bluuebunny/crossref_metadata_2025_split huggingface dataset:
P03-03 - Improvement in Quality of Psychiatry Research & Treatment in Europe Should Focus on Yet Neglected Arenas & Should be Holistic
Authors: Acharya A. 
Published: June 2010

IntroductionFuture research & treatment, as aspired by a psychiatrist from a devoloping country should address not only the Biological or pharmacoligal way cure only, where ultimately drug maintanance remains an obligatory factor for long time. It should blend Psych-analyssis in a modern way & other therapies, those were shown in past by the legendary European Psychiatrist, spcialy from German, France & Ausria etc. in a way toobtain a change in the person.ObjectivesMission should bekept also to amalgamate the spiritual depth, Indian & other Asian Philoshoper's view on mind distress & their way to conquire the mind through Meditation. Attachment was viewed by Budha or other Hindu philoshopers as cause of misery & thier advocation of dispassion/meditation practice should be viewed in modern light.AimsUltimately lowering the sufferings of the mentally ill in efficient &in best economic way without not adding adverse effects will be there.MethodsProblems those are to be addressed with special emphyasis are Adolescent & child mental & bevavioral disorder, the giganticaly fast growing mental illnesse of geriatric population, those of Womens Mental health problems like, post-parum, intrapartum & menopausal phase & prementrual Dysphoria. Sresses in working class women, alone women or desertet women's mental health issue needs new research.A suitable less harmful mood disorder in early stage of pregnancy, in lactating period, or a suitable regimen in ac.depressivephase of BPMD with suicidal-urges, or in mixed & non classified stages of BPMD sould be elaborated.Apart from Litium & Clozapin other drugs is to be hunt with proven anti-suicidal properety.ConclusionsExcellents is scope.
P03-04 - New Direction in in Research of Mental Disorders & Treatment Should Include the Libidonal Loss or Diminiution
Authors: Acharya A. 
Published: June 2010

IntroductionA less arena of discussion & evalution in the patients overall recovery in mentalstates seldom adrress the libidonal status or it's change or loss in the course of treatment.ObjectivesMany mental disorderly patients present the important symptom in the change of their libidonal status, as an increase in BPMD mania or hopomaniac state or diminished or lost in Depression, in Schizophrenia, in alcohol abuse or in substance abuse or even in dementia or on ongoing treatment of it is further alttered by the use of several drugs. In the evalutation of the patient's mental status folow up this part of the history is not enquired unless reported by the patient or spouse discloses.AIIMS: Here is a small study where only 120 patients were evaluated for their libidonal present status or a change i& the same was analysed.Methods60 male & 60 female in the age group of 20-40 those were register for OPD treatment in Calcutta Pavlov Hospital, during Jan09-March09 was given a simple 3point quisenaiere to asses their libidonal state or it's change.ResultsIt was astonised to find mainly a diminution in their sexual abilities in >60% inmale &>than 30% in female patients irrespective of their diagnosis.Drug treatment mostly important were Ttihexyphenidyl in concurrent use with Haloperdol Or Respiredone, Reperidone itself,other drugs like proponolal or TCA antidepressant and the most SSRIs.Our observation are mainly clinical based due to lack of sophistacated labarotary infrasrtuctre.ConclusionsLibidonal changea/ssesement would remain as a new arena of research in future.
P03-05 - Care Practices of Nurses will Face Portuguese Violence Against Women
Authors: Albuquerque C. , Rua H. , Oliveira S. 
Published: June 2010

ObjectivesThis study emphasised the nurses’ assistance practices and conceptions in order to understand how they perceive and live with all the complexity that underlies this phenomenon.MethodsWith the articulation of qualitative methods (interview) and quantitative (structured questionnaire), the study focused on a group of 78 nurses aged between 22 and 60 years (average: 40.15) being 61% women and experience either in the hospital or in primary health care.ResultsWe found that violence against women was perceived as a complex phenomenon and present, with strong socio-cultural, marked by abuse of power and disregard for human rights. We note also that nurses generally experience negative feelings associated with the aggressor, but also the victim. On his practice emphasizes the desire to help and, paradoxically, a strong sense of powerlessness. The lack of competence / training to effectively tackle the problem is also a reference, supplemented with special needs to progress in this area.ConclusionsThe evidence presented here should be taken into consideration by health professionals in a reorientation of care model in this area.
P03-06 - Therapeutic Adherence in Diabetes Mellitus: a Psycho-Social Analysis
Authors: Amaral A. , Cruz R. , Rocha C. , Lopes D. 
Published: June 2010

IntroductionThe Diabetes Mellitus is a chronic disease whose treatment requires strict clinical care and continuing education such as medication, nutrition and physical activity. Education is a decisive factor in preventing complications that may arise from the failure of therapy. Therefore, the therapeutic adherence must include a psycho-social approach.ObjectivesTo study the degree of adherence to the pharmacologic treatment and dietary habits in patients with type I and type II diabetes mellitus and to evaluate the influence of the level of education, sex and type of diabetes.MethodsA cross-sectional study was conducted of the descriptive-correlational type. The sample consisted of 100 diabetic type I and type II individuals and was obtained by convenience at the health center of S. Martinho do Bispo, in Coimbra - Portugal, during the period from May till June 2009.Results and conclusionsThe results indicate a high adherence to therapy, reflected trhough the diet and also the pharmacological treatment. However, the higher adherence found was related to prescription of medication. The demographic variables such as sex and level of education of patients, seem to positively influence the adherence to treatment.
P03-07 - Combined Antipsychotics use in a Community Rehabilitation Psychiatric Service
Authors: Apantaku-Olajide T. , Whitty P. 
Published: June 2010

BackgroundDespite the clinical guidelines regarding the use of combined antipsychotics and the limited evidence for its benefits, the use remains high in psychiatric practice.AimsTo measure the prevalence and examine the reasons for initiating and continuing combined antipsychotics in psychiatric illnesses.MethodA cross-sectional study was carried out using medical records in a psychiatric community rehabilitation service. A representative sample (n= 75) of patients with chronic and enduring psychiatric illnesses was studied. The age, gender, diagnosis and prescribed antipsychotics were examined. The prevalence and documented reasons for combined antipsychotic prescribing were analysed.ResultsSeventy-three of the seventy-five patients were prescribed antipsychotic mediations. Of these, 44 (60%) received a combination of 2 or more antipsychotics. The most common reason for combined prescribing was a switch of antipsychotic (n=18; 41%). No reason was documented in 19 cases (43%).ConclusionIn-complete switching of antipsychotics contributed to a high prevalence of combined antipsychotic use, and lack of adequate documentation on reasons for the combination was common.
P03-09 - Sexual Health in Parkinson Disease
Authors: Azevedo J. , Rosas M.J. , Esteves M. , Vieira Coelho M.A. , Torres A. , Gago M. , Sousa G. , Garrett C. , Linhares P. , Vaz R. 
Published: June 2010

IntroductionThe impact of Idiopathic Parkinson Disease (IPD) in patient’s sexual health is still a matter of debate. Clinicians should have a concern about the sexual function of their patients with IPD.AimsTo evaluate sexual health of patients with IPD.MethodsWe randomly select a group of IPD patients and a group of healthy controls. We used the International Index of Erectile Function (IIEF) and the Female Sexual Function Index (FSFI) to assess sexual function. To evaluate depression and anxiety we used Brief Symptom Inventory (BSI) and Beck Depression Index (BDI).ResultsWe had 83 IPD patients, and 69 controls. Male patients had lower total IIEF scores than controls (p< 0,001). The analysis of linear regression shows a relationship between the IIFE and the duration of the disease, the patient age and the BDI score (R=0,72; Adjusted R square=0,49, p< 0,001) when adjusted to the variables: realization of deep brain cirurgy of subthalamic nucleus (DBS-STN) stage of the disease, BSI score, dopaminergic treatment, treatment with antidepressives and antipsychotics. The IFSF didn’t show differences between the cases and the controls. Patients had higher BSI and BDI scores than controls (p< 0,001).ConclusionsMale IPD patients had an impairment of sexual function predicted by disease duration, patient age and BDI scores. Sexual function should be assessed in these patients
P02-241 - Comparing the Prevalence of Psychoticism and Paranoid Ideas Between two Wards of Internal Medicine and A&E (2005–2006)
Authors: Amanat N. , Behnam B. , Ghorbani R. , Imani A. , Khankeh H.R. 
Published: June 2010

ObjectivesSome psychological disorder-comorbid with a medical diagnosis-presents a challenge for treatment because of diagnostic and treatment dilemmas. This study investigated associations between Psychoticism and Paranoid ideas in internal medicine and A&E1patient in a university hospital.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. The psychopathological profile was assessed using the SCL-90 questionnaire by Iranian version. Data have been computed and analyzed by SPSS V.17 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 70% and A&E department 43.3% of patient have had Paranoid ideas (OR= 4.2; 95% CI, 1.9 to 8.9). Psychoticism were observed in 38% of internal medicine patients and 20% of A&E's patients (OR= 7.64; 95% CI, 3.2 to 17.8).ConclusionThe present results confirm the high prevalence rate of Psychoticism and Paranoid ideas in patients that hospitalized in internal to A & E ward. Recommendation are made to further investigate by greater sample size and different setting in this field is warranted.
P02-244 - Evaluation of Cognitive-Executive Functions in Subjects with Borderline Personality Disorder and Childhood ADHD
Authors: Di Rosa A.E. , Cambria R. , Crescenti M.C. , Pata M. 
Published: June 2010

About 20-25% of children diagnosed as affected by ADHD show in adulthood residual symptoms such as hyperactivity, impulsive behaviours and disattention with a variable degree of cognitive impairment, and are diagnosed as affected by a cluster B personality disorder (mostly antisocial or borderline).ObjectivesThe aim of our study is the evaluation of the presence of ADHD and cognitive-executive functions in patients with Borderline Personality Disorder (BPD).Materials & methodsWe enrolled 54 adult male patients with BPD diagnosis (mean age 40,6 years). The Wender Utah Rating Scale 25-items (WURS) was used to assess the presence of ADHD in childhood. The neurocognitive assessment included the following tests: Wisconsin Card Sorting Test (WCST), Stroop Color/Word Interference Test, Verbal Fluency Test (VFT), AB-AC Test.ResultsFrom scores obtained at WURS 25-items (cut-off score ≥ 46) the observed frequency of subjects with childhood ADHD was 27.8% (15/54). Therefore the subjects were divided into two groups: BPD without ADHD and borderline ADHD. Scores obtained were compared and statistical significance was observed in regard to WCST (p=0.006), VFT fonemic (p=0.04), VFT semantic (p= 0.05), AB-AC test (p=0.05).ConclusionsOur study shows that borderline subjects with childhood ADHD have worse cognitive performances than borderline subjects without childhood ADHD.
P02-245 - Two Extreme and Parallel Cases of Borderline Personality Disorder
Authors: Di Lorenzo R. , Moretti V. , Muratore C. , Pighi M. , Rigatelli M. 
Published: June 2010

IntroductionBorderline Personality Disorder (BPD) shares many symptoms with Bipolar Disorder (BD) and Attention-Deficit/Hyperactivity Disorder (ADHD), like aggressiveness, mood instability and impulsivity, which are often treated in off label modality with mood stabilizer drugs. We point out the diagnostic, therapeutic and rehabilitative difficulties of BPD treatment through the analysis of two extreme and parallel cases.Materials and methodsTwo females, born in extra-EU Countries in 1986 and in 1988, emigrated in Italy in childhood, presented overlapping traumatic early life events and ADHD during scholar age. Later, both the patients presented such growing relational problems and disruptive behaviours to be expelled from family and school. So they began a long psychiatric history, characterized by frequent hospitalizations, due to violent behaviour against themselves and other people, many unsuccessful rehabilitative programs, due to poor compliance, and various pharmacological switches, due to drug scarce effectiveness. Both the patients were followed by the same staff for 8 years, with an integrated psychotherapeutic, rehabilitative and pharmacological program, which consisted of a perseverant and meantime flexibly setting, a support of educational community operators and an off label prescription of two mood stabilizers combined to an atypical antipsychotic drug.ResultsAt the moment, the patients showed reduced dangerous behaviours, but need a perseverant effort by many operators in order to promote their emancipation from institutional dependence.ConclusionsThe complexity of these cases, characterized by the persistence of a childhood disease, developed into a stables unstable mood chronic pathology till the late adolescence, suggests us a likely pathogenic relationship among BPD, BD and ADHD.
P02-248 - Could Methadone Maintenance Improve Insensitivity to Long Term Consequences in Opioid Addicts?
Authors: Ganjgahi H. , Ekhtiari H. 
Published: June 2010

ObjectivesDelay discounting (DD) procedure has been used to probe the extent to which behaviour is insensitive to its long-term consequences. During the DD task, participants are offered a choice between a small reward, which is delivered immediately, and a larger reward, which can be obtained only after a delay. Several studies has been reported that drug addicts are insensitive to future outcomes in DD. Previous studies indicated that Methadone Maintenance Treatment (MMT) decreases risky behaviors such as illegal drug use, needle sharing and risky sexual behaviors. But, there is a serious question that could it change underlying cognitive processing of risky behavior or not?Material and methodsIn this study, we evaluated 266 opioid dependents (age: 31±9 years, education: 10±3 years) before MMT entry on DD. 78 patients (30%) has been completed at least three month MMT and re evaluated on DD. The Mazour model was fitted to data (V=A/(1+kD)) (K: delay discounting coefficient, D: delay) and least square parameter estimation was used to estimate delay discounting coefficient.ResultsK was significantly reduced after 3 month successful MMT (0.12±.6 vs. 3.9±12.6) (P values=0.016). Successful patients in MMT had lower K in baseline but not significantly.ConclusionMMT could improve future time horizons in underlying cognitive processing of decision making. Based on this study, We could accept more favorably MMT as a real effective addiction therapy not just a substitution between street drugs and state drugs.
P02-249 - Reduced Prefrontal and Orbitofrontal Gray Matter in Female Adolescents with Borderline Personality Disorder: is it Disorder Specific?
Authors: Henze R. , Brunner R. , Parzer P. , Kramer J. , Feigl N. , Lutz K. , Essig M. , Resch F. , Stieltjes B. 
Published: June 2010

IntroductionNeuroimaging studies in adults with borderline personality disorder (BPD) have reported alterations in frontolimbic areas, but cannot differentiate between alterations originating from disease and those occurring as side-effects of medication or other consequences of the disorder.ObjectivesTo provide a clearer picture of the organic origins of BPD, the present study reduced such confounds by examining adolescents in the early stages of the disorder. It also examined the extent to which alterations associated with BPD are specific, or shared more broadly among other psychiatric disorders.MethodsSixty right-handed, female adolescents (14-18 years) participated. 20 had a DSM-IV diagnosis of BPD, 20 had a different DSM-IV defined psychiatric disorder, and 20 were healthy controls. All groups were matched for age and IQ. Images were analysed using voxel-based morphometry.ResultsNo differences were found in limbic or white matter structures. Compared to healthy controls, adolescents with BPD displayed reduced gray matter in dorsolateral prefrontal cortex bilaterally and in left orbitofrontal cortex, but there were no significant differences in gray matter between BPD and other psychiatric patients. Like BPD patients, non-BPD psychiatric patients displayed significantly less gray matter in right dorsolateral prefrontal cortex compared to healthy controls.ConclusionsThese findings indicate that the prefrontal cortex is the earliest affected in the progression of BPD, but this does not distinguish it clearly from other psychiatric disorders. Alterations in limbic areas and white matter structures were not observed, but may play a later role in the progression of the illness.
P02-250 - How to Transform Borderline Personality Through Lifetrack Couple Therapy
Authors: Ishizuka Y. 
Published: June 2010

Borderline personality (disorder) can be understood as the consequence of ‘successful’ if desperate adaptation to overwhelming adversity in childhood, charcterized by unsuccessful or conflicted attachment to difficult parents.Accordingly, Lifetrack therapy attempts to give the patient his/her first successful closeness (attachment) with his/her committed partner through therapy, transforming borderline personality itself.Working with the patient and his/her partner Lifetrack therapist concentrates on bringing the couple closer than ever before guided by Lifetrack daily self-rating program on 41 parameters that allows accurate and comprehensive tracking of dynamic mental status and subtle daily changes in personality.As the case example of Jane illustrates, advancing intimacy provokes spikes of symptoms (and setbacks) characteristic of borderline personality. However, daily self-rating graphs makes it possible for the therapist to demonstrate to the couple that advancing intimacy provokes setbacks (symptom spikes) but recovery from setbacks can allow intimacy to reach peaks higher than before the setbacks-caused by exhaustion of defense/symptoms. This insight greatly empowers the patient couples and the therapist to continue to advance in intimacy provoking and overcoming defense (symptom spikes) until it becomes exhausted and disappear.Transformation of BPD typically go through 4 distinct stages, with stage 4 representing complete transformation. Of the 134 BPD patients treated with partners, 34% reached stage 4. Of 234 BPD patients treated with Lifetrack therapy, 66.4% (134) of patients treated with partners exceeded their previous maximum level of adjustment. When couples persisted beyond the first month of therapy, 70.7% (123) exceeded their previous maximum level.
P02-254 - A Meta-Analysis of the Effectiveness of Methylphenidate in the Treatment of Adult ADHD
Authors: Kösters M. , Weinmann S. , Becker T. 
Published: June 2010

ObjectivesWe will present results of a systematic review of the effectiveness of methylphenidate in the treatment of adult ADHD. Furthermore, we will discuss the influence of methods on the results of meta analyses.MethodsWe searched Medline, PsycINFO and CCTR to identify randomised controlled clinical trials comparing methylphenidate with placebo in the treatment of adult ADHD. Studies were summarized with meta-analytic methods. Subgroup analyses were conducted with respect to parallel group vs. cross-over trials and self vs. observer ratings. The relationship between dosage and effect size was explored by weighted regression analysis. The results were tested for publication bias, and several sensitivity analyses were conducted.ResultsNineteen studies met the inclusion criteria of which 17 were included in the meta-analysis. The overall effect size was significant at d=0.42 different from zero, but this was only half the size expected on the basis of a previous meta-analysis. No significant differences could be observed in the subgroup analyses. The regression analysis showed no significant influence of mean daily dose on effect size.ConclusionsThese results contradict findings of a previous meta-analysis and challenge guideline recommendations. Differences between populations of children and adults and methodological issues in meta-analyses are discussed.
P02-255 - Dissociation, Trauma, Affect Regulation and Personality in Patients with a Borderline Personality Organization
Authors: Loeffler-Stastka H. , Blueml V. 
Published: June 2010

IntroductionOver the past few decades the concept of dissociation has become more and more popular in the psychiatric and psychotherapeutic research community. Psychoanalytic theories (Kernberg, Fonagy) see the cause for dissociative symptoms in a troubled developmental history.Objectives1.In the present study we wanted to empirically study these relations between childhood traumatisation and dissociative phenomena in patients with a Borderline Personality Organisation (Kernberg).2.Further we were interested in examining personality and affect regulation factors of these patients. It was hypothesized, that certain personality traits (such as primitive defence mechanisms) would be associated with trauma and dissociation, while others (e.g. high-functioning personality structure) would be absent in the sample group.Methods52 psychiatric inpatients with a Borderline Personality Organisation completed the Dissociative Experiences Scale, the Childhood Trauma Questionnaire, and the personality and affect regulation measurement instruments SWAP and AREQ.ResultsSignificant correlations between dissociative symptoms and childhood traumatisation were found, especially with emotional abuse in childhood. Childhood trauma also correlates with severely disturbed personality characteristics.ConclusionsThe results empirically support psychoanalytic theories that a failure by the primary attachment figure in containing affects and sensations of a child can lead to dissociative symptoms and a disturbed personality development. Results are critically discussed within a psychoanalytic framework which should also help clarify the rather vague concept of dissociation.