bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘MALADAPTIVE DAYDREAMING’: An introduction to a new condition
Authors: Thorburn C. 
Published: August 2023

IntroductionDaydreaming is a normal, very common experience in childhood and adulthood. However, a new phenomenon – termed ‘Maladaptive Daydreaming (MD)’ – which takes daydreaming to an extreme form, is currently being investigated. Maladaptive Daydreaming is not listed as an official disorder in the ICD-10 or DSM-5 presently.ObjectivesI aimed to review current literature on MD and explore whether there is a possibility for MD to eventually be acknowledged and classified as a real psychiatric disorder.MethodsI gathered information via academic papers found through reliable sites, such as, Ovid, PubMed and Cochrane, and through articles, videos and online forums to gather patients’ perspectives.ResultsMy research intimated that there is enough information and literature available to create specific criteria to qualify a diagnosis of MD in patients. Possible aetiologies of Maladaptive Daydreaming have been identified. There has also been exploration into treatment options.ConclusionsOverall, I believe there is sufficient evidence for Maladaptive Daydreaming to be classified as an official disorder. Being included in the ICD-10 and DSM-5 would motivate research, expand identification of this disorder in patients, and advance access to help and support for patients.Disclosure of InterestNone Declared
Psychiatric disorders in women hospitalized at the arrazi psychiatric hospital
Authors: Berrada H. , Azraf F. , Tounsi A. , Laboudi F. , Ouanass A. 
Published: August 2023

IntroductionWomen get hospitalized for various serious mental disorders that are gender specific, half of them married with children, the other half single\divorced women stigmatized and marginalized in our society.ObjectivesThe aim of this study is to describe mentally ill women admitted into the psychiatric hospital, socio demographically and clinically, highlighting differences, specificities and multiple roles distress deviate with the course of disorder.MethodsThis is a prospective cross-sectional study involving 50 patients admitted to Ar-razi Psychiatric HospitalResultsThe average age is 39years, 41% of them are single, with a low educational level (primary school). 77% of our women are from the urban region, 59% are jobless. 19% of patients in our study have positive family history, 65% of them suffered from schizophrenia. 65% of patients are admitted for schizophrenia, followed by bipolar I disorder 22%, MDD is only represented by 10%. 25% of inpatients deal with a toxic habit, 18,5% abuse nicotine and only one woman have tried quitting. Suicide attempts are closely linked to major depressive episodes of MDD and BID, in patients were already under a combination of antidepressants and anxiolytics for at least 3 months. Psychotic features are observed in most of admitted disorders, 80% in BIP and 64% in MDD. According to HAMILTON-DEPRESSION 62,9% of women are admitted for a severe depressive episode, 30% present anxiety comorbidity and a history of CBT sessions months prior hospitalization.ConclusionsShading the light into admitted women in psychiatry and deciphering specific demographic, clinical and therapeutic features may improve the global care system and women’s adherence to treatment and follow up.Disclosure of InterestNone Declared
Satisfaction at work as a determinant of the mental health of electricians
Authors: Sellami I. , Feki A. , Abbes A. , Ghrab M. A. , Baklouti S. , Masmoudi M. L. , Jmal Hammami K. , Hajjaji M. 
Published: August 2023

IntroductionThe workplace environment influences employees’ health. Authors widely recognise job dissatisfaction as a workplace. Work satisfaction can influence employees’ psychological health statuses.ObjectivesWe aimed to assess the impact of satisfaction at work on the mental health of electricians.MethodsThe study concerned a group of electricians who agreed to answer a face-to-face interview concerning working conditions and mental health status. Data was collected using a pre-designed questionnaire that included socio-professional characteristics, a 10-point scale of job satisfaction, and the Kessler Psychological Distress Scale (K6) between January and June 2022.ResultsOur study included 74 male electricians. The mean age was 39.3 ± 10.5 years. The average job tenure was 15.5 ± 11.2 years. The mean score of K6 was 5.4±4.8 (range = 0–22). The proportion of respondents with high levels of psychological distress (K6 score of 13 or greater) was 9.5 %. The mean score of satisfaction at work was 7.7±1.8. Low satisfaction at work was correlated with high levels of psychological distress (p = 0.012; r = -0.29).ConclusionsHigh job satisfaction was correlated with low levels of psychological distress. Policies and practices should focus on improving working conditions to enhance the mental health of employees.Disclosure of InterestNone Declared
Impact of medical TV shows on the surgical knowledge of non-healthcare students of Lahore, Pakistan
Authors: Azeem S. , Mustafa B. , Ahmad A. S. , Rashid S. , Farooq M. 
Published: August 2023

IntroductionA popular genre of television shows is medical dramas. Although the primary objective of watching these shows is entertainment, acquiring medical knowledge is a passive by-product. Surgical procedures constitute a large part of the storyline of these shows. This could either serve as a source of medical knowledge or provide false information, the effect being especially important in individuals with no prior medical exposure.ObjectivesThis study aims to assess the impact medical TV shows can have on the surgical knowledge of non-healthcare students and the difference in knowledge between different demographic groups (among those with relatives in the medical community and those without).MethodsA cross-sectional study was conducted among the non-healthcare students of Lahore, Pakistan. A self-administered questionnaire was used containing socio-demographic factors (age, gender, educational discipline), history, and hours of medical TV shows watched. It also contained ten questions each with a score of 1 to assess surgical knowledge. Data was analyzed using SPSS v.26.ResultsAmong the 1097 respondents, 450 (41%) had a history of watching medical TV shows. The majority, 319 (29.1%), had seen these shows for < 24 hours. The mean score of all respondents was 5.79 out of a maximum score of 10. Respondents with a history of watching medical TV shows were more knowledgeable than those who did not (p < 0.001). Similarly, respondents with a history of watching more hours of medical TV shows were more knowledgeable than those who watched for a lesser number of hours (p < 0.001). Respondents with relatives in the healthcare profession were also more knowledgeable than those without (p = 0.049).ConclusionsIf properly developed, while maintaining their primary entertainment value, medical TV shows can also be used as efficient learning tools. Quality controls must also be applied to minimize the risk of false information.Disclosure of InterestNone Declared
The study of speech and communication in preschool children with autism spectrum disorder
Authors: Akhmetzyanova A. , Artemyeva T. 
Published: August 2023

IntroductionAt preschool age, children develop all the speech functions, including the planning function, which allows them to think through the future speech statement. Researchers find a link between impaired ability for speech forecasting and anxiety disorders, as well as emotional disorders.Objectivesidentifying the specifics of speech forecasting in preschool children with emotional disorders.Methodsthe study involved 48 children: 24 children of preschool age without developmental disorders, 24 children of preschool age with emotional disorders. Empirical examination was carried out using the “Prognostic stories” technique.ResultsChildren with autism spectrum disorders often have speech disorders, speech may manifest stereotypes in speech, the appearance of echolalia, many children do not use speech for communication. Among the functional characteristics of forecasting, the cognitive forecasting function has a statistically significant difference (t=4.165<.001). Children with autism spectrum disorders, having difficulties in social interaction, can choose ways of action that are not suitable for the existing situation. Children’s forecasts are usually short-term, invariant, generalized and minimally verbalized.ConclusionsIndicators of speech-communicative function confirm the presence of difficulties in children with emotional disorders in the ability to verbalize information, however, they have a realistic vision of the future and are focused on following the social norm. This paper has been supported by the Kazan Federal University Strategic Academic Leadership Program.Disclosure of InterestNone Declared
An interesting clinical case. New therapies in Dissociative Identity Disorder.
Authors: García Vázquez P. , Seijo Zazo E. , Vilellla Martin C. , Serrano García A. , Franch Pato C. M. , Martína Gil E. , Alvarez Vazquez C. 
Published: August 2023

IntroductionDissociative identity disorder (DID) also referred as multiple personality disorder is a chronic post-traumatic condition. It is characterized according to DSM-5 by “disruption of identity characterized by two or more distinct personality states”, with “marked discontinuity in sense of self… accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.”ObjectivesHere, we present a case of a 33-year-old Caucasian female with no psychiatric history until 2 years ago, privately. The patient is admitted to the Psychiatry Service due to worsening. During admission, consultations are made to the Neurology Service and the Neurophysiology Service, who request an electroencephalogram, an MRI and a brain scan, resulting in normality.After discharge, she returns home with her parents, and the crisis become more frequent and of longer duration. She acknowledges that during these periods she is dominated by her alternate personality, which she is unaware of until her family informs her. This personality is a demon, who verbally assaults and even physically threatens her surroundings, and can hardly be controlled by the prayers of her family.MethodsDespite psychopharmacological treatment, as well as the cognitive-behavioral therapy carried out by the patient for more than two years, there was no improvement. Once she comes to the consultation, it is decided to carry out a therapy guided by the central Rogerian attitudes, originating a process of empathic resonance of the therapist, which influences the experience of the patient. Three main interventions are carried out, the awareness of the disease, the regulation of the intensity of this experience, to maintain the attention and the exploration of what guides the change. After carrying out this intervention, the patient is currently asymptomatic.ResultsCurrently, there are not evidence-based treatment guidelines. The most common approach is individual psychodynamic psychotherapy according to practice-based guidelines initiated by the International Society for the Study of Trauma and Dissociation.To handle the present case, we used a model with two pillars, the patient’s commitment and the investigation of microprocesses within a process of experiential exploration, in which the therapist is a facilitator of reflective attention and experimental awareness.ConclusionsThe torpid evolution suffered by the patient, with little clinical improvement to the interventions carried out, and the absence of evidence on the treatment, led to a therapeutic approach focused on the empathic resonance process of the therapist, with good results.Disclosure of InterestNone Declared
Promoting health and wellbeing through building the relationship with build and cultural heritage
Authors: Abdelmoula E. , Bouayed Abdelmoula N. 
Published: August 2023

IntroductionFor over two decades, much has been written about the role of heritage buildings and historic places on individual and societal well-being. Numerous manuscripts have been devoted to study the relationship between built and cultural heritage and well-being and to decrypt their mental and physical health benefits at the personal and societal levels. Other studies have focused on the diverse types of heritage experiences that enable these health benefits, ranging from perceptions, to the individual and societal engagements through exposure, protection and conservation of historic places and environment. Social benefits encompass enhancing of collective memories and identities, sharing experiences, social interaction, creative opportunities, etc.ObjectivesThe objective of this research is to explore the relationship between personal and societal health and well-being, and cultural heritage. The main objective is to disclose international strategies and programs for assessing and promoting heritage-led wellbeing benefits.MethodsWe comprehensively reviewed the scientific literature using qualitative data-analysis methods to state, international frameworks for promoting heritage-led wellbeing benefits.ResultsOur bibliographic review revealed that there has been rising recognition that the conservation of cultural heritage is not just about the preservation of materials, but rather about safeguarding and sharing heritage for the improvement of people’s lives. According to the WHO, culture and cultural heritage are recognized as fundamental determinants of what makes personal and social lives meaningful. Consequently, many countries such as the UK and Canada, have developed people centred approaches achieved by local authorities as a means of ensuring inclusivity and diversity, so that heritage is able to contribute to people’s wellbeing. Politically, few agendas promoting wellbeing and engagement with the historic environment included guidelines of community-oriented projects and management systems that benefit people with building the relationship between people and place, while demonstrating the public value of the historic environment.ConclusionsAll professionals, at the architectural and urban level, as well as health and psychology level should have awareness about the concept of heritage-led wellbeing benefits and strategic views of the value of cultural heritage as process, as participation, as mechanism, as healing, as place and as environment to raise the planned positive effects by local authorities when promoting the perception of the role of cultural heritage in health and wellbeing.Disclosure of InterestNone Declared
Autoimmunity associated with first psychotic episode. A Systematic review.
Authors: De La Fuente Ruiz E. 
Published: August 2023

IntroductionAutoimmunity mechanisms involve many cells that produce inflammatory cytokines which damage different organs, like the brain. There is a relationship between neuropsychiatric diseases, such as psychosis, and autoimmune diseases. In this article we try to demonstrate that treating autoimmune diseases appropriately improves clinical evolution of patients with a first psychotic episode.ObjectivesThe purpose of this article is to emphasize the importance of a multidisciplinary approach to a first psychotic episode. It is very important to perform autoimmunity tests to rule out secondary psychoses, even more so if the patient does not respond correctly to treatment with antipsychotics, to improve his/her prognosis and quality of life.MethodsWe performed a literature search of PubMed database using the following MeSH terms: “Autoimmune Diseases” and “Psychotic Disorders”. 134 studies were published between 2017-2022. We selected the original papers that analyzed the association between autoimmune diseases and first psychotic episodes. Finally, 18 were selected.ResultsIn secondary psychoses, early diagnosis and treatment of the underlying pathology can lead to rapid improvement.ConclusionsA multidisciplinary approach is necessary from the first moment that a FPE is diagnosed, even more so in middle-aged women.Disclosure of InterestNone Declared
Symptomatological Transversality and the Absence of Pathognomonic Symptoms in Psychiatry
Authors: Gomes A. I. , Jesus S. , Simões G. , Vicente S. 
Published: August 2023

IntroductionThe diagnosis of the main psychiatric syndromes is still almost exclusively phenotypic and depends essentially of the recognition of characteristic signs and symptoms. The clinical evalution allows the formulation of a set of differential diagnoses, according to the pathological meaning of certain symptomatic patterns and combinations. Aside from the entire dependence on the clinical interview, there are still no complementary psychiatric diagnostic exams and it is also worth noting the absence of pathognomonic symptoms.ObjectivesThrough the presentation of the case of a patient with Bipolar Affective Disorder who manifests, during a manic episode, a Capgras delusion, we intend to approach the heterogeneity of the manifestation of some symptoms that tend to be specific of concrete psychiatric syndromes.MethodsClinical case presentation and non-systematic literature review using Pubmed plataform.ResultsAB, female, 49 years old, diagnosed with Bipolar Affective Disorder. Hospitalized for a manic episode with dysphoric mood, increased energy levels and delusional activity of grandiose and persecutory content. During hospitalization, a Capgras delusion centered on the husband emerged: he was replaced by a stranger, I was able to detect him by smell.Capgras delusion is a delusional misidentification syndrome characterized by the belief that someone close has been replaced by an imposter. Despite being a rare syndrome, vastly more common in schizophrenia, affecting about 73% of cases, it can also occur in other psychiatric conditions such as dementia syndromes and, less often, mood disorders (16.7%).Additionally, there are several examples that demonstrate the versatility of psychiatric symptom occurrence in different diagnoses, with first-rank symptoms serving as an example. Described in 1959 by Kurt Schneider, they were considered specific symptoms of schizophrenia, assuming this diagnosis based on the recognition of only one symptom. Over time, its pathognomonic character has become extinct, and its detection in mood disorders and acute psychotic disorder is relatively common.Another example is the overlap between depressive and anxious symptoms. In fact, anxiety symptoms occur in about 85% of patients diagnosed with depressive disorder and, in turn, the presence of depressive symptoms in about 90% of patients diagnosed with anxiety disorder. This evidence has allowed, over time, a review of the diagnostic criteria for these disorders, leading to a progressive blurring of the threshold between them.ConclusionsPsychiatric diagnosis is still a delicate task, totally dependent on the clinical interview. The lack of analytical and imaging tests, as well as the absence of pathognomonic symptoms, constitute a particular challenge in diagnosis. For this reason, we highlight the importance of recognizing combinations and patterns of symptoms rather than the specificity of just one symptom.Disclosure of InterestNone Declared
Psychopathological characterization of modern-type depression in subjects with Internet Gaming Disorder
Authors: Orsolini L. , Longo G. , Ambrosi C. , Volpe U. 
Published: August 2023

IntroductionIn recent years, more evidence is emerging in favor of a new form of depression, aka “Modern-Type Depression” (MTD). It has also been theorized that MTD may have multiple relationships with other psychiatric disorders, including techno-addictions.ObjectivesOur study aims at clinically characterizing subjects with MTD in a sample of individuals affected with Internet Gaming Disorder (IGD).Methods1,157 subjects were recruited from a sample of Italian young people (aged 18-35), and selected only if they declared to be video game players (48.6%, n=542). Video game players filled out the 22-item Tarumi’s Modern-Type Depression Trait Scale (TACS-22), Motives for Online Gaming Questionnaire (MOGQ), Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), Problematic Online Gaming Questionnaire (POGQ), Multidimensional State Boredom Scale (MSBS), Symptom Checklist-90 (SCL-90). Subjects were classified as IGD+/IGD- and MTD+/MTD-. Descriptive analysis, Mann-Whitney’s U-test for independent data and Chi-square tests were carried out.Results60.5% (n=328) of the sample were male. 21.7% (n=118) were positive to MTD. MTD subjects reported significantly higher scores at IGDS9-SF (p<0.001), POGQ (p<0.001), MOGQ (p=0.003), MSBS (p<0.001). Significant higher scores were found at the MOGQ subscales “reality avoidance” (p<0.001), “coping” (p=0.001), and “fantasy” (p<0.001) and at the SCL-90 subscales “interpersonal sensitivity” (p<0.001), “phobic anxiety” (p<0.001), and “psychoticism” (p<0.001).ConclusionsMTD displayed a strong association with technopathies, particularly IGD. Therefore, further studies should evaluate whether MTD could represent a predictor to IGD onset and/or maintenance and adequately address this aspect from a preventive and treatment perspective.Disclosure of InterestNone Declared