bluuebunny/crossref_metadata_2025_split huggingface dataset:
P03-252 - Alcohol Use And Related Problems Among University Students: A Prevalence Survey In Belarus
Authors: Osain Welcome M. , Alekseevic Pereverzev V. 
Published: June 2010

ObjectivesAlcohol use is a major public health problem in the general students’ population in Belarus. We therefore screen for the prevalence and trace the order of increase in alcohol use and related problems among students in Belarusian universities.MethodsA total of 565 (1st-2nd courses, mean age - 19yrs); 537 (3rd - 4th courses, mean age - 21yrs); and 397 (5th - 6th courses, mean age - 23yrs) university students in Minsk, Belarus were administered questionnaire, containing the AUDIT, CAGE. The cut-off point on the AUDIT was set at 8. All statistical analyses were performed using SPSS 16.0 version for Windows; the criteria of Pearson, χ2 and Student's t testsñ. The probability value for significance was set at p< 0.05.ResultsAlcohol use and related problems increased with increase in the average age and year of study. In the 1st - 2nd, 3rd - 4th, 5th - 6th, alcohol users were 83.6%, 85.6%, 94.2% respectively and problem drinkers were 14.5%, 17.9%, 20.9% respectively. The use of strong strength alcoholic beverages was linked to a high risk of alcohol problems.ConclusionThe level of alcohol use and related problems in the general students’ population in Belarus are high and show increase in order of increase both in the average age and the year of study.
P03-253 - Attitudes And Response Of Opioid-Dependent Clients To Receiving Certificates As Contingency Management- A Qualitative Survey
Authors: Pradhan S. 
Published: June 2010

IntroductionThe UK NICE Guidelines recommends Contingency Manangement as “the only psychosocial intervention wIth clear evidence for effectiveness as an adjunct to drug detoxification”.Most resarch has been done with money,vouchers as incentives,raising ethical issues.AimsThe aim of this study is to analyze the subjective attitudes of clients and changes in their recovery process,when awarded certificates as incentives for giving clean drug screens and complying with care-plan.MethodsClients were awarded 3 tiered certificates on providing a specific number of random consecutive negative drug screens to Heroin and Cocaine. Screens were deemed positive, if the client did not attend their appointments.Level 1- three negative drug screens.Level 2- six negative drug screensLevel 3- ten negative drug screens.Study questionnares were filled by key-workers and clients.Results15 clients received certificates.12 clients knew about certificates before their treatment began.100% clients reported higher motivation to achieve subsequent certificates.100% clients reported ‘encouragement’ to produce negative drug screens.73% clients reported ‘encouragement’ to attend appointments with key-workers.100% clients reported improved self-esteem.100%clients reported positive responses from family, friends and clinicians.100% reported a positive shift in their attitudes & behaviours towards drugs.A few clients agreed that certificates enhanced their determination to give negative drug screens but would have done either ways.ConclusionsContingency management is a positive and effective adjunct to opiod detoxification. It should be incorporated into detox regimes more robustly and consistently.Certificates as Contingency management raise no ethical issues,requires no staff training and requires low budget.
P03-267 - Impulsivity As Predictor Of Non-Fatal Overdose Among Opioid Users
Authors: Vucetic-Arsic S. , Stankovic M. , Alcaz S. 
Published: June 2010

ObjectivesHeroin use has been associated with increased impulsive behavior. Overdose (OD) is a common cause of death among in opioide users, but majority of them report a history of non fatal OD. The aim of this study has been to observe the role of impulsivity among heroin users, as a prominent factor which can lead to non-fatal OD.MethodsSixty patients, heroin users (30 male and 30 female), were separated in two groups- first with positive history of non fatal OD and intravenous administration opoides and second without history of OD and same addiction pattern. Control group was formed of 30 heroin users reported non fatal OD and with intranasal administration opioides.The psychometric inventory- Barrat Impulsivity Scale (BIS 11), Dickman Impulsivity Inventory (DII), and Sensation Seeking Scale (SSS) were also administrated to patients with Hamilton Depression Rating Scale (HAMD).ResultsThe results have demonstrated significantly higher mean scores on Barrat and Dickman scale, compared with control. Separated analyses of variance conducted on Motor Barrat Subscale and Dysfunctional impulsives on Dickman Inventory revealed significant correlation in mean scores (p< 0.01).The important relationship between seeking for sensation and motor impulsivity was shown.There is no relevant diference detected on HAMD compared to control.ConclusionChronic abuse of illicit drugs, such as heroin, produces significant deficit in executive control functions.These findings suggests that impulsivity could be associated with increase risk of non- fatal overdose.
P03-276 - Prevalence Of Posttraumatic Stress Disorder In The Severe Mental Illness: Clinical Implications
Authors: Alvarez M.J. , Cecilia R. , Oses A. , Foguet Q. , Sola J. , Roura P. , Arrufat F.X. 
Published: June 2010

IntroductionIn some different studies, a high prevalence of posttraumatic stress disorder (PTSD) has been found in patients with several mental illness (SMI): schizophrenia, schizoaffective and bipolar disorder.AimsEvaluate the prevalence and correlates of PTSD in a sample of patients with SMI.MethodsAdult patients with schizophrenia, schizoaffective disorder or bipolar I disorder were enrolled.Patients who score 3 or more in conceptual disorganisation, hallucinations and/or unusual contents of thinking and 4 in another item of the Brief Psychiatric Rating Scale (BPRS) were excluded.InterventionsSociodemographic dataTraumatic Live Events Questionnarie. Kubany ang Hayne, 2001.Distressing Event Questionnaire. Kubany anb Haynes, 2001, related to PTSD diagnostic DSM-IV criteria.Results102 patients were included.The diagnostic subgrup of SMI patients were: 40 bipolar disorder, 52 schizophrenia and 10 schizoaffective desorder.The prevalence of PTSD was found in 15.1%: Criterion B (reexperiencing) 34.4%, Criterion C (avoindance and numbing) 27.1%, Criterion D (hyperarousal) 27.1%.The PTSD was more prevalent in females: 21.7% versus 8.5% (p 0.074). Only in criterium of hyperarousal the differences of gender were significatives (p 0.02).There were no significative differences in dignostic subgrups (p 0.381).Patients with PTSD had some suicide attempt history in 64.3% versus in 35.7% the patients without PTSD (p 0.042).ConclusionsThe comorbidity of PTSD in SMI was found in a fifteen percent, and only three patients had been diagnostiqued.PTSD is significantly related to history of suicide attempts in patients with SMI.
P03-298 - Dimensions Of Personality And Suicidal Attempts
Authors: Lukic B. , Perunicic I. , Mandic V. , Lecic Tosevski D. 
Published: June 2010

Background and aimsDepression is among the most prevalent psychiatric conditions in general population. Previous reports established a link between suicidal attempts and major depressive disorder (MDD). There is a large number of risk factors which can participate in suicidal behavior. Many studies showed the role of personality dimensions such as borderline personality dimensions risk factors of suicidal behavior. The aim of this study was to assess dimensions of personality in inpatients who were hospitalized after suicidal attempt.MethodThe sample consisted of sixty inpatients with MDD diagnosed with ICD X. There were thirty patients with suicidal attempt and thirty with no history of suicidal attempts. The assessment of personality dimensions was carried out by the Millon Clinical Multiaxial Inventory III (MCMI III).ResultsOur findings have shown that borderline and masochistic dimensions were more frequently present in the group of patients with suicidal attempts. Compulsive dimensions were more present in the group of patients with no history of suicidal attempt.ConclusionBorderline personality dimensions with underlying impulsivity and low level of self-confidence might be potential risk factor for suicidal behavior, while the patients with a rigid system of organization and conscientiousness are less prone to suicidal behavior. Assessing personality dimensions is recommended in the process of psychodiagnostics and might be useful in preventive interventions.
P03-304 - Sex, Ethnic And Alcohol Abuse Differences In South Tyrolean Suicides: Two Psychological Autopsy Studies
Authors: Pycha R. , Pompili M. , Giupponi G. 
Published: June 2010

ObjectiveThe aims of the two pieces of work are to study wheter any differences exist in the rates and characteristics of suicide by ethnicity, sex and alcohol abuse in South Tyrol, Italy.MethodsPsychological autopsy interviews were conducted for suicides who died between March 1997 and July 2006.Results332 individuals belonging to the three major South Tyrolean ethnic groups (Germans, Italians and Ladins, who speak a Rhaeto-Romance language) died by suicide.Germans were 1,37 times more at risk to commit suicide than Italians (95% CI 1.04/1.80; z=2.26, p< .05). 69% of the suicides had attended school for less than 8 years, and Germans (OR 4,62; 955 CI:2.52/8.47; p< .001) were more likely to have lower education than Italians. A further comparison of 267 male victims with and without alcohol abuse in their history evidenced that alcohol abusers were 3,5 times more likely to have low educational attainment, 4,22 times more likely to have been unemployed or have employment instability and 2.29 times more likely to have job security than male suicides without alcohol use disorders.ConclusionsThe study indicates that suicide, an alarming health problem in South Tyrol, may require different preventive interventions for men and women, for those of different ethnicities and for people with and without alcohol use disorder.
P02-380 - The Social Climate Of A Women'S Forensic Pathway Of Care According To Level Of Security, Diagnosis And Therapeutic Alliance
Authors: Fox E. , Anagnostakis K. , Somers J. , Silaule P. , Long C. , West R. 
Published: June 2010

IntroductionThe social climate of a unit is an important feature in treatment outcomes (Moos 1974). The Essen Climate Evaluation Schema (EssenCES; Schalast et al 2008) has been developed specifically for forensic settings but research in secure settings for women has been limited.ObjectivesTo compare staff and patient perception of social climate and it's relationship to therapeutic alliance, motivation to change and level of disturbance across levels of security within a women's secure care pathway.AimsTo assess the implications for therapeutic milieu and service development.MethodQuestionnaire survey of staff and patients in 2 medium and 2 low secure units using; EssenCES (Shalast et al 2008); California Psychotherapy Alliance Scale (Mormar et al 1986); and Patient Motivation Inventory (PMI; Gudjonsson et al 2007).Comparisons are made across levels of security, treatment programme, therapeutic alliance, patient motivation and disturbed behaviour.ResultsSocial climate varied between levels of security and was also found to co vary with perceived therapeutic alliance and patient motivation to change. Differences between staff and patient ratings along with treatment implications are discussed.ConclusionMeasuring the social climate in a secure women's service is an important part of a wider assessment of the therapeutic milieu that has practical implications for the ongoing development of therapy services.
P02-384 - Coping Of Stress In Women In Terminal Stage Of Oncological Disease
Authors: Markova M. , Martynova Y. , Kuzhel I. 
Published: June 2010

ObjectivesThe study was conducted on the basis of the Department of Palliative Medicine of the Kiev City Oncology Hospital from August 2008 to September 2009.The aim of the study was to identify the psychoemotional condition of women in the terminal stage of cancer and identify key factors that will influence the effectiveness of coping with the stressful situation.MethodsAssessment tools: surveillance, clinical and diagnostic interview, objective psychometric scales and test methods to identify the studied trait. The data were subjected to quantitative analysis with subsequent qualitative interpretation and meaningful generalization.ResultsIt was examined 193 women with cancer diagnosed in the terminal stage of disease. For all patients were characterized by an aesthetic syndrome combined with depressed (34%), anxiety (47%), less hypochondriac (11%) manifestations of depending on personality traits and physical condition. We have identified the following factors that affect the effectiveness of coping with stress, the introduced disease: the ability to control the physical symptoms, especially pain, individual-typological personality characteristics of patients, on the presence of emotional supported by the family.ConclusionsCoping behaviour was better in families of women, which practiced open communication about the illness, maintains the atmosphere of openness, the patient was actively involved in issues concerning the tactics of treatment, symptoms to monitor. Thus, family psychological counselling must be included in the program to help women with cancer in terminal stages of disease.
P02-387 - Depressive Symptomatology In Pregnancy Detected With Epds: The Problem Of False Positive
Authors: Mauri M. , Banti S. , Borri C. , Rambelli C. , Ramacciotti D. , Oppo A. , Montagnani M.S. , Camilleri V. , Cortopassi S. , Cianelli E. , Ciberti A. , Giorgi Mariani M. , Cassano G.B. 
Published: June 2010

ObjectiveLiterature underlines that the Edinburgh Postnatal Depression Scale (EPDS) was the most common measure to assess pregnancy and postpartum depression worldwide and suggests that the rate of false positive cases is high. Furthermore, the EPDS measures, but not distinguish between depression and anxiety. The aim of this study was to value the ability of the Mood Spectrum Self Report Last Month (MOOD SR LM) to detect the rate of false positive obtained with EPDSMethodWe recruited 81 pregnant women at the third month of pregnancy. 32 women were affected by Major Depression (MD) assessed by Structured Clinical Interview for DSM IV Axis I Diagnosis and 49 women had EPDS score ≥ 13 but didn’t reach the diagnosis of MD by SCID I(False posivite group). Women were administered with the Postpartum Depression Predictors Inventory-Revised (PDPI-R), MOOD SR-LM, Work and Social Adjustment Scale(WSAS) at the third month of pregnancy.ResultsThe two groups wasn't different concerning the average scores using PDPI and EPDS. The WSAS average scores were higher in the depressed women group than in the false positive group. Tree factors of MOOD SR LR (“Depressive Mood”, “Psychomotor Retardation and “Drug/Illness related Depression”) had higher average scores in the depressed women group than in the false positive group.ConclusionTo our results, MOOD SR LM seem to be able to decrease the false positive cases. Further studies concerning this use of MOOD SR LM are necessary.
P02-390 - Psychological Aspect Of Social Adaptation Of The Woman
Authors: Panchenko L. , Zozul N. 
Published: June 2010

Research objectiveTo reveal presence of psychological problems which influence quality of a life in women.Objective210 persons of the female which age has made I8-50 years Have been surveyed. From them working 169 people (80,4%), idle - 41 people (19,5%).MethodsClinical questionnaire for revealing of neurotic conditions, method of colour elections Lusher; statistical method of research.Mmore often others such complaints, as dream infringement, the irritability, the raised uneasiness, sensitivity, feeling of injustice are marked. Disputed interpersonal situations became most often psychoinjuring factor for clients, situations of humiliated own advantage, experience of cruel treatment comes from the childhood.ResultsBy the received results at 172 women (82%) various variants desadaptation have been revealed: clinically significant depression - 75% (129 people), the raised level of alarm - 56,3% (97 people), hysterical frustration - 20,3% (35 people), astenic - 58,7% (101 people), vegetative infringements - 89% (151 people), obsessiv-fobic frustration - 26,7% (46 people). On method of colour elections high level of uneasiness and an emotional pressure is diagnosed for 116 women (67,4%), working capacity decrease in 100% of cases (172 women). The others 38 clients (18%) - is marked norm (p≤0,01).ConclusionsWe have come to conclusion about necessity of creation of the psychocorrectional program and the psychopreventive help which will consist in increase stress stability, frustration tolerances, responsibility for the health, development sanogenic thinking, -relaksation and the corporally-focused programs which will be given as a method trening exessize, and individual consultations for the female population.
P02-391 - Use Of Electro Convulsive Therapy For Treatment Resistant Major Depressive Disorder In Pregnant Patients : Case Series
Authors: Passov V. 
Published: June 2010

IntroductionUse of electro convulsive therapy (ECT) in pregnancy has been a controversial issue for a while, and the data describing cases where ECT was utilized, is limited.Objectives/aimsThe study describes two cases with reference to presenting psychopathology, course of treatment, and previous strategies used. This is followed by a discussion of risks and benefits of ECT use in pregnancy as well as monitoring measures which help prevent negative outcome.MethodsTwo cases of treatment resistant depression during pregnancy are described. The details about treatment approaches used prior to consideration of ECT are provided.ResultsECT was considered as a last resort and both patients decided to undergo treatment. By the end of the intensive treatment course improvement of symptoms was noticed in both patients to a greater to lesser degree.ConclusionIn cases when medication trials alone or even in combination with psychotherapy do not result in significant improvement of depressive symptoms, ECT may be used to maximize positive treatment result in pregnant population. It is an effective treatment for severe mental illness, however, proper monitoring system needs to be in place to minimize negative outcome for fetus and mother.
PW01-01 - Treatment of Atypical Depression: Post-Hoc Analysis of a Rct Testing The Efficacy Of Sertraline and Cbt in Primary Care Patients
Authors: Allgaier A.-K. , Mergl R. , Hautzinger M. , Kohnen R. , Coyne J.C. , Möller H.-J. , Hegerl U. , Henkel V. 
Published: June 2010

ObjectivesAtypical features are common among depressed primary care patients, but clinical trials testing the efficacy of psychopharmacological and/or psychotherapeutic treatment are lacking. This paper examines the efficacy of sertraline and cognitive behavioural therapy (CBT) among depressed patients with atypical features.MethodsAnalyses involve a double-blind comparison of sertraline versus placebo (N=47) and a single-blind comparison between CBT versus a guided self-help group (GSG) (N=48), with primary efficacy endpoints being the Inventory of Depressive Symptomatology (IDSC) and Hamilton Depression Scale (HAMD-17).ResultsIn intent-to-treat (ITT) analyses, the decrease on the IDSC scale (and HAMD-17) was greater after CBT compared to GSG: p=0.01 (HAMD-17: p=0.01). The difference between SSRI versus placebo was not significant: p=0.22 (HAMD-17: p=0.36). At endpoint, the CBT versus GSG difference in mean change from baseline IDSc scores was 7.69 points (HAMD-17: 4.97 points), the sertraline versus placebo difference was 3.07 points (HAMD-17: 0.59 points).ConclusionsThe data provide a preliminary suggestion that the mix of patients with minor or mild major depression with atypical features may not be best treated with an SSRI, but that these conditions might be amenable to CBT. Although SSRI were not superior to placebo, it would be premature to rule out SSRI as efficacious in atypical depression.
PW01-11 - Effect of Adjunctive Aripiprazole on Quality of Life in Patients With Major Depressive Disorder: Pooled Data From Three Clinical Trials
Authors: Gismondi R. , Loze J.-Y. , Baker R. , Jing Y. , Corey-Lisle P. , Rollin L. , Tran Q.-V. , Forbes R. , Berman R. 
Published: June 2010

IntroductionAssessing impact of treatment from the patient perspective provides additional information about treatment efficacy in major depressive disorder (MDD) trials.ObjectivesPooled data from three identically designed clinical trials showed aripiprazole adjunctive to antidepressant therapy (ADT) was effective in treating MDD.1MethodsPatients who completed an 8-week prospective ADT phase with inadequate response were randomized double-blind to 6-weeks adjunctive treatment with aripiprazole or placebo. The Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) is a 16-item, self-report measure to evaluate daily functioning, with higher scores indicating better satisfaction. Comparisons of mean change from baseline (Week 8) to Week 14 in Q-LES-Q-SF items and general subscores were performed using ANCOVA (LOCF).ResultsThere was significant improvement in the Q-LES-Q-SF Overall-General subscore (total of items 1-14 expressed as a percentage of the maximum possible score) in the aripiprazole-treatment group (9.49% [n=507]) vs placebo (5.71% [n=492] p< 0.001). Placebo was significantly higher than aripiprazole in Physical Ability (placebo 0.13 vs aripiprazole 0.02, p=0.020). Aripiprazole was significantly higher than placebo in all other items except Physical Health and Vision. Aripiprazole also produced significant increases in both the Satisfaction with Medication (Item 15) (aripiprazole 0.36 vs placebo 0.20, p< 0.01) and Overall Satisfaction (Item 16) (aripiprazole 0.61 vs placebo 0.35, p< 0.001) scores.ConclusionsResults emphasize that assessment of patient functioning and quality of life may have utility both in clinical trials and clinical practice.2