bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-320 - How Patient-doctor Relationships are Effective and What do Patients Expect from Their Psychiatrists?
Authors: Bener A. , Ghuloum S. 
Published: June 2010

ObjectiveThe main aim of this study was to determine the level of patient doctor relationship (PDRQ) and assess further the mental health needs of patients attending psychiatry department.DesignA cross sectional study.Setting: Psychiatry Department of the Hamad Medical Corporation.Subjects : A total of 1300 adult patients were approached and 1054 (81.1%) expressed their consent.MethodThe main outcome measures of the study were 13-item patient doctor relationship questionnaire (PDRQ) score and other 11 items assessing what patients need from psychiatrists.ResultsThe mean age of the studied psychiatry patients was 38.6±13.4 years with a male female ratio; 1:1. There was a significant difference observed in terms of educational level, occupation, monthly house hold income, number of rooms and number of people living in a house (p< 0.001). Overall satisfaction level of Qatari and other Arab patients with psychiatrists was high because most of the items of the questionnaire were rated above 3.8. The psychiatry patients were very happy with the dedication (4.0±1.0) and availability of psychiatrists (4.0±1.1) for consultation. The three issues most important for the Qatari and other Arab patients were that the doctor should talk about their condition (63.5%), talks about the treatment options (65.9%) for final decision and provide symptomatic relief (62.4%).ConclusionsThe study findings revealed that patient satisfaction in psychiatry hospital care was good and the overall satisfaction level of patients with psychiatrists was high, especially for the dedication and the availability of psychiatrists.
P01-322 - Cultural Variations in the Presentation of Depression of Migrated Turkish Women in the Netherlands
Authors: Borra R. 
Published: June 2010

ObjectivesThe research ‘Depressive Turkish women in the Rijnmond Region’ was started to explore and describe the idiom of distress of the Turkish migrated women and to clarify diagnostic problems concerning their depressive disorder.MethodsBy means of a qualitative explorative research, first in a pilot of ten Turkish women, afterwards 20 Turkish women the presentation and the depressive complaints were investigated with the help of a bi-lingual diagnostic interview, Turkish-Dutch. The interview was developed in cooperation with Turkish psychiatrists/doctors.ResultsResults will be discussed in the presentation. They clearly show that, at the first sight the idiom of distress is characterized by a range of somatic complaints. Clinicians who are insufficiently sensitive to cultural differences may not realize that these complaints may indicate a depressive disorder. Complaints of anxiety and agitation are just as frequent as the depressive complaints. To express their inner feelings the women use specific Turkish idiom.ConclusionsAccording to ICD such cases should be classified as depressive disorders as well as generalized anxiety disorders. Because the range of complaints is so varied, these disordersmay be under-diagnosed in Turkish women.The diagnostic interview proved to be a very reliable instrument in diagnosing depressive-anxiety disorders in Turkish women. It will be translated in German, English and Turkish.
P01-323 - Mental Health Resilience and Vulnerability Factors in Turkish Female Migrants and German Controls
Authors: Bromand Z. , Rapp M.A. , Aichberger M. , Schouler-Ocak M. , Heredia A. , Temur-Erman S. , Yesil R. , Heinz A. 
Published: June 2010

The aim of the main study is to examine the influence of risk factors and protecting factors that help elicit or alleviate mental health issues. An epidemiological cross-sectional data collection approach will be employed for this purpose, and the main outcome variable will be mental health as assessed with the General Health Questionnaire. We will recruit 340 German women and 340 Turkish migrant women. Constructs such as general self-efficacy, social support and extraversion depict protective factors and constructs such as social strain and neuroticism are considered as risk factors in this regard. Furthermore, the coherence between various acculturation patterns will be explored in order to be able to examine the presence of psychiatric symptoms more precisely.We will present the first results of the pilot study by 50 Turkish migrant women to review the reliability and validity of the used instruments and to evaluate the hypotheses and experimental design.
P01-342 - Suicide in Musicians in the Last Forty Years: a Creative Mind Condition or a Psychopathologic Expression?
Authors: Serrano Carton M.M. , Serrano Carton C. , Serrano Vazquez M. 
Published: June 2010

IntroductionThe frecuency on attempts or completed suicide between musicians is elevated. Diverse explanations have been adduced, not only the comorbid substance abuse and the high incidence of depression, but also the bohemian style of life and the effects of music and poetry of their songs on their psychological state.MethodologyThe biographies and artistic productions of 30 musicians who died by suicide since 1968 are reviewed, in order to analyze several aspects like suicide methods and the relation with demographic and psychopathologic variables.ResultsSuicide methods more used were the traumatic ones being the hanging the most frecuent, although if we analyze the sample according the gender there is predominance in overdose toxic method. About 85% had psychiatric antecedents or were in treatment when died. There is substance abuse in more of 50% of the cases like alcohol in the first place and others drugs. The 33% of the sample had an affective disorder. The average age of the consumption of the suicide was in youth (in their thirties).ConclusionsThe risk of dying by suicide in youth is elevated in the musicians. Even though there are an amount of studies, there are any definitely data that had confirmed the link between creative or artistic process and mental illness or suicide.Suicide is always the result of psychopathology, even though there could be a few exceptions.Substance abuse and psychiatric comorbidity are associated factors with the suicide risk in this group, in special alcohol and affective disorders respectively.
P01-345 - Patterns of Dementia with Lewy Bodies Encountered in a City Mental Hospital in India
Authors: Acharya A. 
Published: June 2010

IntroductionDementia cases account for about1.2-2.8% of total OPD case attended in Calcutta Pavlov Hospital.Retrospectively it was evident on scrutiny of the records of the year2005-2009.Profiles of Dementia cases those attended between the periods 1.4.08-31.3.09 were analysed, with special regard to DLB type dementia, which resembles much with Alzheimer's dementia but with pakinsonian features, visual hallucination, fluctuating cognative function, h/o falls,syncope, transient loss of concsiousness.ObjectivesClinical evaluation of dementia with lewy bodies among the dementia patients and asses a probable % of DLB dementia in our situation obviousely without an autopsy verification.AimsHere a study of probable DLB dementia status in the dementia population.Methods22 dementia cases were recorded in the 2008-2009 period.12 females &10 male dementia case, age ranging from 66-79 with a median age of 71.5years,were analysed.20 cases were confirmed by CTScan only, and 16 cases those were lacking vasculer cause were subjected to MRI Scan.ResultsAmong the dementia cases Alzhiemers Disease type accounts for 10 cases (< 50%), followed by mixed vas. & Alzh. in 5 case,and then Vasculer dementia in 4 cases, rest 3 (>1.4%) were found clinically to be as DLB cases.DLB cases were 2 in female & 1 in male, all inthe category of 70-77 years age group.They were presented with gradual decline of cognition, with brady kinesia, & rigidity and in 1 male case with tremmors with attentional deficit. MRI shows more atrophy in midbrain &tegmentum areas.ConclusionsWith more diagnostic advent DLB dementia % may rise in future.
P01-347 - Neuropsychological Performance in Patients with Amnestic Mild Cognitive Impairment Using the Cambridge Neuropsychological Test automated battery
Authors: Alichniewicz K.K. , Brunner F. , Klünemann H.H. , Greenlee M.W. 
Published: June 2010

ObjectivesIn patients diagnosed with amnestic mild cognitive impairment (aMCI) cognitive functions are also affected in addition to memory. The aim of the present study was to characterize these cognitive impairments in detail.MethodsSo far 35 patients with aMCI and 26 matched controls were investigated using following subtests of the Cambridge Neuropsychological Test Automated Battery (CANTAB): Delayed Matching to Sample, Spatial Recognition Memory, Spatial Working Memory, Rapid Visual Processing, and Stockings of Cambridge. Additionally, we used Corsi Block Tapping from the Wechsler Memory Scale Revised to examine spatial working memory and spatial attention.ResultsThe aMCI group performed significantly worse than the control group in Delayed Matching to Sample, Spatial Working Memory, Rapid Visual Processing, Stockings of Cambridge, and Corsi Block Tapping backwards.ConclusionsIn summary, patients with aMCI demonstrate reduced skills in visual memory, spatial planning, spatial working memory, and sustained attention compared to healthy subjects. Furthermore, this suggests that CANTAB may be a tool for diagnosis of the cognitive status of aMCI patients.
P01-358 - Autobiographical Life Review Therapy Approach for the Stroke Patients and Caregivers: a Lifespan Autobiographical Intervention Method
Authors: Lee S.B. 
Published: June 2010

ObjectiveTo explore autobiographical life review therapy as a therapeutic intervention in enhancing the stroke patients’ and caregivers’ state hope, life satisfaction, life mastery level as well as in reducing their loneliness.Methods20 Korean-American aged stroke patients (mean age=73.6) and 20 female Korean-American caregivers (wives) (mean age=67.5) were selected for autobiographical life review therapy. 20 male stroke patients out of 46 stroke patients were screened, by using the Hastean-Reitan Neuropsychological Test battery. During pretreatment testing sessions, the subjects completed state hope scale, life satisfaction scale, life mastery scale, and loneliness scale. At the end of total 10 sessions of autobiographical life review therapy interventions, the subjects completed these scales again. Pretreatment and posttreatment assessments of the selected scales were administered for both the stroke patients and their caregivers.ResultsBetween pretreatment and posttreatment, there were significant increases in the subjects’ assessments of state hope (male: p< .01 and female: p< .001), life satisfaction (male: p< .01 and female: p< .01) and of life mastery (male: p< .05 and female: p< .01) as well as significant reduction of their loneliness scale (male: p< .001 and female: p< .01).ConclusionThe research results demonstrated the effectiveness of autobiographical life therapy interventions as an aid in improving the stroke patients’ and caregivers’ quality of life.
P01-362 - Dress Induced by Anti-epileptic Drugs in the Elderly Population: Delay in Recognition
Authors: Schut A.A. , Halink D.A. , Oude Voshaar R.C. , Marijnissen R.M. 
Published: June 2010

BackgroundIn the eldery population anti-epileptic drugs (AED) are used in epilepsy, neuralgiform pain, psychiatric disorders and behavioral problems in dementia. The prevalence of AED- treatment in the community is 1%; among nursing home residents 10%. A complex of adverse effects, known as Drug Reaction Eosinophilia and Systemic Symptoms (DRESS), is associated with several drugs, in particular AED. The incidence of DRESS syndrome is estimated between 1 in 1000 and 1 in 10000. DRESS syndrome has a high mortality rate (around 10%), primarily due to doctor's delay in recognition.Case reportsAs AED-induced DRESS syndrome is rarely described in elderly patients, we describe two with dementia-related behavioural problems, treated with carbamazepine. Both patients developed severe rash, eosinophilia and fever after three weeks of administration. Patient 1 also developed anemia, diarrhoea and delirium; Patient 2 suffered from a severe edema of arms and face. Initially the clinical presentation of inflammatory and hypersensitivity symptoms was attributed to several diseases and/or medication other than carbamazepine. After recognition of DRESS by carbamazepine and stopping this drug, both patients fully recovered.ConclusionsRecognition of DRESS syndrome induced by AED is difficult as the condition is rare, symptoms occur 1 to 8 weeks after start of treatment; there may be slow progression and similarity with infections and neoplastic disorders exists. Withdrawal of the offending drug is the primary treatment of the DRESS syndrome and patients relatives must be informed since the incidence of the DRESS syndrome is higher amongst first- degree relatives.
P01-365 - Neurosyphilis. A Case Report
Authors: Mota Pereira J. , Sousa Almeida S. , Carvalho S. , Freitas J. , Paz C. , Encarnação R. , Salgado T. 
Published: June 2010

ObjectivesTo report a clinical case on neurosyphilis.MethodsClinical history, neuroimaging and lab investigations, and neuropsychological assessments.Case presentationA 66-year-old married man was admitted to an Old Age psychiatric ward presenting with a two-year history of desinhibited behaviour, hetero-aggression and a gradual loss of his ability cope with activities of daily living. His Mini Mental State Examination (MMSE) score was 20/30 on admission. The symptoms described above raised the working diagnosis of a frontotemporal dementia. Computerized axial tomography was normal. Laboratory and additional examinations were performed. Serological tests for syphilis were positive for both the Venereal Disease Research Laboratory test (VDRL) and Treponema pallidum hemaglutination test (TPHA). Cerebrospinal fluid (CSF) revealed a positive VDRL (cytology: 2 erythrocytes/μl, 30 leucocytes/μl with 24 mononuclear cells/ μl). Additional tests including human immunodeficiency virus (HIV) test were negative. Based on these findings the patient was treated for neurosyphilis according to the IUSTI 2008 European Guidelines on the management of Syphilis: Benzyl penicillin 18 million units i.v. daily, as 3 million units every four hours during 21 days. Two months later, he scored 28/30 at the MMSE but showing only slight improvement at the executive function battery.ConclusionNeurosyphilis remains a differential diagnosis for a wide variety of psychiatric syndromes, including dementia. However, the incidence of neurosyphilis presenting initially with frontotemporal impairment is unclear. High-risk groups such as patients with neuropsychiatric diseases should be routinely screened with serological tests in order to prevent morbidity and help to eliminate syphilis.
P01-378 - Dementia in a Young Man with Neurosyphilis
Authors: Trandafir M.-S. 
Published: June 2010

The paper presents the case of a young patient with a syndrome deteriorativ quickly installed and that does not respond to psychostimulants and psychotropic medication, but quickly responded to high doses of Penicillinum G.Case reportWe present a 43 years old men discharged from an internal medical service where the diagnosis of liver cirrhosis was refuted and confirmed the hepatitis C disease.Onset is 6 months ago with cognitive deterioration and behavioral problems, confusional episodes, importamte memory disorders. Symptomatology was exacerbated in the last two months.CT Moderate cerebral atrophyEEG revealed generalized arrhythmic slow activity;Laboratory tests : VSH 36-mm/1h,WBC 13.6-10-3/mm 3.HIV test negative.VDRL quantitative 1/1- ++++, 1/2- ++++, 1 / 4 ++++, 1 / 8 /++++, 1/16- + + +, 1/32- +THPA (positive reaction) -dil-1/80;VDRL in CSF positive + + + +ResultsPatient was treated with a high dose of penicillin G intramuscularly. The clinical symptoms improved significantly in 2 weeks and MMSE increased from12 to 22.ConclusionSyphilis and its complications must be still in medical attention. If there is cognitive dysfunction or brain atrophy of unknown cause, neurosyphilis should be considered. Treponema infection should be part of the differential diagnosis of each patient showing cognitive deterioration and behavior disturbances.
P01-380 - Sociodemographical Characteristics in Gerontopsychiatric Inpatients
Authors: Zallo E. , Arnaiz A. , Sarasola A. , Sánchez M. , Enjuto S. 
Published: June 2010

ObjectivesEpidemiological issues have an special interest among gerontopsychiaty, because of the high prevalence of mental disorders and the increasing average age of the population. According to the National Statistic Institute in Spain, in 2002 almost 7 million of the people were over 65 years old and in 2020 there is expected to be 8 million of elder people. This question associated with the decrease of birthrate, will bring about a rise in the absolut number of elder people with a mental disorder.Our main objective in this work is to study the sociodemographil profile of inpatients over 60years old in a short stay unit.MethodsThis is a prospective, descriptive study. We have collected sociodemographical and clinical characteristics of people over 60 years old that entered short stay units of two hospitals in Vizcaya, Spain, during one year. Patients with dementia were excluded.Results60 patients entered the units. The average age was 71,2 (7,26). Education; illiterate 6,6%; just read and write 46,6%; primary/elementary education 38,3%; secondary education 3,33% and higher education 5%. Marital status: single 10%; married 51,6%; divorced 8,3%; widow/er 30%. Family life: 31,6% alone; 28,33% with a paretner; 21,66% with a partner and some else; 13,33%, with their children with a partner; 3,33% old people's home.Social relationship: 5% without any relation; 25% family and neighbours; 31,6% family, neigbours and frienda; 3,33% people in the old people's home.ConclusionsIt is assumed to be important to know the characteristics of this people to guarantee an optimum assistance.
P01-381 - A Model of Manic Thought Disorder Using a Semantic Network and Disordered Thread Salience
Authors: Arun C.P. 
Published: June 2010

IntroductionManic Thought Disorder (MTD) is a characteristic clinical feature of mania. In the past, explanations of its pathogenesis have ranged from hypotheses of a disordered lexicon, to the side effects of a fatuous affect. We previously modeled thought disorder in schizophrenia using the notion of threads of thought.ObjectivesTo examine the nature of MTD to see if it is consistent with the theory of a disordered lexicon alone.AimsTo simulate the mental lexicon and thought generation and examine if computational lesioning experiments could simulate various aspects of MTD.MethodsWe modeled the mental lexicon as a semantic network using the programming language Mathematica®. Thought generation was modeled as a walk along this directed graph. Semantic priming was implemented as assigned weights; these weights in turn determined assignment of salience to threads scanning the network.ResultsAssignment of weights to the vertices and/or edges of the graph allows us to simulate the flow and trajectory of speech permitting the replication of features of MTD including pressure of speech, clang associations and flight-of-ideas.ConclusionsOur model of MTD allows us to propose that thought disorder in mania occurs due to an inappropriate assignment of salience to threads scanning the semantic network. Reduction of inappropriate thread salience by antipsychotics must result in a disappearance of MTD. While MTD is interesting to listen to, for anyone, it betrays the underlying mental computational processes involved in the generation of normal thought and MTD and hence very important for psychiatrists and cognitive scientists.
P01-388 - Individual Approach to Success Psychopharmacotherapy in Patients with Delusional Body Dysmorphic Disorder
Authors: Grahovac T. , Pavešić- Radonja A. , Rončević-Gržeta I. , Ružić K. 
Published: June 2010

IntroductionDelusional disorder is characterized in current classifications by the development of one delusional thought or set of related delusional ideas that are usually permanent. Body dysmorphic disorder is sick preoccupation with appearance of the whole body or focused on particular areas of body, when the patient is convinced that there is a change of shape, structure or function.ObjectivesWe will present 36-year old patient who was sent to a psychiatry recommended by the otorinolaringology specialist, where he was treated three years for sore throat. The patient was very focused and concerned about the problems of the target organ.AimCorrect diagnosis is very important for choosing adequate therapy.Methodsclinical interview, psychologic testing, EEG egzam.ResultsHe was treated with different combinations of drugs, but the combined therapy showed that the most effective were quetiapin, venlafaksin and valproat acid.ConclusionIndividual access and knowledge of the pathophysiological background of patients with delusional body dysmorphic disorder is of great importance in choosing psycho pharmacotherapy.
P01-390 - Systematic Parametric Assessment of Attentional Functions Based on the Theory of Visual Attention II - Discriminating Malingerers from ADHD Patients
Authors: Krupp V. , Hennig-Fast K. , Schwarzkopf W. , Müller H.J. , Finke K. 
Published: June 2010

In recent years the amount of adults claiming to have a neuropsychological disorder increased dramatically, raising the suspicion that some of them may malinger symptoms for secondary gain, such as receiving compensation or drugs. Hence, valid diagnostic tools in the assessment of neuropsychiatric conditions are of great interest. In our experiment, we investigated whether adults feigning symptoms of Attention-deficit/hyperactivity disorder (ADHD) can be successfully detected by an assessment based on the ‘theory of visual attention’, namely TVA[Bundesen, C. (1990). A theory of visual attention. Psychological Review 97, 523-547]. Therefore, we provided healthy adults with information about ADHD (available on the internet) and instructed them to feign symptoms on self-report scales, as well as on the whole report of TVA, which provides an quantitative, parametric measure of the affected and preserved attentional functions of ADHD adults. Our results show that malingerers were indeed able to feign symptoms on the conventional questionnaires, but not capable of imitating the specific response pattern on the whole report of TVA that ADHD patients show. We found a sensitivity of 80 % and a specificity of 93 % for the whole report of TVA. Beyond the detection of adults malingering ADHD, TVA may also help to identify adults feigning symptoms of other neuropsychological disorders.