bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of quality of life and cognitive dysfunction among patients with Major Depressive Disorder
Authors: Abbasi L. , Mazzawi T. , Daradkeh T. 
Published: August 2023

Introduction
Major Depressive Disorder (MDD) is associated with high mortality, disability and morbidity. Studies demonstrated mixed results on effects of depression treatments on quality of life (QOL).ObjectivesTo evaluate the severity of depression among Jordanian patients diagnosed with MDD before and after treatment and to find any relationship between QOL, depression severity and perceived cognitive dysfunction.MethodsPatients from both genders, 18-65 years old and diagnosed with MDD were included to attend two visits; at baseline and 6 weeks after treatment, in each they completed three questionnaires: Patient Health Questionnaire (PHQ-9) for depression severity, patient-rated Perceived Deficit Questionnaire (PDQ-5) for cognitive function, and World Health Organization Quality of Life Brief (WHOQOL-BREF) format.ResultsA total of 92 patients completed the study. The scores of the different questionnaires and their correlations before and after treatment are presented in tables 1 and 2. Correlations between PHQ-9 and PDQ-5 before and after treatment are illustrated in figs 1 and 2, respectively.
Table 1:Total scores for WHOQOL-BREF format, PDQ-5 and PHQ-9, before and after treatmentQuestionnaireBeforeAfterP-valueGeneral quality of life2.5±13.5±0.7<0.0001General health satisfaction2.3±13.4±0.9<0.0001Physical health (Domain 1)10±2.613.9±2.6<0.0001Psychological (Domain 2)8±2.312.6±2.3<0.0001Social relationships (Domain 3)9±3.212.8±2.8<0.0001Environment (Domain 4)12.3±314.4±7.50.0003Patient-rated Perceived Deficit 5 (PDQ-5)13±4.47.2±4<0.0001Patient health questionnaire 9 (PHQ-9)19±5.47.1±5.1<0.0001Values are presented as mean±SD. Analysis: Paired t test. P<0.05 is significant.Table 2:Correlations between total scores for all of the domains for WHOQOL-BREF and PDQ-5, and between WHOQOL-BREF and PHQ-9, before and after treatmentDomains/FacetsPatient-rated Perceived Deficit 5 (PDQ-5)Patient health questionnaire 9 (PHQ-9)Before (r, p)After (r, p)Before (r, p)After (r, p)General quality of life-0.38, 0.0001-0.26, 0.01-0.55, <0.0001-0.49, <0.0001General health satisfaction-0.24, 0.02-0.14, 0.2-0.51, <0.0001-0.48, <0.0001Physical health (Domain 1)-0.37, 0.0003-0.50, <0.0001-0.57, <0.0001-0.76, <0.0001Psychological (Domain 2)-0.46, <0.0001-0.43, <0.0001-0.58, <0.0001-0.68, <0.0001Social relationships (Domain 3-0.37, 0.0002-0.37, 0.0002-0.42, <0.0001-0.40, <0.0001Environment (Domain 4)-0.52, <0.0001-0.21, 0.047-0.36, 0.0004-0.12, 0.2Spearman correlation (r); P<0.05 is significant. WHOQOL: World Health Organization Quality of Life.Image:Image 2:ConclusionsSignificant improvements were found in the symptoms of depression, cognition and QOL in patients with MDD after treatment. Depression severity significantly inversely correlated with QOL and cognition of MDD patients.Disclosure of InterestNone Declared
Stigma, confidence, attitudes, barriers and incentive factors in pharmaceutical care of patiens with depression in Lithuania: a protocol for a prospective 3 years follow-up study
Authors: Žūkaitė M. , Peceliuniene J. 
Published: August 2023

IntroductionAccording to the WHO, approximately 280 million people in the world have depression. It is known that pharmacists are in an ideal position to offer proactive interventions to people with depression or depressive symptoms. However, pharmacists’ stigmatizing attitudes towards depression and patients with mental illness may decrease the quality of pharmaceutical care services provided to those patients. No research has been conducted on pharmaceutical care and pharmacists attitudes towards patients with depression in Lithuania.ObjectivesThe aim of the study is to evaluate stigma, confidence, attitudes, barriers and incentive factors in providing pharmaceutical care to patients with depression in Lithuania.MethodsThe prospective 3 years follow-up study will be carried out among the pharmacists in Lithuania. The sample size of 269 respondents is calculated. First of all, pharmacists will be provided with a training lecture by trained investigator (M.Z.) about depression and its pharmaceutical care. At the same day, after the lecture, pharmacists‘ stigma, confidendence, attitudes, barries and incentive factors in providing pharmaceutical care to patients with depression will be evaluated by 5 questionnaires:1.Participants will be asked to provide sociodemographic information included age, gender, years of practice, etc;2.The pharmacists’ stigma of patients with depression will be evaluated using eight likert-scale items that measure how patients with depression are perceived;3.Pharmacists’ attitudes toward depression will be evaluated using Depression Attitude Questionnaire;4.Pharmacists’ confidence in medication consultation for patients with depression will be evaluated using The Pharmacists’ Confidence scale about Medication Consultation for Depressive patients (PCMCD);5.A list of possible barries and incentive factors identified in the literature will be provided to pharmacists and they will be asked to choose as many barriers and incentive factors as they think are relevant.Next trainings lectures will be performed repeatedly at the month 6, 12, 18, 24, 30 and at the end of the study - month 36. Also, pharmacists‘ position will be re-evaluated after each training lecture by the same 5 questionnaires.The Lithuanian Bioethics Commitee approval is going to be received after the training program is confirmed (estimated time – the 1st quarter of 2023).ResultsStigma, confidence, attitudes, barriers and incentive factors in providing pharmaceutical care to patients with depression in Lithuania will be evaluated.ConclusionsConclusions will be drawn on stigma, confidence, attitudes, barriers and incentive factors in pharmaceutical care of patiens with depression in Lithuania. Also, practical recommendations will be introduced to The Ministry of Health of The Republic of Lithuania.Disclosure of InterestNone Declared
The psychodynamic role of the displacement defense mechanism in people with obesity and anorexia nervosa
Authors: Mustač F. , Matovinović M. , Marčinko D. 
Published: August 2023

IntroductionFeeding plays a very important role in our lives. First of all survival, but in general it has a much wider and important social role. Through feeding, in addition to satisfying life’s needs and basic instincts, we experience a sense of satisfaction through the investment of libido. Anorexia nervosa and obesity as the two extremes of eating disorders can be considered as a disturbed experience of the satisfaction of eating, and in the background there is usually a very weak, fragile personality structure. A fragile personality structure tends to use primitive defense mechanisms, but the use of healthier, neurotic defense mechanisms in people with eating disorders should not be neglected.Objectives
To investigate the role of the psychological defense mechanism of displacement in people with obesity and anorexia nervosa.MethodsSearch of contemporary professional and scientific literature in the field of psychodynamics of eating disorders.ResultsDisplacement is a defense mechanism in which, when faced with a problem, the problem is not solved with the initial object of aggression, but the problem is moved to another object or situation that the individual perceives as less dangerous. Thus, when faced with a stressful situation or sadness, obese people may have a need for emotional eating, which can be interpreted as displacement of the problem, which is temporarily “solved” by satisfying the basic instinct, but later the person becomes overwhelmed by internal and external shame. Equally so, a traumatic upbringing and disturbed interpersonal family dynamics, which are often present in people with anorexia nervosa, can cause anxiety drives that are displaced in the form of the need for a strong restriction of food intake.ConclusionsIn people with obesity and anorexia nervosa, the use of the defense mechanism of displacement is pointed out. Through psychodynamic psychotherapy it can be very useful to recognize and interpert the use of displacement and, thus to enable reaching a neurotic and healthier level of functioning in people with the aforementioned eating disorders.Disclosure of InterestNone Declared
Reform of Mental Health care in Egypt, Telepsychiatry perspective
Authors: Noby S. I. 
Published: August 2023

IntroductionThe World Health Organization (WHO) declared the outbreak of a new coronavirus disease to be a Public Health Emergency of International Concern. The situation now in Egypt, through the efforts done by the General Secretariat of Mental Health and Addiction Treatment (GSMHAT) which is governmental body following the Ministry of Health and Population: Establishment of 2 Hot lines for psychological counseling and Psychosocial support to working 24 hours/ 7 days a week. In the last year, the Mental Health platform is a main objective to be dedicated for Egyptian population, the national mental health platform is another milestone in the innovative digital remote MH services that is planned to be provided.ObjectivesEvaluating the effectiveness and feasibility of different mental health services provided by hospitals affiliated to General Secretary of Mental Health and Addiction Treatment, Ministry of Health during the COVID-19 pandemic outbreak including evaluation of remote delivery of mental health service and digital health solutions.MethodsObservational Cross-sectional study. All patients seeking the hotline service & National Mental Health Platform, Evaluating the effectiveness and feasibility of services delivered over 12 months.ResultsThe platform’s statistical results since its launch showed that the number of visitors to the site is 44,105 and the number of registered users is 17,153. The number of self-requests conducted by users reached 16,318 and the number of virtual treatment sessions reached 2,797. The results also showed that the number of female users is 31%, compared to 69% of male users. The statistics showed that most of the age groups used for the site are between 15-20 years old, and that the users of the site are from all governorates, but most of the users are from the capital, Cairo. The statistical results also showed that general psychiatry with all its diseases is the most visited by the user of the site, followed by child and adolescent psychiatry subspecialty, then addiction.The GSMHAT, through the hotline, has provided services to the public represented by a number of calls ranging from April 2020 to March 2021 (8618) calls, and the GSMHAT hope that the hotline service to continue providing psychological counseling and support to those who wish, while continuing providing the service in hotline with the corresponding technical development and community needs.Conclusionsit is crucial to reallocate resources in order to serve for psychological and social needs and liaison psychiatry and digital as well as defining the barriers for providing a convenient service delivered by healthcare providers to people who are in need.Disclosure of InterestNone Declared
Prevalence and associated factors to cigarette smoking among school adolescents in Tunisia, 2021
Authors: Silini A. , Rejaibi S. , Zid M. , Ben Youssef S. , Zoghlami N. , Mallekh R. , Ben Slema I. , Ben Salah N. , Aounallah-Skhiri H. 
Published: August 2023

IntroductionTobacco use among youth is a real public health concern in most developing countries. To provide recent epidemiological data regarding tobacco use among this specific population, a national survey was conducted in Tunisia in 2021. We aimed to determine cigarette smoking prevalence in Tunisian adolescents and assess associated factors.ObjectivesWe aimed to determine cigarette smoking prevalence in Tunisian adolescents and assess associated factors.MethodsData from the Mediterranean school survey on alcohol and other drugs (MedSPAD 2021) were used. Based on three-stage stratification sampling method, first and second grade high school students were enrolled. A self-administered standardized questionnaire was used and weighted prevalence estimates for cigarette smoking “at least once in a lifetime” were studied. Binary logistic regression model was used to assess associated factors and Adjusted Odds Ratios (AORs) were presented. The independent factors included were: sex, area of residence, private or public sector, alcohol and cannabis use, and being exposed to tobacco smoking in family and peer’s environment. Epidata and STATA software were used for data entry and statistical analysis, respectively.ResultsAmong 6.201 participants with a mean age of 16.8 years, 60.4% were girls; the prevalence of cigarette smoking was 24,75% 95% CI [23.24,26.32], significantly higher among boys (41.1% versus 14.2%, p<10-3). Univariate analysis revealed a significant difference in cigarette smoking by region (p-value< 10-4). The highest prevalence of cigarette smoking was observed in the capital city. Cigarettes were perceived as easily accessible by less than a third of the students (38.46% and 20.94% of boys and girls respectively, p=10-4). In multivariable analysis, the only independently associated factor to this behaviour was male sex (AOR=1.5[0.15 – 2.9], p-value=0.03).ConclusionsOur study revealed a high prevalence of smoking among students with male sex as an associated factor. Developing a healthy school environment and implementing school-based intervention programs are therefore, highly required.Disclosure of InterestNone Declared
The use of digital psychosocial intervention (DIALOG+) via a mental health community team at the University Clinic of Psychiatry - Skopje
Authors: Milutinovic M. , Bajraktarov S. , Novotni A. , Novotni L. 
Published: August 2023

IntroductionThe University Clinic of Skopje – Skopje was part of two Horizon 2020 projects – IMPULSE and RECOVER-e that finished in December 2021. The advances in the field of community mental health in the capital of Skopje, the idea to combine the best aspects of the aforementioned projects and the need of continual implementation and research on an evidence-based community-based service delivery model for recovery-oriented care led to this study which aims to improve functioning, quality of life, and mental health outcomes for people with severe and enduring mental ill health, such as schizophrenia, bipolar disorder, severe depression.Objectives
The objectives of the study are: - to design, implement and evaluate recovery-oriented care for people with severe mental illness in community settings using a psychosocial digital intervention - DIALOG+;- to recognize the value of experiential knowledge through inclusion of peer experts as members of community mental health teams;- to develop scale-up plans for national decision-makers, as informed by the intervention’s implementation and impact, for sustained implementation and scale up after the research study’s timeline.- to improve the conditions of people suffering from psychotic disorders and to overcome financial barriers encountered in the treatment of psychotic disorders in N. Macedonia.MethodsDIALOG+ represents an affordable and effective intervention which has already demonstrated positive outcomes in previous research. This study involves the use of the DIALOG+ intervention during home visits, so that patients themselves can decide which aspects of their life that they would like to discuss and work on improving. DIALOG+ lets them rate 12 domains that are related to quality of life, such as physical health, relationships and employment. Patient decide which of these they would like to discuss in detail during the meeting. There is then a 4-step approach to help improve this aspect of their life, using the principles of solution-focused therapy. Researchers will collect information about demographic characteristics, quality of life, and symptoms in patients taking part in the study through the administration of questionnaires and clinical scales.ResultsThe study is still in phase of completion. The results will be shown at the EPA Congress 2023.Conclusions
Having the previous positive outcomes from IMPULSE and RECOVER-e, with this combined approach we expect even more improvement in functioning and better quality of life in patients suffering from severe and enduring mental ill health.Disclosure of InterestNone Declared
Social media & psychiatry: Research opportunities.
Authors: Alvarez-Mon M. A. 
Published: August 2023

AbstractIn the field of health, social networks are increasingly used for research since they have demonstrated multiple uses. Proof of this is that more and more projects financed by public entities use this methodology, as well as scientific publications.In the symposium, how to do this type of research will be explained in a practical and useful way for the listener. It will be explained with practical examples, and based on successful publications, how this type of work is designed, what type of people should integrate this research team, how to carry out the project, interpret the results and publish them.We will also address the difficulties encountered and how to overcome them. Attendees will be able to ask all the questions they deem appropriate.Disclosure of InterestNone Declared
The phenomenon of “processual transformation” as an indicator of the vulnerability of patients of late age in forensic psychiatry
Authors: Liubov P. 
Published: August 2023

IntroductionDemographic ageing in the world population is accompanied by increased negative social trends towards elderly persons, age discrimination, cruel treatment and violence.There is an increase in crimes against the elderly related to fraud with their property, physical violence by children because of claims on the property of their parents.We observe a growing number of property transactions committed under the influence of fraud, deceit, difficult life circumstances. There is an increasing number of elderly, deprived of legal capacity.ObjectivesIn order to identify the biological, socio-psychological, legal and victimological determinants we examined 235 patients of late age who underwent forensic psychiatric examination in a criminal and civil process.MethodsRevealed: «non-dementia» mental disorders - in 45.5%, psychosis - in 7.7%, dementia - in 46.8%.ResultsPatients can simultaneously and consistently participate in criminal and civil process in the status of accused, victims, plaintiffs, defendants, people in respect of whom the incapacity is determined.The reasons for initiating these cases were often interrelated, the result of a long-term family conflict, often related to the disposal of property.ConclusionsSuch a change in the processual status of patients was characteristic of the late age, reflected their victimization.This phenomenon was called “processual transformation”.The probability of " processual transformation " imposes special requirements on the quality of examination of patients of later age. They should be as objective and reliable.Since the previous expert opinions may affect the subsequent expert opinions in other processes.This phenomenon are legal determinants that can have a disadaptive effect on the late age.Disclosure of InterestNone Declared
Introduction to motivational interviewing and its principles.
Authors: Azevedo F. 
Published: August 2023

AbstractIn this second session of our motivational interviewing workshop, we introduce motivational interviewing with its principles. Furthermore, we discuss the pyramid of change and Prochaska’s change model, address the differences between pre-contemplative versus change-resistant patients, and approach different techniques we can use throughout the clinical interview.Disclosure of InterestNone Declared
Specificity of homicide in tunisian women
Authors: Ouali R. , Smaoui N. , Chamseddine A. , Gassara I. , Feki R. , Maalej M. , Charfi N. , Ben Thabet J. , Zouari L. , Omri S. , Maalej M. 
Published: August 2023

IntroductionHomicide is the most serious, radical and irreversible criminal act. It arouses a multitude of questions and fears. Committed by women, the homicide seems more unusual and weird.ObjectivesOur objective is to describe the circumstances of the homicide committed by Tunisian womenMethodsThis study was retrospective and descriptive. It focused on the files of criminal psychiatric expertise and involved female accused subjects.We have collected all the criminal expert reports carried out over a period of 24 years (from January 1, 1998 to December 31, 2021)ResultsThis study included 21 women who committed homicide.The majority of victims of homicide or attempted homicide (85.6%) belonged to the family circle of the accused.Five women (23.8% ) committed this act against their children and four women (19.1%) committed this act against their husbands.The means most used in homicide and its attempt were immolation (23.8%), strangulation (23.8%) and blows (23.8%).Among those charged with homicide or its attempt, seven (33.3%) presented a personality disorder, 14.3% a depressive disorder, 14.3% a moderate intellectual disability, 4.8% a schizophrenia and 4. 8% mild intellectual disability.ConclusionsThis female criminality, in particular homicide, would find their explanations in different factors and the existence of a mental disorder at the origin of deviant behavior in women seems to be a significant factor in the determinism of such behavior. Much effort remains to be made to apply preventive measures.Disclosure of InterestNone Declared