brain was performed. There appeared to be bilateral hyperdensity of the globus pallidus, suggestive for chronic manganese (Mn) intoxication. Subsequently, a Mn plasma level of 31 nmol/l (range: 7-20nmol/l) that confirmed the diagnosis.Mn is a trace element that regulates many enzymes and is essential for normal development and body function. Chronic Mn intoxication has an insidious and progressive course and usually starts with complaints of headache, fatigue, sleep disturbances, irritability and emotional instability. Later, several organ systems may be affected leading to increased heart rate and/or blood pressure, elevated total cholesterol levels, and lowered fertility in males. With respect to neurotoxicity, Mn primarily affects the globus pallidus and the striatum of the basal ganglia, and induces damage to the dopaminergic system. This may ultimately lead to dystonic movements and a parkinsonian syndrome that is dominated by generalized bradykinesia and rigidity.As to neuropsychiatry, an array of symptoms may develop up to 30 years after intoxication of which gait and speech abnormalities, cognitive and motor slowing, mood changes and hallucinations are the most common. Psychotic phenomena are rarely reported.In conclusion, subacute psychotic symptoms in the absence of a psychiatric history, may point towards rare occupational diseases.
P02-235 - PER3 VNTR as a Predictor of Sleep and Diurnal Preference in a Romanian Population
Authors: Voinescu B. , Coogan A. , Thome J. 
Published: June 2010

ObjectiveTo evaluate whether a variable number tandem repeat (VNTR) in the human PER3 gene is linked with sleep or circadian phenotypes.MethodsSeventy three people (age: 23-71; 41 males and 32 females) volunteered for this study. They completed a questionnaire containing the Romanian translations of the Composite Scale of Morningness, the Sleep Disorders Questionnaire, the Pittsburgh Sleep Quality Index, the Pittsburgh Insomnia Rating Scale, the Epworth Sleepiness Scale, the Multidimensional Fatigue Inventory, the Alcohol Use Disorders Identification Test and the Beck Depression Inventory II. Genotyping was performed on genomic DNA in blood.ResultsSixteen subjects had the shorter allele (PER3 4/4), thirty one the longer one (PER3 5/5), while the rest were heterozygote (PER3 4/5). We found no statistically significant differences between the genotypes on any of the scales used.ConclusionsIn this small population, PER3 genotype predicted none of the investigated variables.
P02-237 - May Affective Temperaments Influence Quality of Life
Authors: Yazici A.B. , Yazici E. , Aydin N. , Kirpinar I. 
Published: June 2010

ObjectiveHealth is not only the absence of disorders also it needs a good feeling of well-being: Quality of life. The relation between QOL and the psychobiology, genetics, development and evolution of thoughts, emotions and temperaments should not be ignored. In this study we investigated how affective temperaments effect quality of life (QOL) in ‘healthy’people.Methods72 healthy subjects (33 women, 39 men) with no physical and psychiatric diagnosis assessed with SCID-I are included to the study. The subjects were examined using TEMPS-A for affective temperaments and WHO-QOL Brief for QOL.ResultsDepressive temperament (DT) scores was negatively correlated with psychological and environmental domains of quality of life (p< 0.05) and anxious temperament (AT) was negatively correlated with physical, psychological and environmental domains of QOL (p< 0.05). Marital status was associated with QOL as singles had higher QOL in physical, psychological and environmental domains (p< 0.05). In linear regression analysis with AT and DT and marital status as independent variables; AT scores predicted low QOL in Physical Health and marital status predicted Environmental Health.ConclusionDT had significant correlations with psychological and environmental domains of QOL and higher AT scores predicted lower QOL scores in Physical Health so this study suggests that healthy subjects may have lower QOL only due to higher scores in anxious temperament. A clear understanding of the association between Affective Temperaments and QOL may support a step to provide a better well-being in healthy people.
P03-11 - Prevalence of the Metabolic Syndrome in Day Hospital Patients
Authors: Barreiro A. , Arroita A. , Zumarraga M. 
Published: June 2010

IntroductionShizophrenia has traditionally been associated with higher rates of risk factors for cardiovascular disease and the metabolic syndrome, as a consequence of lifestyle habits, impaired access to health care and antipsychotic agents.ObjetiveTo determinate the prevalence of metabolic syndrome in patients with schizophrenia who are in Day Hospital regimen in Vizcaya area (Basque Country, Spain).MethodA cross-sectional study conducted from december 2008 to April 2009, in Zamudio and Barakaldo Day Hospitals (Vizcaya). Metabolic parameters were measured in 67 patients aged 20 to 65, with a diagnosis of schizophrenia. The definition of Metabolic Syndrome, as proposed by the International Diabetes Federation (IDF) was applied.ResultsThe analysis of 67 patients showed a prevalence of the metabolic syndrome of 41,79% at baseline. Obesity (49%), insuline resistance or diabetes (37,31%), and dislipemia (41,79%) can all contribute to the metabolic syndrome.ConclusionsCompared to the general population, our sample of patients with schizophrenia present higher rates of the metabolic syndrome. The psychiatrist should be responsible for the implementation of the necessary screening assessments and referral for treatment of any physical ilness.
P03-13 - Wish to Revenge in Bosnian War Weterans
Authors: Becirovic E. , Avdibegovic E. 
Published: June 2010

ObjectivesSoldiers as well as civilians have suffered extreme tortures and terror during aggression on Bosnia. We wanted to assess consequences of that kind of war and to find how meny war veterans still have wish to revenge to enemy.MethodsWe used Harvard trauma manual (Bosnia and Herzegovina Version) to assess Posttraumatic Stress Disorder in sample of 105 war veterans. One of items assess wish to revenge.ResultsResults shows that only 7.3% of war veterans without PTSD has wish to revenge and no one of them has it very often. Veterans with PTSD had higher number of wish to revenge. 42.6% of them has wish to revenge and half of that number has very intensive wish. Statistical analysis shows significant difference between those two groups (p< 0,001). Also it is shown that there is positive correlation between diagnosis of PTSD and wish to revenge.ConclusionsIt was expected that high number of war veterans has wish to revenge for that experience. But according to our study there is low number of war veterans that has wish to revenge. It was expected that higher percent of veterans with PTSD has wish to revenge. It was also expected positive correlation between PTSD and wish to revenge.
P02-242 - Restoring of the Reproductive Function as an Important Constituent of the Psychological Condition of Oncological Female Patients
Authors: Bakunina N. 
Published: June 2010

ObjectivesEstimation of clinical-and-psychological status was conducted among female patients with diagnosis of cervical carcinoma and endometrial cancer. There were 2 sample groups. The first group consisted of 16 patients of early reproductive age from 20 to 35, not having patient parity. Tissue retrieval of ovary with following criopreservation was carried out among the patients of this group during the surgery stage. To restore the hormonal function of the ovary and rehabilitate the reproduction function after finishing of the complex treatment all patients underwent autotransplantation of the unfrozen ovary tissues into the abdominolvesical wall. Rehabilitation of the reproductive function consists of centesis of Graafian follicle, obtaining of the ovule, in vitro fertilization and transmitting of the embryo of the surrogate mother.MethodsInformal clinical interviewing, MMPI, The State trait Anxiety Inventory, Personality Questionnaire of the Bechterev Institution.Results1.High intensity of anxious reaction in both groups makes it necessary to provide psychological rehabilitations for patients.2.Euphoric, balanced and ergopatic Types of Attitude to the Disease have been frequently observed, which presents the picture not characteristic for the oncological profile patients.3.The exceeding rates in the scales of neurotic triad observed through the MMPI need adequate correction.ConclusionsRestoring of the possibility for a woman to enjoy her natural biological function improves the quality of life of such patients. Probably this will also increase the efficiency of the antineoplastic treatment and the life expectancy for patients this oncological patholgy.
P02-247 - Assessing the Functions of Self-Harm Behaviours in a High Secure Hospital Setting for Patients Deemed Dangerous and Severely Personality Disordered
Authors: Gallagher J. , Sheldon K. , Mannion A. 
Published: June 2010

ObjectivesThe present research aims to investigate what purpose[s] self-harm serves for male patients in a dangerous and severe personality disorder unit in Rampton high secure hospital. It is proposed that existing functional models of self-harm should be modified to suit this group due to environmental constraints and features of their diagnoses.MethodsA model of self-harm was devised from interviews with patients, literature reviews and a pilot review of daily nursing notes, therapy notes and incident reports. The ten proposed functions for self-harm in this population were affect regulation, interpersonal influence, control, sensation seeking, psychosis, feeling generation, self-punishment, anti-suicide, revenge and the expression of aggressive intent. This was applied to data collected from incident reports and daily nursing notes on all incidents (n=386) of self-harm for all current patients (n=53) in the unit in December 2008, in order to establish the nature and context of the incidents, i.e. the location, time and method of self-harm, as well as the function of the behaviour.ResultsThe nature and context of self-harm was similar to that in other inpatient and secure settings, except the number of incidents, which did not vary according to time of day. The functions of self-harm were diverse, and there was evidence for those unique to this population.ConclusionsFuture research intends to develop a behavioural classification system for the assessment of motivations for self-harm that can be administered to staff and patients. The clinical impact of this work is discussed.
P02-251 - Comparisonal Investigation of Rap Personality Disorder in Youngster
Authors: Khanmohammadi Otaghsara A. , Homayouni A. 
Published: June 2010

AimPersonality disorder, formerly referred to as a Character Disorder, is a class of mental disorders characterized by rigid and on-going patterns of feeling, thinking, and behavior. The underlying belief systems informing these patterns are referred to as fixed fantasies or “dysfunctional schemata” (Cognitive modules).
P02-252 - Conception of Multiple-Factor Analysis of Social Behavior of Mental Patients
Authors: Kondratiev F. 
Published: June 2010

Social behavior - expression of self “I am” in social activities. Personality and activity - related terms and a link - sense. Adequacy of social behavior means proper insight of the meaning of the role and position of self “I am” in this activity (“I am conception”, self-consciousness), and sense of the situation.Insight of the reasons of the social behavior differences of mental patients needs systematic multiplefactor analysis. It is always due to combination of three factors: “Syndrome”, “Personality” and “Situation”, hierarchy of them may change according to illness's dynamic.Factor “Syndrome”, means concrete psychopathology that forms in its integral a new “I am” conception (self-consciousness) of a person. Manifestations of this psychopathologic integral are expressed in inadequate acceptations, mutilated casual attributions that determine new sense of the role and position of self “I am” in the situation and the sense of the situation itself. All that forms corresponding behavior motivations that are apart from the demands of the real situation.Factor “Personality” determines concrete direction of the action in different situations, reflecting constant moral features of the self-consciousness and actual “I am” conception.Factor “Situation” characterizes different demands to the patient's abilities in forming goals and activities in order to reach them. In the aspects of corrupted self-consciousness, senses of these goals are mutilated.Initial position “I am” during the action in concrete situation presents actual self-consciousness in this period. Factor “Syndrome” can bloke, distort or just weaken self-consciousness adequacy of a person in the situation of action.
P02-253 - Change in Self-Injurious Behaviour: Patients ‘Perspectives
Authors: Kool N. , van Meijel B. , Bosman M. 
Published: June 2010

IntroductionPatients and care providers have difficulty getting control of self-injurious behaviour. Nonetheless, there are patients who have succesfully stopped self-injury.ObjectivesThe aim of this study was to gain understanding of the process of stopping self-injury and to identify the determinants contributing to that achievement.MethodsSemi structured interviews were conducted with twelve women with a long history of severe self-injurious behaviour who eventually succeeded in stopping that behaviour. The data were analysed based on of the Grounded Theory Method.ResultsIt was found that the process of stopping self-injury consists of six phases:-the phase of connecting and setting limits: feelings perceived as unsafe are explored, and ways of strengthening feelings of safety are pursued. This sense of safety allows patients to reach out more to others and themselves;-the phase of increased self-esteem with a further deepening of contact with the self;-the phase in which patients “learn to understand” themselves: increased self-understanding makes patients realise they can control their own lives;-in the phase of autonomy patients make active choices to increase control of their lives and immediate environment;-the phase of stopping self-injury: learning and using alternative strategies other than self-injury to cope with unbearable feelings;-the phase of maintenance focuses on preventing a relapse into self-injurious behaviour.Contact was identified as key to all phases of the processConclusionsInterventions should focus on making contact, encouraging people who self-injure to develop a positive self-image and learn alternative behaviour.
P02-258 - Theory of Mind and Borderline Personality Disorder : a Pilot Study
Authors: Moncany A.-H. , Cailhol L. , Bui E. , Grèzes J. , Schmitt L. , Birmes P. 
Published: June 2010

ObjectivesTo examine the theory of the mind (TOM) in BPD patients.MethodsFifteen BPD patients (age>18) meeting criteria for BPD were compared to 16 healthy matched controls on two measures of TOM: mental state decoding (MSD) and mental state reasoning (MSR). MSD is the ability to perceive social cues (faces expression, voices) while MSR is the ability to infer on mental states with experiment, learning, context. MSR was measured by the faux pas recognition task assessing the ability to identify a faux pas in a social situation (range 0-60) and a comic strips task measuring the ability to infer intention (range 0-28). MSD was assessed by a video task reporting the ability to infer false belief and intention of deceit on visual motor action. Depressive symptoms (Beck Depression Inventory) and axis II comorbidity traits (Personality Disorder Questionnaire-4+) were also assessed.ResultsMean (SD) age was 26.0 (4.1) and two participants were of male gender (6.5%). BPD patients scored significantly lower than controls on the both MSR measures: faux pas task mean (SD) scores of 46.6(14.1) vs 58.0(2.8) (p=0.002) and comic strips mean (SD) scores of 26.1(1.5) vs 27.4(1.3) (p=0.001). No significant differences were found on the video task. Multivariate analyses showed that faux pas score was predicted by BPD diagnosis independently from level of depressive symptoms, history of hypomanic episode, schizotypic and antisocial personality disorder traits (F=4.32, df=6, p< 0.01).ConclusionsBPD is associated with a TOM deficit on mental state reasoning tasks even after controlling for confounding variables.
P02-263 - Are Character and Temperament Traits Determinants of Quality of Life in Healty Subjects?
Authors: Yazici E. , Yazici A.B. , Aydin N. , Kirpinar I. 
Published: June 2010

ObjectiveOne of the important purposes of health interventions is to enhance the quality of life (QOL). In mental health practice quality of life is related to disorders and treatment but also identification of high-risk group in healty subjects for lower QOL is necessary. Personality disorders in choronic diseases are reported to be related with lower QOL. In this study we investigated how character and temperament effect quality of life (QOL) in ‘healthy’ people.Methods70 healthy subjects (32 women, 38 men) with no physical and psychiatric diagnosis assessed with SCID-I are included to the study. They were examined using Temperament and Character Inventory (TCI) and WHO-QOL-Brief.ResultsHarm Avoidance (HA) and Reward Dependence (RD) scores was negatively correlated with Physical Health domain of QOL. Self directedness (SD) scores were positively correlated environmental domains of QOL (p< 0.05). Marital status was associated with QOL as singles had higher QOL in physical, psychological and environmental domains (p< 0.05). In multiple linear regression models; HA and RD predicted lower Physical Health and marital status predicted Environmental Health scores of QOL.ConclusionIn this study SD had significant correlations with environmental domains of QOL and higher HA and RD scores predicted lower QOL scores in Physical Health. With a bigger sample size all associations may occur clearly so an underground to identify risky temperament and character traits for lower QOL may be provided.