bluuebunny/crossref_metadata_2025_split huggingface dataset:
Substance use disorders in bipolar patients with a painful expression
Authors: Chabert J. , Icick R. , Cabé J. , Patoz M.-C. , Moisset X. , Godin O. , Gard S. , Loftus J. , Aubin V. , Belzeaux R. , Dubertret C. , Lestrat Y. , Mazer N. , De Premorel A. , Roux P. , Polosan M. , Schwitzer T. , Aouizerate B. , Isabelle B. , Etain B. , Moirand R. , Olié E. , Haffen E. , Leboyer M. , Courtet P. , Llorca P.-M. , Brousse G. , Samalin L. 
Published: August 2023

IntroductionBipolar Disorder (BD) is a common psychiatric disease. It has been demonstrated a long time ago that bipolar patients are more painful than the healthy subjects. Substance use disorder is a frequent comorbidity in BD, but also in painful patients. The aim of our study was to analyze if bipolar patients with a painful expression have more substance use disorder than bipolar patients without pain.ObjectivesThe aim of our study was to analyze if bipolar patients with a painful expression have more substance use disorder than bipolar patients without painMethodsWe included all bipolar patients from the FACE-BD cohort which is a prospective cohort of French outpatients with BD enrolled at the 12 advanced Centers of Expertise in Bipolar Disorder (CEBD). Pain has been evaluated by the “pain item” of the EQ-5D scale and we divided subjects in four categories: “no pain”, “slight pain”, “moderate pain”, “severe or extreme pain”. A multivariate analysis was performed to identify differences between each pain’s groups according to the kind of substance use disorder, psychiatric comorbidities and clinicals data.ResultsThe cohort enrolled 1897 bipolar patients, 970 had no pain (51.1%), 507 had slight pain (26.7%), 298 had moderate pain (15.7%) and 122 had severe or extreme pain (6.4%). We found significant differences according to age, comorbidities and clinicals data with older, more anxious, and more severe patients more represented in the more painful groups. Painful bipolar patients had also more frequently lifetime substance use disorders (alcohol, opioid, sedative, marijuana) and we were able to characterize different profiles in bipolar patients.ConclusionsBipolar patients with a painful expression had more risks to have a lifetime substance use disorder, an anxiety disorder, and a higher score on MADRS. Interestingly, subjects seemed to prefer substances with anxiolytic or antalgic effects during the acute intoxication as alcohol, marijuana, opioid and sedatives.Disclosure of InterestNone Declared
Full-time hospitalization in child and adolescent psychiatry: an overlook of the Tunisian situation
Authors: Sahli L. , Abbes Z. , Halayem S. , Bouden A. 
Published: August 2023

IntroductionAdmissions in a child psychiatry unit can be voluntary or unvoluntary in some cases when the patient meets specific criteria.ObjectivesThe aim of our study was to assess the frequency and trend over time of admissions of minors in the child psychiatry department in Razi Hospital between 2011 and 2019, and to examine the psychiatric diagnoses in involuntary admissions of minors.MethodsWe conducted a retrospective study of medical records of inpatients admitted to the hospitalization unit of the child psychiatry department in Razi Hospital in Tunisia between 2011 and 2019.ResultsOver the nine years, the total number of hospitalizations was 924. There is a slight female predominance over the total number of hospitalizations (sex ratio = 0.85). There was no consistent and significant change in the number of hospitalizations between 2011 and 2019. A growing increase in the number of compulsory hospitalizations was noted. From 2011 to 2019, the number of compulsory admissions increased from 03 in 2011 to 22 in 2019.Regarding compulsory hospitalizations, admission requests came from child protection delegates, public prosecutors or family judges. Conduct disorder was found in 33.3% of the cases followed by a normal psychiatric examination in 11.8% of the cases. Mood disorders were found in 9.8% of the cases.ConclusionsOur study shows the explosion in the number of compulsory hospitalizations despite a relatively stable total number of hospitalizations. More comprehensive guidance for legal authorities is needed regarding the compulsory admission of minors.Disclosure of InterestNone Declared
Compulsory hospitalization in child psychiatry: clinical and sociodemographic profile of Tunisian inpatients
Authors: Sahli L. , Abbes Z. , Halayem S. , Bouden A. 
Published: August 2023

IntroductionThe department of child psychiatry in Razi Hospital is the unique psychiatric unit in Northern Tunisia offering full-time hospitalization for minors with mental health disorders.ObjectivesThe aim of our study was to explore the clinical and therapeutic characteristics in compulsory admissions of minors in the department of child psychiatry in Razi hospital between 2011 and 2019.MethodsWe conducted a retrospective study of medical records of inpatients admitted to the hospitalization unit of the child psychiatry department in Razi Hospital in Tunisia between 2011 and 2019.ResultsOver the nine years, the total number of compulsory admissions was 74 inpatients, aged from 11 to 16 years old. The number of compulsory admissions increased from 03 in 2011 to 22 in 2019. Most of the inpatients were boys (sex ration=1.46). The mean age was 14, 1 year old. Heteroagressiveness was the reason for admission in half of the cases followed by risk behaviors (30.1%) and suicidal behaviors (18.6%). The diagnosis of conduct disorder was found in 33.3% of the cases followed by a normal psychiatric examination in 11.8% of the cases. Mood disorders were found in 9.8% of the cases. Parental psychoeducation (100%), individual psychotherapy (91%) and family therapy (88,2%) were the treatment of choice for the inpatients. The prevalence of psychiatric medication was 45.1%. The most important forms of medication used were neuroleptics (42.3% of medicated patients) and mood stabilizers (30.7%). Child protection delegates were involved in 86,4% of the cases for social intervention.ConclusionsMinors admitted in an involuntary mode to psychiatric unit have their own specifities in terms of clinical and therapeutic characteristics. More theoretical and empirical research is needed regarding the involuntary admission of minors.Disclosure of InterestNone Declared
Motivation of medical employees in the context of the COVID pandemic
Authors: Trifu S. , Trifu A. C. , Ciubară A. 
Published: August 2023

IntroductionThe Covid-19 pandemic has restructured the entire health care system. As systems of care were overwhelmed, many health professionals in related professional areas became increasingly involved in providing medical aid. We highlight a comparative analysis between two psychiatric wards of the same hospital, with qualified medical staff, with similar levels of competence, one of the wards caring for patients exclusively with major psychiatric pathologies, and the other patients with associated SARS-COV2 infection.ObjectivesConsidering that motivation at work depends on a multitude of factors, in our case, stress related to contamination, situational anxiety generated by psychiatric patients who arepartially inside on COVID infection, can decrease the motivation to perform a quality psychiatric medical act. Resilience and organizational civic behavior are instead variables with the role of maintaining professional motivation at an optimal level and enhancing dedication.MethodsWe applied questionnaires aimed at motivation at work in relation to the dependent variables: stress, anxiety, resilience and civic organizational behavior in two different departmentsof the psychiatric hospital, a ward where patients were admitted positively confirmed COVID 19, versus a ward with non-COVID psychiatric patients.ResultsPsychiatric medical staff are trained to treat predominantly psychomotor agitation, violent behavioral syndromes, suicide attempts, psychotic illnesses. 95% of the employees of theCOVID support department stated that they prefer to take care of 10 agitated patients, than one patient with COVID. The stress came in most cases from: insufficient supportequipment, insufficient doctor to coordinate nurses, lack of experience with somatic patients, fear of contamination generated by non-compliance with protective measures by psychiatric patients.ConclusionsResilience and civic organizational behavior kept staff motivation at an optimal level, but lower than would have been appropriate. Also, motivation at work was lower compared tothe non-COVID psychiatric ward.Disclosure of InterestNone Declared
The Impact of COVID-19 on Forensic Rehabilitation in Austria
Authors: Koch M. , Dvorak A. , Hobersdorfer M. , Yeghiazaryan L. , Rabl U. , Komorowski A. 
Published: August 2023

IntroductionIn general, forensic psychiatric patients experience major restrictions of freedom. To mitigate the risk for the coronavirus disease 2019 (COVID-19), even more restrictions were implemented in Austrian mental health institutions in 2020. Besides potential deterioration of psychopathological symptoms, exaggerated freedom-restricting measures may limit the forensic rehabilitation of offenders.ObjectivesGiven that rehabilitative efforts and social visits were suspended for more than a year, this study aimed to evaluate the impact of the COVID-19 pandemic on the psychosocial rehabilitation of forensic psychiatric patients.MethodsThis retrospective longitudinal observational study evaluated institutional data before and after the enactment of freedom-restricting measures in an Austrian forensic mental health institution. Data were obtained from 97 offenders treated at the institution Justizanstalt Göllersdorf during two time periods (January 2019 – March 2020 and March 2020 – May 2021). Statistical differences between both periods were assessed by means of Wilcoxon signed-rank tests. Study outcomes included the number of visits by relatives and legal guardians as well as rehabilitative activities.ResultsAfter the outbreak of the pandemic, access to penal institutions was limited for external visitors, which led to a decrease in visits by relatives (1440 vs. 394, p < .001) and legal guardians (286 vs. 122, p = .003). Further, the total number of one-day temporary releases of patients (64 vs. 3, p < .001) and group excursions (103 vs. 10, p < .001) decreased in the second study period.ConclusionsFocusing on social contacts and rehabilitative activities, this study highlights the impact of the current pandemic in forensic psychiatry. While COVID-19-related protective measures may reduce the risk for disease transmission, enforced quarantine and other restrictions of freedom impair the rehabilitation of forensic psychiatric patients. This implies the necessity for guidelines to uphold an appropriate standard of care during future pandemics.Disclosure of InterestNone Declared
Psychosocial factors and coping strategies associated with alcohol use during the COVID-19 pandemic
Authors: Papadopoulou A. , Skyftou K. , Efstathiou E. , Gkikas K. , Kaloudi E. , Bali P. , Papazachos K. , Tsaklakidou D. , Efstathiou V. 
Published: August 2023

IntroductionThe investigation of alcohol use and its correlates during the ongoing COVID-19 pandemic is of utmost importance.ObjectivesThis study aimed to examine alcohol use during COVID-19 pandemic, while nationwide lockdowns were in effect in Greece, and its relationship with demographic, clinical, and psychosocial factors.MethodsThe study included 378 individuals (225 women) with a mean age of 30.22 years who completed an online questionnaire during the third wave of the pandemic while restriction measures were in effect (March to April 2021). Participants completed Alcohol Use Disorders Identification Test (AUDIT), Fear of COVID-19 Scale (FCV-19S), Depression, Anxiety and Stress Scale (DASS-21), Coping Orientation to Problems Experienced Inventory (Brief-COPE) and the Multidimensional Scale of Perceived Social Support (MSPSS).ResultsAccording to the results, alcohol use was negatively associated with COVID-19 fear (p = 0.011), and positively associated with anxiety (p = 0.024), depression (p<0.001) and avoidance-focused coping strategies (p = 0.003). Furthermore, perceived social support emerged as a significant protective factor against alcohol use. Men presented higher alcohol use levels compared to women (p = 0.002). Additionally, individuals identified as problematic users, based on AUDIT scores, displayed increased levels of anxiety (p = 0.028) and depression (p = 0.017) and used avoidance-focused coping strategies to a greater extent (p<0.001). Of note, higher alcohol use was observed in participants who lived alone (p<0.001) and in those whose work status had changed during the pandemic (p = 0.004).ConclusionsOur findings highlight the importance of identifying individuals with problematic alcohol use, as well as recognizing crucial psychosocial factors related to alcohol use especially during the pandemic.Disclosure of InterestNone Declared
Post-traumatic stress disorder and post COVID 19 syndrome
Authors: Halouani N. , Gdoura D. , Bouattour N. , Turki M. , Moussa N. , Ellouze S. , Aloulou J. 
Published: August 2023

IntroductionPatients hospitalized in the case of COVID19 have had to face a complex and potentially very stressful situation. In this context a screening program for psychological distress in patients with COVID19 is necessary.ObjectivesTo screen for post-traumatic stress disorder post COVID19 and to identify the epidemiological and clinical factors correlated with this disorder in post COVID19 patients.MethodsA descriptive and analytical cross-sectional study that took place during the period from 1st March to 15th May 2021 with 154 patients who were hospitalized at the COVID19 unit at Hedi Chaker Hospital Sfax.We used a pre-established form to record sociodemographic, clinical and therapeutic data. The post-traumatic stress disorder was assessed by the “Impact of Event Scale-Revised”.ResultsThe mean age was 66.62 ± 13.34 years with a male predominance of 60.4%. In our sample, 77.9% of the patients had a somatic history, of which hypertension was the most frequent pathology (46.1%). The average length of hospitalization was 9.5 days ± 6.3. The form was considered severe in 27.9 cases.
According to the IES-R scale, twenty-one patients (13.6%) had post-traumatic stress disorder, with a predominance of women (57.1%).A significant association was found between marital status and post-traumatic stress disorder. Thus, married or widowed patients are more likely to develop PTSD.In the present study, we did not find statistically significant associations between the clinical characteristics of the disease (severity of the disease, length of hospitalization, functional signs) and post-traumatic stress disorder.ConclusionsPsychological support interventions in surviving patients of COVID 19 is necessary aiming to increase resilience, manage coping strategies and decrease the deleterious impact of the pandemic on mental health.Disclosure of InterestNone Declared
Investigating Changes in the Psychological Health Before and During the COVID Pandemic:
A Comparison Study among Turkish Immigrants living in Germany
Authors: Cindik-Herbrüggen D. E. D. 
Published: August 2023

Introduction
It was stated in other studies that the prevalence of anxiety, depression, and anger
increased among the general German population throughout the pandemic (Beutel et al., 2021;
Rossi et al., 2020; Smith et al., 2021). Besides, there has been an increase in mental
problems among individuals with psychiatric disorders and the immigrant population in
society. Migrants are considered a vulnerable group during the outbreak due to low
socio-economic status, job losses, and language difficulties.

Objectives
This paper aimed to investigate changes in the psychological health of Turkish
immigrants living in Germany during the COVID-19 pandemic. Furthermore, sociodemographic
differences as a key factor were analysed in this study. Individuals with lower incomes were
expected to suffer more from mental health problems.

Methods
The participants of this research were mainly first and second-generation Turkish
immigrants. They were pre-screened for a previous history of mental disorders and screening
was performed with SCL-90-R. Of all 177 participants who completed the questionnaire between
October 7, 2019, and February 2020, they were recruited again between August 10, 2020, and
December 10, 2020, during the pandemic.

Results
According to the findings, a significant difference was found for depression (t=-5.36,
p<.001), anxiety (t=-3.01, p<.001), and hostility (t=-3.70, p<.001) between the mean
scores of the participants before and during COVID-19 pandemic. It was found that the
increase in depression and anxiety symptoms during the coronavirus pandemic was higher among
participants with low-income levels (p<.001).

Conclusions
The mental health of our study participants worsened during the current COVID-19
pandemic. Turkish immigrants reported having higher depression, anxiety, and hostility scores
in comparison with previous test scores conducted before the outbreak. Participants with low
income were at the highest risk for COVID-19-related depression and anxiety.

Disclosure of Interest
None Declared
Organic and psychiatric symptoms of “Long COVID” among Tunisian patients: a cross sectional study
Authors: Zaouali F. , Chaouch A. , Boubaker F. , Bouchareb S. , Mrabet H. E. , Ben Mabouk A. , Touil I. , Boussofara L. , Knani J. , Boudawara N. , Alaya W. , Sfar M. H. 
Published: August 2023

IntroductionLong COVID is a condition characterized by long-term health problems persisting or appearing after the typical recovery period of COVID-19. Physical symptoms such as respiratory, neurological and musculoskeletal complaints were initially described in the foreground. A little after, psychological disorders have been widely reported.ObjectivesThe aim of this study was to screen for somatic and anxio-depressive disorders of Long COVID.MethodsA cross sectional descriptive study included the patients consulting within a minimum of 1 month after a COVID-19 infection. It was conducted at Taher Sfar university hospital of Mahdia over a period of one year from March 2020 to March 2021. A questionnaire and physical examination were used to look for physical symptoms and the Hospital Anxiety and Depression scale (HAD) was used to screen for anxio-depressive disorders.ResultsWe recruited 137 patients. The median age was of 60 years with a sex ratio M/F at 0.073. Obesity was the most frequent comorbidity (36%) followed by diabetes (35%) and hypertension (32%). More than a quarter of patients was hospitalized (30%) during the acute phase, while the others (70%) were confined at home. The median stay duration at home or hospital was of 10 days with extremes ranging from 0 to 21 days. The most frequent post-COVID symptoms were dyspnea, mood disorders, myalgia, arthralgia, dry cough, sleep disorders and anorexia in 45%, 30%, 30%, 20%, 16%, 15% and 14% of cases, respectively. Pulmonary auscultation was normal in 86% of our patients, for the others we noted crackles, ronchi and wheezing among 9%, 1% and 1% of patients. The median oxygen saturation was 97% with a range from 93 to 99%. The majority of our patients (120) had saturation more than 95% in ambient air. The median HAD score was situated at 19 [8, 33]. Anxio-depressive disorders were present 61% of cases. A severe depression was noted among 24% of patients. and a severe anxiety among 28% of them.ConclusionsOur study highlighted a high prevalence of anxio-depressive disorders (62%) which exeeds the prevalence described in the literature. The systematic use of the HAD scale among consultants could be the explanation. Thus, psychological screening and support should be considered when managing patients having a history of COVID-19 infection. Citizens should comply with the relevant legal provisions making vaccination compulsory as it was found that COVID-19 vaccination reduced long COVID risk.Disclosure of InterestNone Declared
Psychiatric consequences in hospitalized patients affected by COVID-19 (RECOVER-PSY)
Authors: Wiedenmann F. , Fior G. , Bergamelli E. , Del Giudice R. , Gambini O. , D’Agostino A. 
Published: August 2023

IntroductionCOVID-19 had a significant impact on the mental health of the affected population. Such multifactorial risk for a deterioration of mental health suggests the need to identify groups of patients with psychiatric vulnerability and to establish strategies of intervention based on scientific evidence.ObjectivesThe aim of the study was to identify psychiatric outcomes one year after recovery and possible associations between these and the clinical, anamnestic, and sociodemographic variables.MethodsThe Mini International Neuropsychiatric Interview was employed to assess current and lifetime mental illness in a cohort of 100 patients discharged between March and April 2020 from COVID-19 wards of the San Paolo Hospital in Milan, Italy. The Kendall rank correlation coefficient was administered to measure the ordinal association between clinical-demographic variables and the psychiatric diagnoses of patients. Bivariate correlation was used to explore the association between psychiatric outcomes and the sample characteristics.ResultsAlmost one third of subjects screened positive for a diagnosis of a new psychiatric disorder, and a novel onset of psychiatric morbidity did not differ significantly in patients with and without a positive history of mental illness (42 and 58%). New psychiatric disorders were grouped into stress reactions, anxiety-group disorders and mood disorders. Concerning demographic characteristics, advanced age represented a protective factor against the onset of new psychiatric disorders (rτ = -0,203, p =0,008). Despite a lower risk of contracting the infection, women in our cohort were more vulnerable to psychiatric post-Covid symptoms (rτ =0,190, p =0,029). The correlation between the onset of new psychiatric disorders and some pre-admission vulnerability factors, such as an overweight condition (rτ =0,185, p =0,026) and a positive medical history for cigarette smoking (rτ =0,203, p =0,026), were statistically significant. Moreover, subjects who reported taking a therapy to control the infection prior to hospitalization were more likely to receive a new psychiatric diagnose (rτ =0,269, p =0,005). Of note, variables related to the severity of hospitalization such as oxygenation intensity, days of hospitalization, or requirement of intensive car were not associated with new psychiatric diagnoses.ConclusionsThe onset of psychiatric disorders shows a relevant frequency in patients hospitalized for COVID-19, suggesting that mental health services should structure adequate screening and diagnosis methods. Three levels of intervention can also be expected to reduce the overall risk and burden of psychiatric morbidity: increasing awareness regarding modifiable risk factors; guaranteeing a minimal level of mental health support to patients hospitalized for COVID-19; providing personalized interventions with respect to gender and age groups.Disclosure of InterestNone Declared