bluuebunny/crossref_metadata_2025_split huggingface dataset:
P03-87 - Paranoid schizophrenia and congenital myotonia: a case report
Authors: Ceylan M.E. , Maner F. , Gözden S. , Ergen N. 
Published: June 2010

ObjectiveForty four years old, single, unemployed male patient with paranoid schizophrenia and congenital myotonia has been presented in this case report. He was hospitalized because of collecting garbages, hostility toward his brothers, fattening many animals, living in very dirty surroundings. His mother was treated as bipolar disorder.Method and resultsHe had muscular disease since childhood, weakness began initially in arms then in legs. There is muscular weakness in both of the proximal and distal extremities. He presented with dirty, old attire. He was indifferent and had flattened affect. His behaviors were bizarre. He made poor eye contact. He had no insight. He was in defensive attitude. There was no hallusinations. He had severe persecutive delusions toward his brothers. Generalized muscular disease with myotonic decharges was diagnoses in EMG. Olanzapine,20mg/day was applied. The patient responded to the medication and the psycotic symptoms were totally disappeared.ConclusionIt is known that central serebral system may be effected and hypodense areas are seen in the brains of Thomsen type congenital muscular dystrophy which is comorbid with mental retardation (Kamoshıta et al 1963). We assume that an unspecified disorder in the central serebral system might be presented as paranoid schizophrenia in this patient with congenital myotonia and there may be some common aspects among both of these illnesses.
P03-88 - Amisuplpride-quetiapine-memantine association as treatment for resistant schizophrenia. Case report
Authors: Marinescu G.-C. , Popa S.N. 
Published: June 2010

ObjectivesThere are no obvious data to sustain that amisulpride-quetiapine-memantine association would induce remision of resistant schizophrenia. The clinical consequences and the challenge of medication for resistant schizophrenia are important. This case report brings additional information about therapy in resistant schizophrenia.MethodsCase Report: 38 years old patient, male, with repeated hospitalizations for schizophreniaparanoid type, from 1989; the precedent psychotic episodes were treated with haloperidol, risperiodone,amisulpride, olanzapine, clozapine and quetiapine. The latest episode was treated with olanzapine (20mg/day- 8 weeks), with failure, and, after that, with clozapine (500mg/day- 8 weeks) without remission. The patient has been hospitalized after olanzapine and clozapine treatment failure and treated with association of two different classes of neuroleptics (amisulpride 800mg/day and quetiapine 200mg/day) and memantine (10mg/day).ResultsThe treatment with amisulpride-quetiapine- memantine association induced remission of symptoms and discharge from hospital after 18 days of treatment, sustained by PANSS score reduction (from105 at hospitalization to 40 at discharge). This symptoms remission is important because it happens after clozapine treatment failure, with known efficacy for treatment resistant schizophrenia.ConclusionsFor a patient with schizophrenia-paranoid type, treatment resistant, amisulpride-quetiapine- memantine association had the power to induce remission of symptoms. The combinated multireceptoral D2, 5HT2A, NMDA action of medication may be important in choosing the treatment for resistant schizophrenia.
P03-99 - Investigation Of Difference Of Episodic Memory In Schizophrenic Patients, Their Biological Relatives And Normal People
Authors: Nikpour G.A. , Homayouni A. 
Published: June 2010

ObjectiveThe study aimed to investigate episodic memory in schizophrenic patients, their biological relatives and comparison with normal people.Method20 schizophrenic patients, 20 their biological relatives and 20 normal people were randomly selected and William's individual episodic memory test (WIEMT) was administered on them. In the research, to the participants were presented 15 target words (5 pleasant, 5 unpleasant,5 neutral words).The participants were asked to recall a past memory associated with target words. ANOVA test was used to analyze the data.ResultsFinding showed significant differences among groups. Majority of schizophrenics oriented to choose neutral and somewhat unpleasant stimuli (words) and recall their past memory with depressive and unpleasant matter and their relatives too. But majority of normal people choose the better and pleasant words with good and pleasant their past memory.ConclusionsOur results reveal that deficits in episodic memory can be regarded one of the most prominent cognitive deficits in schizophrenia and should thus be taken seriously in both its diagnosis and treatment. So it stresses the importance of assessing memory function impairments in clinical settings. Also choosing the neutral (and not pleasant) stimuli (words) may cause tendency to depressed mood and it can impair social cognition in schizophrenia that may be an important predictor of social dysfunction.
P03-157 - Patterns Of Symptoms Presentation In Depreesed Women & Their Literacy Status As Observed In A Rural Indian District
Authors: Acharya A. 
Published: June 2010

IntroductionIn indian rural population setting where true literacy rate seldom croses more than 70% in women, the perception of depressive illness and the symptoms presentation are varied & predominately somatic.Symptoms type variation & the degree of their educational status are corelated here to observe any deviancy.AimsSymptom type & litaracy status can show an association in depressed women in a clinic.MethodsAbout 280 women in the age group 21-51 with a median age of 36years were taken here for assesment, who were diagonosed as suffering from depressive disorder asper DSM-4, either MDD or Bipolar depression. they all attended a mind care clinic(Mono-Susrusha), in a Ditrict HQTRS town Midnapore,126 k.m away from stte capital city of Kolkata.5 basic symptoms were quried here as those were the major presenting features,1.Headpain or head discomfort or pain around neck2.Pain in lower extremeties or other sites3.sleep diturbance, loss of appetite or libid diminution4.Lack of pleasure or lossof interests to all daily activities5.Sucidal ideasNext their litracy status illrtarate(20%), junior school(55%), highschool(12%),graduate,postgrauate &above(12%) uncertain in 1% cases.were assesed.A tally was made to their educationalstatus&above symptoms.ResultsSomatic, bodily pain symptoms were mostly presenting feature in illetarate & lower school educated women.Biological(3rdlisted), lack of pleasure & suicidal urges were echoed mainly in higher educated women group of graduate&above.ConclusionsSuicidal urges are more percieved in depressed educated women &somatic symptom predominancy were observed more in illterate &junior level educated group.
P03-159 - Sociodemographic Profile And Mental Health Needs Of Referrals To An Irish Psychiatric Servi A Transcultural Perspective
Authors: Ahmed M. , Dineen B. , O’Brien S. , Carney P. 
Published: June 2010

ObjectivesThis study describes the social, demographic and clinical characteristics of all the new referrals in a mental health catchment area. This study aims to compare Irish and non-Irish service users in terms of their mental health needs and service utilization.MethodsCase notes were reviewed retrospectively to investigate demographic, clinical and service utilization parameters among new referrals to the psychiatric services in Galway, Ireland over a six-month period.ResultsOne hundred and fifty four new referrals, of whom 41 were non-Irish, presented over a sixmonth period. Results showed no difference between Irish and non-Irish patients in terms of sociodemographic variables. Alcohol problems and subsequent need for detoxification and counseling were significantly increased among service users from the new EU accession states with a significant impact on the duration of their hospital stay and the need for intensive psychiatric care.ConclusionsThere is an urgent need for enhanced resources for the delivery of mental healthcare to immigrants. Service utilization and mental health needs are not explained merely by illness-related aspects in immigrant service users. Social and cultural factors have to be recognized in order to prevent disadvantages in psychiatric care.
P03-175 - The Delphi Exercise In Poland (As An Exemple Of All The Within Country Delphi Exercises)
Authors: Kiejna A. , Ciałkowska M. , Piotrowski P. , Adamowski T. , Rymaszewska J. 
Published: June 2010

ObjectiveThe Delphi exercies carried out in Poland constituted part of DEMoB.inc project founded by EC and conducted within 10 European countries. Polish part of Delphi exercise fulfils major method's assumptions and aims to define items of long-term psychiatric care in recovery model of treatment.MethodsDelphi method has not been widely applied in research across Poland. Method is characterized by defined panel of experts (EP), information flow, regular feedback and participants’ anonymity. Delphi has proven prognostic potential in health care, social sciences, new technologies and policy forecasting. However informality of EP selection and limited complex forecasts with multiple factors and downward responses-rate tendencies in following rounds constitute its crucial shortcomings. Criticized basic statistics has been lately overcome by implementation of sophisticated fuzzy logic theory. Three stages Delphi exercise has been carried out in four groups of respondents: service users, carers, advocates and professionals. Wide range of EP representatives has promoted indication of diverse elements of care within partner sites.ResultsPolish mental health care network varies from developed European countries. Out of 11 initially appointed domains only 2 (SPHRandA; SMA) have been underrepresented. Advocates achieved significant consensus in the largest number of items: 23 out of 104 which covered 9 domains whereas professionals in the lowest number: 11 out of 130 which covered only 4 domains. Moreover domains supported with advocates’ opinions fully overlapped with domains pointed by service users. The surprising outcome might be due to diversity of professions in “professional group”, differences in occupational responsibilities and work experience.
P03-186 - Automatic Stereotyping And Prejudice Against People With Mental Illness
Authors: Rüsch N. , Corrigan P.W. , Todd A.R. , Bodenhausen G.V. 
Published: June 2010

BackgroundSimilar to members of the public, people with mental illness may exhibit general negative automatic prejudice (e.g., general dislike) against their own group. However, it is unclear whether more specific negative stereotypes (e.g., danger or guilt) are automatically activated among diagnosed individuals and how such automatic stereotyping may be related to self-reported attitudes and emotional reactions.MethodsWe studied automatically activated reactions toward mental illness among 85 people with mental illness and 50 members of the general public using a Lexical Decision Task (LDT) as a measure of automatic stereotyping and a Brief Implicit Association Test (BIAT) as an index of automatic prejudice. Deliberately endorsed attitudes and emotional reactions were assessed by self-report.ResultsIn the LDT, but not the BIAT, diagnosed individuals showed less negative automatic reactions toward mental illness than members of the public. Among members of the public, stronger automatic stereotyping in the LDT was associated with more self-reported shame about a potential mental illness and more anger toward stigmatized individuals.ConclusionsReduced automatic stereotyping in the diagnosed group suggests that people with mental illness may not entirely internalize negative stereotypes. Automatic prejudice, on the other hand, among stigmatized individuals could reflect dislike of one's ingroup as well as associations with non-stigmatizing negative attributes such as the pain of having a mental illness. Among members of the public, automatic stereotyping may predict negative emotional reactions to people with mental illness.
P03-187 - Biogenetic Models Of Psychopathology, Implicit Guilt, And Mental Illness Stigma
Authors: Rüsch N. , Todd A.R. , Bodenhausen G.V. , Corrigan P.W. 
Published: June 2010

ObjectivesWhereas some research suggests that acknowledgment of biogenetic factors in mental illness could reduce mental illness stigma by diminishing perceived responsibility (Corrigan et al 2003), other research has cautioned that emphasizing biogenetic aspects of mental illness could produce the impression that mental illness is a stable, intrinsic aspect of a person (“genetic essentialism”), increasing the desire for social distance (Phelan 2002).MethodsWe assessed genetic and neurobiological causal attributions about mental illness among 85 people with serious mental illness and 50 members of the public. The perceived responsibility of persons with mental illness for their condition, as well as fear and social distance, were assessed by self-report. Automatic associations between Mental Illness and Guilt and between Self and Guilt were measured by the Brief Implicit Association Test.ResultsAmong the general public, endorsement of biogenetic models was associated with less perceived responsibility, but also greater social distance. Among people with mental illness, endorsement of genetic models had only negative correlates: greater explicit fear and stronger implicit self-guilt associations.ConclusionsGenetic models may have unexpected negative consequences for implicit self-concept and explicit attitudes of people with mental illness. An exclusive focus on biogenetic models may therefore be problematic for clinical practice and anti-stigma initiatives.
P03-188 - Group Therapy Of Adolescents Arrested In A Judicial Institution And With Disorders Related To The Consumption Of Psychoactive Substances
Authors: Santos A. , Salán T.M. , Jacintho A.C.d.Á. , Azevedo R.C.S. ,   Child and Adolescent Psychiatry Study Group
Published: June 2010

ObjectivesTo describe the experience of group therapy with offender adolescents in an Institution for minor violators (“Fundação CASA”) and who have suffered from mental disorders related to psychoactive substance use.Methods“Fundação CASA” is an institution created to shelter minor offenders. In 2008 some were judicially referred for treatment to a University Hospital Psychoactive Substance Outpatients Service. An operative and informative group was formed, since they have not adapted to the already existing adult group. This group met weekly, aimed to prevent relapse and initially planned to last 6 meetings.ResultsSoon there were 4 adolescents who had engaged with the group and requested to increase the number of sessions. Psychodynamic issues emerged during the sessions, which were well evaluated by all participants after 10 weeks, when the group had to be ended due to the completion of sentences of 3 participants. In 2009 only 3 of them were found. The first reported a relapse, but remains abstinent. The second started working as general assistant and remained abstinent. The third continued to consume crack and was arrested by the time he was 18.ConclusionsThis study showed the need for specific treatment for the group of juvenile offenders. Operative and informative groups create a communication space for drug users and other psychotic subjects. It permits group identification and allows the expression of mental suffering. Therefore this practice consists of a low complexity approach in an extremely vulnerable population, which is so prevalent in developing countries such as Brazil.
P03-191 - Fact: A Dutch Version Of Assertive Community Treatment
Authors: van Veldhuizen J.R. 
Published: June 2010

Learning objectivesTo reflect on theory, implementation, practice and evaluation of FACT: the Dutch version of Assertive Community Treatment.ACT is an EBM intervention for the 20% most severe mentally ill (SMI) outside the psychiatric hospital. From 2004 we started with a Dutch version: the FACT (Function ACT) model.FACT teams are multidisciplinary teams serving all SMI outside the psychiatric hospital in a region/area of 50.000 inhabitants. The teams offer two kinds of care:1)clinical case managementteam and home care for the stable group and2)full ACT for patients in danger of crisis / recurrent psychosis or readmission.The second group is on a digital whiteboard and is discussed every morning by the team to coordinate shared caseload and assertive outreach.Interesting is the finding that the first and the second group have a large overlap in time: in 3 years >60% of the patients in the team has been the digital board.In FACT we bring together care, crisis-intervention, treatment (and metabolic screening), recovery oriented support and care and CBT and IPS. We work in close cooperation with the psychiatric hospitals and sheltered living departments in ‘transmural’ care.The number of FACT-teams in Holland is rapidly growing (> 80). The model appears to be able to serve all SMI in a certain region with good continuity of care. First findings are positive (very low drop out, more patients in remission, better satisfaction).Certification started by the Centre for Certification ACT and FACT (see www.ccaf.nl)
P03-197 - Comorbidity Of Anxiety And Depression In Patients Treated For Alcohol Problems In Mental Health Center
Authors: Campos Mangas M.C. , Ruiz Feliu M.A. 
Published: June 2010

IntroductionAlcoholism is a very common psychiatric problem, with a high morbidity and mortality. Psychiatric diagnoses that most often are associated with alcohol-related disorders include substance abuse, antisocial personality trasrtorno, affective disorders, anxiety and sleep disorders.ObjectivesOur goal is to estimate the prevalence of anxiety and depressive symptoms in a population of patients in our mental health center.MethodsTo analyze data from a sample of 35 patients treated in mental health centers that meet diagnostic criteria for alcohol dependence according to DSM IV-TR. the study enrollment period was 6 months from January to June 2009. study design is observational, descriptive and transversal. The information was collected by clinical interview.ResultsComparison with normativesamples reflects that the alcoholics of the sample present more psychopathological symptoms than the normal populatio, but less than the psychiatric population. Furthermore, the severity of the alcoholism is related with the biggest presence and intensity of comorbidity.The prevalence of depressive symptoms was 75% and anxious symptoms 65%, with variations in distribution by gender.ConclusionsThe prevalence of anxiety and depression measurement in the population to study is greater than in general population. there is needed further research that allow extending the results obteined in this present study.
P03-202 - About A Case: Psychosis Due To Substance Abuse Exacerbated After Admnistration Of Bupropion
Authors: de la Vega D.C. , Lazaro Redondo M. , Arcenegui Calvo A. 
Published: June 2010

ObjectivesStudy of the relationship between bupropion and the onset of psychotic symptoms.MethodsReview of the literature about this subject and review of the patient's history.ResultsMr D. was a 20 years old patient attended in our psychiatric unit for psychosis due to drug abuse that was exacerbated after the beginning of the treatment with Bupropion.He showed a depressive episode at the age of 17, being diagnosed of Personality disorder (Cluster B), and he had history of substance abuse including cannabis (habit described as occasional), cocaine (only once in the past) and MDMA (only the 31 December 2008).The patient recognized an intake of MDMA on the 31 December 2008, after which he showed visual hallucinations and insomnia in the following 48 hours. From the 3TH to 7TH OF January no symptom was observed although he had cannabis in unspecified amounts, appearing abnormal behaviour around January 8TH. On the 11th, his GP prescribed Bupropion at doses up to 150mg/day for smoking cessation, appearing two days later psychotic symptoms that included hallucinations, soliloquies, unmotivated laughter and an exacerbation of behavioral disturbances.The symptoms disappeared after a week of treatment with antipsychotics.ConclusionsBupropion causes inhibition of dopamine reuptake, which would have created, an excess of this neurotransmitter that could explain the appearance of the psychotic symptoms.We consider it appropriate to include in the contraindications section of this product, the use of bupropion among patients with history of psychotic symptoms in the context of consumption of toxic substances.
P03-215 - Psychological Aspects Of Religious Orientation And Humans Abnormal Behavior
Authors: Homayouni A. 
Published: June 2010

ObjectiveThe study is to clarify psychological effects of two kinds of religious orientation (Extrinsic / Intrinsic) on tendency to addiction.MethodParticipants were 80 addicted people that attended in addiction treatment center. Alport's Religious Orientation Scale was administered on participants. Data analyzed with Chi Square formula.ResultsAnalysis of data showed that eighty percent of addicted people are extrinsic religious oriented. Also seventy five percent of addicts were less educated and under high school.ConclusionAddicted with extrinsic religious orientation apply the religious to access their goals and when they do not access their goals, they disappointed, get anxiety and depression and try to make a defense about the event. The intrinsic religious oriented people tend to religious for developing in personality, life, attitude and cognition and like to reach the optimal goal that is cognition of God and this is a factor that makes hopeful and not disappointing from bad event and not reaching to goals. But in extrinsic religious oriented people, when they do not reach to goals, disappoint soon and want to make defense that one of the defense is addiction.
P03-220 - Personality Disorders And Substance Use Disorders Comorbidity: Focussing On Personality Characteristics
Authors: Mateu-Codina G. , Diaz-Digon L. , Martinez-Riera R. , Morro-Fernandez L. , Merino-Torres A. , Torrens-Melich M. 
Published: June 2010

Objective•To describe personality characteristics in personality disorders (PDs) patients with substance use disorders (SUDs) comorbidity.Methods•Data on demographic, family, and clinical factors were gathered among subjects admitted to our dual diagnosis unit who met DSM-IV criteria for PDs and had comorbidity with SUDs.•To explore the psychometric characteristics we used the Temperament and Character Inventory-Revised (TCI-R).Results•Overall, 32 subjects were assessed (72% males; mean age 38,4±7,3). Mean length of admission was 17,6 ± 7,5 days. Suicide attempt/ideation (50%) and behaviour disruption (19%) were main symptoms at admittance. Main drugs were alcohol (59,4%) and cocaine (15,6%); 24% had polydrug dependence (3 or more SUDs).•TCI results showed a profile characterized by low self-directness (78,1%), low cooperativeness (46,9%) and high novelty seeking (31,3%).•Sedative SUDs group (including alcohol, cannabis, and benzodiacepines SUDs) showed higher scores in asthenia (70,6 ± 2 vs. 57,52 ± 3,2; p=0,002), and locus of control (44,8 ± 4,1 vs. 31,4 ± 32,6; p=0,039) than stimulant SUDs group (including cocaine and amphetamine-like SUDs).•Polydrug dependence group had higher scores in spiritual acceptance (63,6 ± 4,2 vs. 49,9 ± 2; p=0,003).•The older group (38 thru highest) had higher scores in cooperativeness (44,8 ±3,2 vs. 35,7 ± 3,1; p=0,05) and compassion (47,9 ± 3,7 vs. 36,2 ± 3,8; p=0,03).Conclusions•We found a profile characterized by low scores in self-directness and cooperativeness as seen in previous surveys.•The older patients seems attenuate some maladaptative personality characteristics.