bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-394 - Sexuality Disorders in Patients Admitted to Intensive Group Psychotherapy
Authors: Muldner-Nieckowski L. , Rutkowski K. , Sobanski J. , Jablonski Z. , Mielimaka M. 
Published: June 2010

ObjectivesThe aim of this presentation is to introduce a new instrument, used for assessment of symptoms connected with characteristics of sexual life in population of patients with neurosis and related personality disorders.MethodsDuring the first week of psychotherapy the patients fill a questionnaire, containing statements which cover different areas of sexual life such as: overall satisfaction, present sexual relationships, present sexual activity, dysfunctions of sexual intercourse, experience of sexual trauma, feelings towards one's own body and attractiveness. Data from the pilot study were analyzed in search for preliminary, statistically significant differences between groups of symptoms.ResultsThe pilot study on 80 patients (43 females, 37 males) confirmed, that different symptoms connected with sexuality are important component in distress of patients beginning intensive group psychotherapy. In overall, 58% of patients perceived their sexual life as unsatisfactory. Nearly 50% do not experience pleasure connected with sexual activity. Over 85% regard sexuality as important matter. Significant difference was found, as up to 85% patients expect improvement of their sexual life, but only 35% are explicitly interested in including sexuality as one of the themes in psychotherapy.ConclusionsResults of the pilot study confirm clinical importance of symptoms connected with sexuality in neurotic disorders. Further group psychotherapy effectiveness assessment will bring an opportunity to recognize the specific role of these symptoms in diagnosis and psychotherapy treatment.
P01-399 - Psychopathology-based Nosological Spectra
Authors: Pio Abreu J.L. , Freire Lucas R. 
Published: June 2010

The nosologies founded by Kraepelin (Psychotic Disorders) and Freud (Neurotic Disorders) still remain actual in categories F20-29, F30-39 and F40-49 of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). The psychopathological mechanisms observed in classic disorders are shared with disorders considered in other categories regarding recognized etiologies (F10-19), ages of onset (F90-98), symptoms as precocious and enduring traces (F60-69) or specific symptoms (F50-59). Each classic pathology and its psychopathological mechanisms may be prototypical for a specific nosological spectrum that includes diseases which seem different at first glance. Accordingly, based on the combined knowledge of psychopathology and neurosciences, we assume that it is possible to conceive a more logical, rational and simpler way of organizing psychiatric nosology based on different psychopathological mechanisms emerging from five major questions:1.does the patient recognize his territory? (Dementia and delirium spectra),2.does the patient accurately recognise himself and the other? (Schizophrenic vs. autistic spectra),3.does the patient conserve his synchronicity with environmental and interpersonal rhythms? (Manic and depressive spectra),4.how does the patient feel about and react to threatening experiences? (Phobic vs. paranoid spectra), and5.how does the patient behave towards appetizing experiences? (Obsessive vs. Dissociative spectra).We also discuss the relationship of these major questions with the encephalic stages (telencephalon, diencephalon, mesencephalon, and rhombencephalon).
P01-403 - Systematic of Basic Personality Disorders
Authors: Semke V. 
Published: June 2010

Classification of personality manifestations is impossible without considering theoretic-methodological problems of contemporary personology, first of all, its clinical branch. Its scientific development will help clarification of complex causal interrelationships, carrying out practical therapeutic-diagnostic work, heightening quality of social-correcting interventions. Base for this work may be theory and methodology of young science of valeopsychology and clinical psychology, elucidating type in nosological concepts (unit, variants etc.). Clinical-pathogenetic grouping of borderline states (Semke V. Ya., 1978, 1987, 1999) with subsequent extrapolation of obtained results onto zone of normal personology has allowed distinguishing four groups of borderline states - neurotic, pathocharacterological, neurosis-like, psychopath-like). Especially it is important to mention stage of pre-illness where question is about emergence of abnormal, non-differentiated in their content of personality reactions which clinical manifestations reflect early, “pre-nosological” period of disease development.Scale of distinguished personality characteristics encompasses pathocharacterological reactions, states, developments and “residua” or type. With positive influence of microenvironment, contrary (in prognostic relation) variant of dynamic in the kind of smoothing and then complete removal of psychopathic aspect (process of “depsychopathization”) is gradually achieved. One of the most important tools of subtle cognition of borders between healthy and ill personality is dynamic analysis of basic studied typologies. Idea of development triumphing in past century in psychology and natural science, allows assessing the most vulnerable “main” moments in evolutional considering normal and abnormal characters. “Dynamic” represents every change, be it a short-term (phase) deviation from initial status or more prolonged and stable, periodically emerging reform of previous clinical picture.
P01-404 - Is there Still a Place for Involutional Melancholia Nowadays?
Authors: Simões S. , Mesquita J. , Santos B. , Silva L. 
Published: June 2010

ObjectivesInvolutional melancholia was first described by Kraeplin in 1896, who, since 1907, omitted this entity from his publications. However, involutional melancholia kept on being accepted under various names. We intend to analyse if there are still evidences for the existence of this entity nowadays and its clinical utility.MethodsWe describe and analyse a case of a woman with the diagnosis of involutional melancholia and make a bibliographic review about this disorder.ResultsNowadays the broadening concept of mood disorders denies involutional melancholia as a valid independent entity, so it is included in mood disorders as a unipolar endogenous depression with late onset. Psycopathologically, however, it still seems to have several differences that could justify its separation from the current mood disorder concept, such as proeminent motor agitation and restlessness, anxiety and apprehension, an exaggerated hypochondriasis sometimes with bizarre delusions and occasional paranoid ideation These differentiating symptoms arise on a basic depressive substrate, marked by insomnia, anorexia and weight loss. Some studies point out the fact that now patients are treated earlier with antidepressives or ECT and so these classical severe symptoms may not develop, because the syndrome is aborted at a prodromal stage.ConclusionsStudy results are contradictory and further controlled investigations are mandatory. Even if involutional melancholia does not stand as a separate entity, it is important to keep in mind that depressive illness appearing for the first time in the involutional period of life may present as a somewhat atypical clinical picture.
P01-405 - Depression Profile: Development of a New Psychometric Instrument Evaluating Depressive Symptom Clusters Associated with Different Neurotransmitter Systems
Authors: Faludi G. , Gonda X. , Meszaros V. , Bekes V. , Sarosi A. , Olah A. 
Published: June 2010

ObjectiveDistinct subtypes of depression presenting with characteristic symptom clusters have different neuroanatomical and neurochemical background, and these subtypes behave differently also pharmacologically. Based on the neurocircuitry theory, several studies investigated the possible neuroanatomical and neurochemical substrates of major depressive symptoms. Our team has developed a new scale, the Depression Profile that incorporates symptoms associated with depression forming symptom clusters that can be mapped to different neurotransmitter systems.Methods339 major depressive patients completed the original 90-item structure of Depression Profile. Confirmatory and exploratory factor analysis was used to establish the final structure. The external validity of the new structure was tested against the Zung Self-Rating Depression Scale and Sheehan Patient Rated Anxiety Scale.ResultsAfter exploratory factor analysis the number of items decreased to 67. Reliability of the new structure proved to be very good and its construct validity was supported by confirmatory factor analysis. Convergent validity testing of the new structure showed average correlation with the two other questionnaires.ConclusionCurrent depression scales do not provide for the separate in-depth screening of depressive symptom clusters associated with different neurotransmitter systems playing a role in depression. We attempted to develop a new depression scale separately assessing depressive symptom clusters reflecting the activity of different neurotransmitter systems. First psychometric tests indicate that our scale is a promising instrument for decomposing depression to subtypes with different neurochemical backgrounds, which would make it a useful tool in selecting a tailor-made pharmacological treatment for each patient that most effectively treats their depressive symptoms.
P02-02 - Factors predicting Adherence with Follow-up Appointments for Patients Assessed by the Liaison Psychiatric Team in the Emergency Department
Authors: Agyapong V. , Rogers C. , MacHale S. , Cotter D. 
Published: June 2010

BackgroundSeveral factors may predict adherence with adherence with follow-up appointment for patients seen in the emergency department by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups.AimTo examine the factors which could predict adherence with psychiatric follow-up appointments for patients assessed in the ED by the liaison psychiatric team.MethodsThe records of all patients assessed over a three month period by the liaison psychiatric team in the emergency department of Beaumont Hospital who were then referred for follow-up were examined for relevant demographic and clinical variables. Phone contact was then made with the centres to which patients had been referred to confirm the appointments made and if the patients had attended follow-up appointments. The data was analysed with SPSS (version 17).ResultsOverall, only 55.9% of the patients were found to have attended their follow-up appointments with lrsquo;known to psychiatric services’ being the only statistically significant predictor of adherence. Patients’ who were single, separated, divorced or widowed and those who had consumed alcohol before an act of deliberate self-ham were more likely to attend follow-up appointments compared with those who were either married or cohabiting and those who did not consumed alcohol respectively. However these were not statistically significant when controlling for other predictors.ConclusionPatients who are not known to psychiatric services prior to assessment in the emergency department may need a more proactive outreach if compliance with psychiatric follow-up appointments is to be improved.
P02-04 - Characteristics of Secluded, Restrained and Aggressive Patients in a Locked Short Term Psychiatric Unit
Authors: Bordas R. , Very E. , Bui E. , Paux J. , Courtey C. , Lecoules N. , Schmitt L. 
Published: June 2010

ObjectivesViolent behaviors in psychiatric emergency departments are a common problem. The aim is to study characteristics of patients who need intense preventive care measures and who act violently.MethodsThe study was conducted in a locked short term psychiatric inpatient unit and involved 172 patients admitted in a 8 months period. Sociodemographic and clinical data were obtained through a review of the medical records. Secclusion, restraint and agressive behaviors were noted on specific nurse sheets.ResultsAggressive behaviors or intense preventive measures concerned 34% (n=59) of the 172 patients. Among these 59 patients, 61% (n=36) are men and the mean age is 34,9 years, 28 had seclusion, 51 had restraint and 11 had physical aggression or against object aggression. The diagnosis are schizophrenic disorders for 63% (n=37), dependence or substance abuse for 11% (n=7), mania for 10% (n=6), depression for 3,5% (n=2). For 27% (n=16) of them it was first time in Emergency Department and 30,5% (n=18) were intoxicated at admission. The mean neuroleptic treatments dosis of these patients at admission were 656mg (equivalent chlorpromazine).ConclusionsPatients concerned by seclusion, restraint and aggressive behavior are more frequently men with schizophrenic disorders, high neuroleptic dosis, and various past admissions in the Emergency Department.
P02-05 - Inhaled Loxapine (AZ-004, Staccato Loxapine) for Rapid and Acute Treatment of Agitation in Patients with Schizophrenia or Bipolar Disorder
Authors: Cassella J.V. , Fishman R.S. , Kwentus J. , Lesem M. 
Published: June 2010

ObjectivesCurrent treatments for agitation in schizophrenia or bipolar disorder (BD) have limitations in onset of action, invasiveness and tolerability. AZ-004 (Staccato loxapine) is a rapidly acting inhaled treatment designed for acute treatment of agitation delivering drug aerosol to the deep lung for rapid systemic absorption with intravenous-like kinetics. The objective was to evaluate the efficacy and safety of AZ-004 in the acute treatment of agitation in schizophrenia and BD.MethodsTwo randomized, double-blind, placebo-controlled trials included consenting male and female adults, 18-65 years old with DSM-IV-defined schizophrenia (N=344) or BD type 1 or mixed (314) who presented with clinically relevant agitation. Patients received a single inhalation of 5 or 10mg AZ-004 or placebo in a clinical setting with up to 2 additional doses within 24 hours if required. The primary efficacy endpoint was the absolute change in Positive and Negative Syndrome Scale Excited Component score from baseline to 2 hours following treatment.ResultsIn each trial, both 5 and 10mg AZ-004 were significantly superior to placebo for the primary endpoint (P< 0.001 for each dose in each trial). Significant improvements were noted for each AZ-004 dose versus placebo at all timepoints from 10 minutes through 24 hours. Clinical Global Impression-Improvement (CGI-I) at 2 hours post-dose and CGI-I responder analysis were statistically significant for each AZ-004 dose vs. placebo in both studies. Adverse events observed most often for all treatments were dysgeusia, dizziness, and sedation.ConclusionsAZ-004 produced rapid and significant improvement in treating agitation in BD or schizophrenia patients.
P02-09 - Mental Disorders Among Homeless People Admitted to a French Psychiatric Emergency Service: a Survey on 16,754 Persons
Authors: Henry J.-M. , Boyer L. , Belzeaux R. , Baumstarck-Barrau K. , Samuelian J.-C. 
Published: June 2010

ObjectiveThe aim of this work was to identify factors associated with homelessness status in patients admitted to the psychiatric emergency ward of a French public teaching hospital over the 6-year study period (2001-2006).MethodsThe study was based on a retrospective review of the psychiatric emergency ward's administrative and medical computer databases. Each emergency care episode had accompanying data including demographic, financial, clinical, and management information.ResultsDuring this 6-year study, the psychiatric service recorded 16,754 care episodes concerning 8,860 different patients, of which 591 were homeless (6.7%) and 8,269 were non-homeless (93.3%). The mean ± SD number of visits to the psychiatric emergency service was higher for homeless (4.9±12.3) than for non-homeless patients (1.7±2.4) (p< .001). A total of 331 homeless patients (56%) had more than one care episode, versus 2,180 (26%) for non-homeless patients. Factors associated with homelessness included male sex, single status, and the reception of social financial assistance. Schizophrenia (43.7%) and substance use disorders (31.0%) were the most frequent disorders in homeless patients. Aggressive behaviour and violence were reported equally in homeless and non-homeless patients. Homeless patients were hospitalized less often after having received care in the emergency ward.ConclusionAlthough there is near-universal access to free mental health care in France, our findings suggest that the quality and adequacy of subsequent care were not always guaranteed. Multidisciplinary and collaborative solutions are needed to improve the management of homeless patients.
P02-13 - Epidemiological Study of Immigrant Population Attendend in the Emergency Services of a General Hospital in Madrid
Authors: López J. , Marin M. , Pineda M.J. , Angora R. , Codesal R. , Castillo I. , Vazquez J.C. , Aragües M. 
Published: June 2010

ObjectivesImmigrant population has been growing up in Spain in the last decades. The immigration process constitutes a vulnerability factor for the development of psychological issues. Moreover, ethnicity determines a great variability in the symptomatic expression of psychiatric diseases. The objective of this study was to investigate the demographical characteristics and clinical profiles of immigrant patients that visit the emergency services of general hospitals.MethodsAn epidemiological study was conducted to evaluate profiles and demographical characteristics of immigrant population attended at the emergency services of the “Hospital 12 de Octubre” Madrid, during 2007. The data were acquired through a protocol developed for this study and applied to all foreign patients attended.Results2976 patients were attended during 2007. Immigrant patients were 10% of the sample. There mean age was 29.46 years. 42.1% were men and 57.9% were women. The nationalities of the sample were as follow: 47.8% were Latin American, 23.7% Eastern Europeans, 16.1% were Maghribian and 4.7% were Africans. 48.2% were attended because of suicide attempt (the 59% of Latin Americans and the 54.5% of Eastern Europeans) and 14.3% had psychosis (the 42.9% of Africans and the 36.2% of Maghribians). 30% were diagnosed of a current Substance Use Disorder (the 16.9% of Eastern Europeans).ConclusionsWe found several clinical and demographical differences within the ethnic groups studied. Latin Americans and Eastern Europeans consult for suicide attempt, whereas Maghribians and Africans are attended for psychosis. Psychiatrists should consider cultural and ethnic factors when interviewing foreign population.
P02-17 - Intensive Psychiatric Care
Authors: Salzmann-Erikson M. , Lützén K. , Ivarsson A.-B. , Eriksson H. 
Published: June 2010

IntroductionThe first psychiatric intensive care unit (PICU) opened in the early 1970's in New York. This ward was designed to manage patient that did not respond to treatment in open psychiatric wards. There are about 15 PICUs in Sweden but the concept has not been specified by any public organs. In many county hospitals, both acute and intensive care units exists parallel.AimsTherefore, the aim of this study was to describe the core characteristics of PICU in Sweden and to describe the care activities provided for patients admitted to PICU.MethodCritical incident technique was used. In the study, eighteen caregivers at a PICU participated by completing a semi-structured questionnaire. Additional, in-depth interviews with three nurses and two assistant nurses also constitute the data.ResultsFour categories were identified that characterise the core of PICU: the dramatic admission, protests and refusal of treatment, escalating behaviours and temporarily coercive measure. Care activities for PICU were also analysed and identified as controlling - establishing boundaries, protecting - warding off, supporting - giving intensive assistance and structuring the environment.ConclusionsPICU were interpreted as a level of care as it is composed by limited structures and closeness in care.
P02-20 - Comparing the Incidence of Anxiety and Depression Between Two Wards of Internal Medicine and A&E (2005 –2006)
Authors: Amanat Lome Dasht N. , Imani A. , Ghorbani R. , Behnam B. , Khankeh H.R. 
Published: June 2010

IntroductionNegative emotions such as anxiety and depression have been related to increased mortality in both healthy individuals and medical patients The method of treatment would be changed when the patients have psychological problem. In internal ward researcher observed many patients that them shown psychiatric disorder such as depression and anxiety. Therefore, this study has been done for evaluation of prevalence of anxiety and depression and comparison with a control group.Materials & methodsIn this cross-sectional study, we checked 150 patients of internal medicine department and 150 patients, who have admitted to the A&E department as a control group. They have chosen by a Purposive accessible sampling method. A questionnaire form, namely “SCL-R-90” was filled by a group of nursing student. This is known as a standardized questionnaire in Iran. Data have been computed and analyzed by SPSS V.13 and we used t-student, Mann-Whitney tests and logistic regression methods. The results have been considered significant when the two tailed p-value was less than 0.05.ResultsIn internal ward 69.3% and A&E department 42% of patient have had depression (OR=3.5, 95%CI=1.9—6.5). Anxiety were observed in 50.7%of internal medicine patients and 12% of A&E's patients (OR=1.94, 95%CI=5.1 —23.7).ConclusionPrevalence of the depression and anxiety in internal ward patients was significantly higher in compare to A&E's patients. Therefore, it's necessary to consider these patients in order to diagnosing for the early treatment. Recommendation are made to further investigate by greater sample size and different setting in this field is warranted.
P02-27 - Pathological Gambling in General Population: Preliminary Study
Authors: Lucas C. , Romo L. , Lefauffre C. , Morvannou A. , De Lisle Nichols E. , Ades J. 
Published: June 2010

Pathological gambling is characterized in DSM IV-TR as one of the disorders of impulse control. Problem gambling is also part of what is considered behavioural addictions with intrusive thoughts about the game, are spending more and more important to play etc.ObjectivesThere is no epidemiological study in France, that's why we make an epidemiological study on the prevalence of pathological gambling.MethodsWe wanted to study the prevalence of pathological gambling in a sample of 529 persons: 368 gamers of Pari Mutuel Urbain and La Française des Jeux, and 161 persons in the general population.We used as instruments: SOGS for screening of pathological gambling, BIS-10 for impulsiveness's evaluation, HAD scale to assess anxiety and depression and ASRS for the evaluation of attention deficit disorder / hyperactivity disorder.ResultsThe results show that the rate of pathological gambling in general population is 1.24% (this result is similar to those found in other countries such as Quebec)Men are overrepresented in the group of pathological gamblers (88.9%), also with consumption of alcohol and tobacco. Depression and anxiety are particularly high, 40% of JPs with an anxiety score significantly higher.ConclusionsIt would be necessary to establish follow-up studies of populations and patients as well as specific studies on people who frequent casinos, racetracks and Internet gambling. Almost 20% of players have a gambling problem or risk and these people do not consult despite their psychological problems, family, work, debts…