bluuebunny/crossref_metadata_2025_split huggingface dataset:
PW01-216 - The Impulsivity Changes Associated To Alcohol And Cocaine Use
Authors: Aragues M. , Rubio G. , Martínez-Gras I. , Ponce G. , Rodriguez-Jimenez R. , Bagney A. , Jimenez-Arriero M.A. , Palomo T. 
Published: June 2010

Impulsivity is associated with different types of disorders, included substance used disorders. The purposed of this study is get to know if alcohol and cocaine affect in the same way to the impulsivity paradigms or if they strength each other or if there are specific bias associated to each one of the substances.Material and methodsThis is a 380 heavy drinker patient's sample recruited from twelve primary care centers. The patients were screened using The Alcohol Use Disorders Identification Test (AUDIT > 8). Neuropsicological tests done at the base line and after the 4 years of the study were the Continous Performance Test (CPT) and the Barrat Impulsivity scale. The alcohol and cocaine consume accumulated along the four years was also study.ResultsThe two variables of the CPT (ommission and commission errors) had a significant correlation with the alcohol and cocaine use accumulated in these four years. The variable that was associated with a greater risk of making more commission and ommission errors was the cocaine risk consumption. The years of study were protective variable.ConclusionsThe most important conclusion of this study is that alcohol and cocaine use produces a modification in the conductual paradigm of impulsivity characterized by the inhibition difficulties measured by the CPT. Also, the cocaine use effects are added respect to the alcohol ones and finally that cocaine plus alcohol effects over the number of ommission and commission errors are more potent that the ones made only with alcohol.
PW01-218 - Apoptosis Of Lymphocytes In Alcoholic Patients During Withdrawal Syndrome Therapy
Authors: Bokhan N. , Zhernova E. , Vyalova N. , Ivanova S. 
Published: June 2010

ObjectiveAim of this investigation was to study processes of apoptosis in lymphocytes in alcoholic patients during withdrawal syndrome with method of microwave resonance therapy (MRT).Methods30 men 31-57 years old with alcoholism (average course of disease was 15 years) were examined along with 30 healthy age-matched men. Examination of alcoholics was carried out in dynamics: at admission of patients with severe withdrawal syndrome (point 1) and after 2 week treatment (point 2). Expression of FAS receptors on lymphocytes was assessed using an indirect immunofluorescence microscopy with monoclonal antibodies to CD95 antigen. The proportion of cells with sings of apoptosis was evaluated by light microscopy of blood smears in terms of morphological changes typical of apoptosis in lymphocytes.ResultsThe relative content of bloodstream lymphocytes expressing receptors of readiness to Fas-dependent apoptosis (CD95) in alcoholics with severe withdrawal syndrome and after their treatment (16, 32±1,39% and 15,43±5,12% respectively) exceeds analogous index in healthy men (12,00±0,77%, p< 0,05). Percentage content of apoptotic lymphocytes in alcoholic patients was 2,68±0,46% before treatment and 2,15±1,93% after treatment (0,97±0,35% in controls, p< 0,05). It has been found that tindex of apoptosis realization was significantly decreased in alcoholic patients after the treatment in comparison with those before treatment (13,44% and 21,03% respectively).ConclusionAccording to obtained results it may by assumed that alcohol increases readiness of lymphocytes to apoptosis but activation of mechanisms controlling and limiting the processes of programmed cell death during the therapy results in decrease of apoptosis realization index in alcoholic patients.
PW01-219 - Alcohol Use In French Medical Residents
Authors: Speicher C. , Khodabux N. , Lacerre F. , Hiar S. , Schmitt L. , Bui E. 
Published: June 2010

ObjectivesAlthough the literature suggest that alcohol misuse is common in medical students, few studies have investigated it in French medical residents. The present study aims at exploring the prevalence and associated characteristics of alcohol misuse in French medical residentsMethodsMedical residents working in one of 3 University Hospital in France (n=292) were invited to fill out an online survey using the mailing lists of the participating centers. Alcohol use was assessed with the 10-item self-report Alcohol Use Disorders Identification Test (AUDIT) (range 0-40) which provides scores for hazardous alcohol use, dependency symptoms and harmful alcohol use. Background variables were also collected.ResultsMean participants’ age was 27.7 (SD=1.7) and 65.5% (n=190) of them were of female gender. Mean weekly hours of work at the hospital was 57.8 (SD=13.6) and mean number of validated rotations at the time of the assessment was 5.1 (SD=2.4). Mean AUDIT score was 4.5 (SD=3). Forty-four (15.1%) participants scored on the AUDIT above the cut-off (>7) for problem use and 51 of them (17.5%) reported binge drinking at least once a month. AUDIT total score was positively correlated with male gender (r=0.26) and cannabis use (r=0.40) while negatively associated with weekly hours of work (r=-0.12) and number of rotations validated (-0.13). In a regression analysis, only male gender predicted alcohol use.ConclusionsAlcohol problem use is prevalent in French medical residents, is predicted by male gender and is strongly associated with cannabis use. Future research is needed to confirm these results.
PW01-223 - Comparison Of Personality Traits And Religious Orientation Between Addicted And Nonaddicted People
Authors: Galavi T. , Homayouni A. 
Published: June 2010

ObjectiveReligion and to be religious can play an important role in human's individual and social life. The religion can be entered in many aspects of human behaviour and can affect on their behaviour and reduce probably of abnormal functions.So the study was aimed to investigate personality traits and religious orientation in two groups of addicted and nonaddicted people.Methods91 addicts people(in prisons)selected and were compared with 91 nonaddicted people. McCare & Costa's Five-factor personality test (NEO-PIR) and Alport's religious orientation scale (AROS)was adminidtered on them.T independent test was used to analyze the data.ResultsResults showed significant difference between personality traits and religious orientation in tow groups. Nonaddicted people are more conscientiousness and less extrinsic religious orientation than addicted people.ConclusionsBased on results it is suggested to do plans to increase intrinsic religious orientation related to personality traits in order to decrease tendency to addiction.
PW01-224 - Neuropsychiatric Symptoms In Smokers Quitting With Varenicline Or Placebo: A Double-Blind, Randomized, Controlled Pilot Study
Authors: Garza D. , Murphy M. , Tseng L.-J. , Riordan H. , Chatterjee A. 
Published: June 2010

ObjectiveVarenicline is an α4β2 partial nicotinic agonist approved for smoking cessation. There have been spontaneous postmarketing reports of neuropsychiatric adverse events (NPAEs) in smokers without a history of psychiatric illness quitting with varenicline.Methods110 smokers without history of psychiatric illness (screened by Structured Clinical Interview for DSM) were randomized to 12 weeks of varenicline (n=55) (1mg bid) or placebo. Adverse events were solicited systematically. Depressive symptoms, anxiety symptoms, aggression and irritability were measured at baseline and weekly using the Montgomery-Asberg Depression-rating scale (MADRS), the Hamilton Anxiety scale (HAM-A), and the Overt Aggression scale-modified (OAS-m). The Profile of Mood States (POMS) was administered daily. Mixed Model analysis of repeated measures was conducted to compare mean changes in scores between groups across the study period.ResultsSmokers had a mean age of 33; smoked on average 22 cigarettes/day with mean Fagerstrom score for Nicotine Dependence >7 at baseline. Reported NPAEs were similar between groups. No suicidal events were reported. There were no significant differences between groups for the MADRS (treatment difference vs. placebo [TD] = 0.03, 95% CI: -0.68, 0.73; NS), HAM-A (TD = 0.14, 95% CI: -0.62, 0.90; NS), OAS-m irritability subscale (TD = 0.08, 95% CI: -0.17, 0.34; NS), OAS-m aggression subscale (TD = 0.5, 95% CI: -1.18, 2.18, NS) and the POMS total scores (TD = 0.5, 95% CI: -0.52, 1.53; NS).ConclusionsThere were no significant differences between groups on measures of depressive symptoms, anxiety and aggression/hostility. Systematically solicited NPAEs were similar between varenicline and placebo.
PW01-227 - Analysis The Emotional Status, Social Support And Coping Styles Of Methadone Maintenance Treatment Patients
Authors: Guoquan Z. , Weidong J. , Zhenghui F. , Zhiqiang L. , Min Z. 
Published: June 2010

ObjectiveInvestigate the emotional status and social support of methadone maintenance treatment (MMT) patients to provide guidance for a pertinent intervention.MethodsWe conducted a case-control study between 86 patients of Shanghai Changning community based methadone maintenance treatment and 93 controls from Shanghai Changning district. They were investigated via questionnaires, including Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Social Support Scale.ResultsThe SDS scores were significantly higher in MMT group than in control group (52.7±11.4 vs 39.9±6.4, P< 0.01); the total scores of social support and subjective support, objective support and the 3 factors of support utilization were lower in MMT group compared with control group ([17.9±6.5 vs 20.3±7.8], [5.2±1.7 vs 7.4±1.4], P< 0.05); the scores of problem solving and recourse factors were lower in MMT group than in control group ([0.74±0.18 vs 0.91±0.06], [0.64±0.20 vs 0.69±0.06], P< 0.05).ConclusionThe depression symptoms are prevalent in patients. The social support is low and the problem solving and recourse approaches are less utilized in patients. Our results show that it is necessary to implement the integrative intervention of MMT patients for improving the full recovery of their social function.
PW01-251 - Alcohol Consumption: Links Between Sleep And Diurnal Preference
Authors: Voinescu B. , Coogan A. , Orasan R. , Thome J. 
Published: June 2010

ObjectiveTo evaluate diurnal preference and sleep patterns in relation to alcohol consumption.MethodsThe Alcohol Use Disorders Identification Test (AUDIT), the Sleep Disorders Questionnaire, the Pittsburgh Sleep Quality Index, the Pittsburgh Insomnia Rating Scale, the Multidimensional Fatigue Inventory, the Epworth Sleepiness Scale, the Beck Depression Inventory II and the Composite Scale of Morningness (all in Romanian translation) were used. Subjects, aged over 18, were recruited from the Psychiatric facilities of the Baia Mare County Hospital, Romania, as well as from patients’ families or acquaintances and from students attending the Faculty of Psychology in Cluj-Napoca. We excluded people suffering from certain conditions that impair sleep (e.g. sleep apnoea).ResultsThree hundred and six people (age: 41.2±15.7) were included in this study. Based on AUDIT scores, we created three groups (low, medium and high alcohol use). We found that alcohol consumption influenced sleep and sleep quality: the higher the alcohol consumption was, the more disrupted the sleep and the more severe the sleep loss consequences (fatigue, daytime sleepiness, depression) were. About a half of the high alcohol consumers (48.5%) experienced insomnia, lasting more than a month and impairing their functionality (compared to 18% of the low consumers and 25% of the medium consumers; X=19.5, P=0.001). Individuals with evening or morning preference and moderate or high alcohol use tended to score higher in the AUDIT compared to those of intermediate preference.ConclusionsThese results indicate that alcohol consumption is linked with sleep disturbances and that diurnal preference may also influence alcohol intake.
PW01-256 - Suicide Attempts In Psychiatric Patients: ‘naive’ Probands, Single and Multiple Attempters
Authors: Pompili M. , Innamorati M. , Szanto K. , Di Vittorio C. , Conwell Y. , Lester D. , Tatarelli R. , Girardi P. , Amore M. 
Published: June 2010

ObjectiveThis study examined specific risk factors discriminating psychiatric inpatients who were never suicidal from those who reported one or more suicide attempts, and compared characteristics discriminating first-time attempters from first-time and multiple repeaters (recent attempters with one or more previous attempts).Method716 inpatients admitted to the Division of Psychiatry of a University Hospital were evaluated for their suicidal history, psychiatric diagnosis, current and past stressors, and other clinical and sociodemographic risk factors.ResultsOf the 358 attempters, 86 were first-time attempters, 219 first-time repeaters, and 53 multiple repeaters. There were significant differences between the nonattempters and the attempters in sociodemographic variables, DSM-IV-TR diagnosis (attempters were diagnosed more frequently with eating disorders, and less frequently with DSM-IV Axis II disorders than nonattempters), and clinical history. First-time attempters had fewer lifespan stressors (M=1.86; SD=0.90) than repeaters (first-time repeaters: M=2.26 [SD=0.89]; multiple repeaters: M=2.28 [SD=1.13]). Furthermore, repeaters were more likely to have personality disorders (ORs=2.71-3.83), low social support (OR=4.96-6.88), and previous hospitalizations (ORs=37.23-556.69) than first-time attempters.ConclusionsIn repeaters, stressors may have a specific effect and a cumulative effect. They can predispose to attempts at an earlier age and, through a process of “kindling” start a “suicide career.” Alternately, an accumulation of stressors can produce a “last straw” effect. In repeaters hospitalization can be seen as another factor contributing to the kindling phenomenon, and brief intensive care in hospital settings must be weighed accurately for efficacy and for its possible negative effects.
YPS01-01 - The International Resident/Trainee Burnout Study: Boss International
Authors: Beezhold J. , Jovanovic N. , Andlauer O. , Podlesek A. , Papp S. , Ferrari S. , Mihai A. 
Published: June 2010

IntroductionThere is little or no information comparing working experience, including burnout, amongst psychiatry residents internationally. We present preliminary findings from six of the first countries to complete data collection.Objectives and aimsTo obtain data from psychiatric residents in over twenty countries regarding rates of burnout, depression and suicidality and their associations with working conditions and personality traits.MethodsAn online survey incorporating the Maslach Burnout Inventory General Survey (MBI-GS), Areas of Work Life Survey (AWLS), Patient Health Questionnaire-9 (PHQ-9), Suicide Ideation and Behaviour Questionnaire (SIBQ), Big Five Inventory - 10 (BFI-10) and questions on demographics and working circumstances was designed, and checked by national co-ordinators for suitability in each participating country, prior to agreeing the final version. This was then translated and back-translated before being sent to participants. A stratified hierarchy sample methodology was developed and used to obtain the best possible study population in each country. This allowed us to maximise participation despite major differences in ease of access to residents across the study countries. The aim of studying the whole resident population was achieved in a large number of countries. Data was then analysed by the study statistician using SPSS. No funding was received for the study.Results and conclusionsData from Croatia (n=106), France (n=374), Hungary (n=81), Italy (n=180), Romania (n=52) and United Kingdom (n>2000) revealed marked differences between countries in the factors studied including in working circumstances, rates of burnout and suicidality. The associations discovered may help further improve psychiatric training experience internationally.
YSW01-02 - Forensic Telepsychiatry In Uk
Authors: Salem Y. 
Published: June 2010

Having developed the first Forensic Tele-psychiatry Service in UK in 2005 the presenter would like to share this experience with the attendees of the symposia. Recommendations under Part III of the Mental Health Act 1983 have also been made. They have been accepted by both the Magistrates’ as well as Crown Courts. Assessments were primarily undertaken using the already existent video-link facilities within local Magistrates’/Crown courts and HM Prisons. The above experience supports the view that this saves time, cost and improves access to psychiatric services.The presenter has also developed a Forensic Telepsychiatry Steering Group, with a research sub-committee, based in Nottingham. They are coordinating several research projects, exploring the use of teleconferencing facilities within forensic psychiatry. The session will discuss how the above is relevant to Forensic Psychiatrists and also address its importance to the training of forensic psychiatrists.Tele-psychiatry has been used by other services in UK in Forensic settings albeit in a narrow remit not involving actual gate keeping assessments, preparation of Court Reports etc. The session will discuss how it is crucial for services across the UK and beyond to share experiences and promote innovative practices. It will aim to explore ways to succeed with regard to delivering timely, easily accessible and clinically sound psychiatric services, with the additional spotlight on cost-efficiency, saving valuable professional time and ‘going green’ with respect to health service delivery.
YPSP01-06 - The Bio-Psycho-Social Trauma Of Migration: A Case Report
Authors: Ferrari S. , La Porta F. , Brancolini S. 
Published: June 2010

ObjectivesThe process of migration has been described as a “trauma”, with psychic consequences conceptualized as post-traumatic stress disorder. As many clinical and extra-clinical variables are involved, there is a need for a better understanding.MethodsA case report is described and discussed, under the joint perspective of three different approaches to human suffering, namely that of a neuro-rehabilitation physician, a psychiatrist and a social worker.ResultsM. B. is a 36 year-old male, single and high school-educated, who migrated from Morocco to Italy in 2003. In 2006, he fell accidentally from a scaffolding at work, causing himself a traumatic brain injury with transient loss of consciousness, occipital fracture and bilateral frontal haematomas. He was taken in charge by Social Services. Over the following months, he developed multi-sensorial pseudohallucinations and hallucinosis, changes in character and behaviour, demoralisation, insomnia. M.B. was referred to psychiatry and to a neuro-rehabilitative outpatient service, where he was found to be suffering from severe dysexecutive syndrome, attention deficits and verbal working and long-term memory impairments. Integration of neuro-rehabilitative, psychiatric and social interventions was established to deal with M.B.’s complex needs.ConclusionsIn the experience of M.B., the biological head trauma pairs with the social trauma of migration and the psychological trauma of forced interruption in the migration parabola. The interrelated meanings of trauma - breaking up of a psycho-somatic balance with consequences on cognition, emotions, behaviour and social functioning - require a narrative and collaborative approach to care, addressing complex bio-psycho-social needs.
YPSP01-07 - Mental Health Services Utilisation Of Migrants In Modena
Authors: Giubbarelli C. , Ferrari S. , Mimmi S. , Rigatelli M. 
Published: June 2010

ObjectivesThere are concerns regarding a general underutilisation of mental health services (MHS) by migrants, with a high use of emergency services. This is probably related to factors such as cultural differences and language barriers. Aim of this study is to analyze and to compare the characteristics of migrant population attended to MHS in Modena.MethodsWe studied migrant population attended to 3 Mental Health Centres (MHC), to Psychiatric Hospital (PH), to Psychiatric Consultation Service (PCS) and to Accident&Emergency (AE) during the month of September 2009, in Modena.Socio-demographic and clinical data were collected by means of a structured culturally-oriented form.Results63 patients referred to all MHS (74.6% MHC; 11.1% PH; 14.3% PCS). 46% of all diagnosis were Psychotic Disorders. PH sample presented opposite characteristics to MHC ones: 71.43% were young men (< 30 years-old) without a work, 85.71% were alone, 28.57% hadn’t the residence permit (p=0.01) and 42.86% reported psycho-social migration trauma. 57.14% had language difficulties with use of a cultural interpreter (p=0.01). Half of the sample was recently migrated (< 5 years).Migrants had a higher rate of compulsory admission in PH than Italians (0.28 vs. 0.22) and a higher rate of AE admission (0.034 vs. 0.028).ConclusionsWe confirmed the frequent emergency services utilisation of migrants. People referred to MHC seem to be adjusted, well integrated and more “accultured” according the new country issues, while people admitted in the PH seem to be more weak, with socio-economic difficulties and shortly integrated.
YPSP01-09 - Psychosis, Deafness And Auditory Hallucinations: Making Sense Of The Paradox
Authors: Correia De Castro L. , Queirós O. , Gomes Moscoso A. , Monteiro P. 
Published: June 2010

IntroductionSome studies in the literature have reported voice hallucinations in prelingually deaf patients with psychosis. There has been scientific debate on whether those correspond to the real experience of deaf patients with psychosis or are simply a reflex of the limitations of psychiatric terminology or insufficient knowledge of the neurobiology of hallucinations.ObjectivesThe aim of this study is to review literature on hallucinations in deaf people based on a clinical vignette of a case of an adolescent with psychosis, congenital deafness and hallucinations.MethodsLiterature review of peer reviewed studies in PubMed and Medline using the terms deafness, auditory verbal hallucinations and psychosis.ResultsThere are only few studies addressing the characteristics of hallucinations in deaf patients with psychosis. The hallucinatory experience of deaf people is very diverse, and seems to be related with the individual experience with language, sensorial input and grade of residual hearing.ConclusionsThe perceptual characteristics of the hallucinations in persons with deafness seem to be related to the individual auditory experience and to the patient language modality. This group of patients consist of a minority within a minority and their unique psychopathology is a challenge to the current understanding of psychiatric symptoms and classifications. Further research on this area can bring new insights to the understanding of the neurobiology of hallucinations and contribute to improved diagnosis and management of these rare cases.