bluuebunny/crossref_metadata_2025_split huggingface dataset:
Review of a sample of episodes of forced medication in an area of southern Spain
Authors: Muñoz-Manchado L. I. , Mongil-Sanjuan J. M. , Pérez-Revuelta J. I. , Robledo Casal C. M. , Villagrán-Moreno J. M. 
Published: August 2023

IntroductionForced medication is one of the most frequently used coercive measures in acute mental health units. It is a practice that can lead to physical, psychological and psychopathological consequences. Therefore, it is necessary to implement measures to reduce its use. In this sense, it is interesting to study the variables that can be associated with its use, and thus take measures accordingly.ObjectivesThis study attempts to identify the number of forced medication episodes between July 2017 and December 2018 treated in the catchment area of the Mental Health Service at Jerez Hospital. As a secondary objective, it pursues to identify the factors that conducted to the use of forced medication with the intention of being able to reduce the use of these measures.MethodsA descriptive and retrospective study has been developed reviewing the total number of episodes of forced medication. Patients admitted and discharged from hospital between July 2017 and December 2018 treated in the Mental Health Service at Jerez Hospital. Data were extracted from medical records.ResultsThe total number of episodes of forced medication identified was 330. In these episodes, the average age was 41 years, with a predominance of 74% of the male gender. The most used route in the episodes was intramuscular (94.8%), in addition, more than 50% needed the association of two drugs, the most used were haloperidol and olanzapine. The 32.7% of the episodes also required the use of mechanical restraint and 44.2% required the presence of security service.Image:ConclusionsWe present the descriptive analysis of a further study currently been conducted in hour hospital which means to stablish predictive factors for the use of forced medication. We therefore intend to create patient profile, as well as new measures specifically directed to these factors with which to diminish the use of forced medication.Disclosure of InterestNone Declared
Evaluation of social autonomy of schizophrenic patients
Authors: Zbidi M. , Bouali W. , Haouari W. , Kacem M. , Bensoussia R. , Zarrouk L. 
Published: August 2023

IntroductionSchizophrenia is a debilitating and mutilating mental illness, generally progressing in a Chronic way . It is at the origin of a limitation of social autonomy and source of psychological distress .Objectivesevaluate the effective social autonomy of schizophrenic patients.Methodsit is a cross-sectional study carried out at the EPS psychiatry consultation in Mahdia during a period of 3 months, with schizophrenic patients meeting the DSM 5 criteria, having an age varying from 19 to 65 years and whose duration of evolution was at least of one year. Have been excluded those in a state of decompensation, presenting a severe organic disease or having a major cognitive impairment. Information was collected from patients and fromtheir medical records using a pre-established questionnaire. The scale of social autonomy (EAS) of Legay with 17 items grouped into 5 dimensions was used for the evaluation.ResultsThe general characteristics of the 360 schizophrenic patients who met the inclusion criteria, revealed an average age of 40.2 years, a sex ratio of 2.33, a majority of single (55.8%), a low level of education(66.7%), an absence of professional activity (67.3%) and a deteriorated socioeconomic level (68.6%).Clinical Characteristics noted an average onset age of the disorder of 26 years, an average duration of evolution of 14 years and a preponderance of the residual type and of the episodic evolutionary course with residual symptoms between episodes respectively in 40.6 and 76.4%. The average of EAS scores were 39.08. Three quarters of the population (75.7%) had a score below 59. 24.3% of patients had scores between 60 and 108 signifying impaired social autonomy.ConclusionsThe evaluation of effective social autonomy is essential for any therapeutic project considering psychosocial integration and rehabilitation of schizophrenic patients.Disclosure of InterestNone Declared
Schizophrenia and hetero-aggressiveness: management and aggravating factors
Authors: Chtibi M. , Berrada H. , Hanine I. , Belbachir S. , Ouanass A. 
Published: August 2023

IntroductionSchizophrenia is a severe mental illness but especially important in terms of its impact on the subject. The stigmatization of these patients is major, leading to a significant decrease in their quality of life. This is partly due to the media coverage of the rare cases of hetero-aggression.The aggressiveness of schizophrenic subjects remains poorly known and little studied.ObjectivesThe objectives of our study are to determine whether the prescription of second-generation antipsychotics is associated with lower levels of aggression than the prescription of first-generation antipsychotics and to identify aggravating factors.MethodsMaterials and methods: We used an anonymous questionnaire based on, in addition to individual status and conditions, a self-administered questionnaire to assess the degree of aggression (the Buss and Perry Aggression Questionnaire (BPAQ)).ResultsOur study demonstrated superiority of second-generation antipsychotics in preventing aggression in subjects with schizophrenia, as well as an association between increased aggression and low insight, low compliance and low social support. In addition, younger age, male gender, and lower education were associated with increased aggression.ConclusionsThe prevention of aggression would then begin with the management of psychotic symptoms and comorbid disorders, as well as work on the compliance and insight of these patients. However, the aggressive dimension persists in some of them.Disclosure of InterestNone Declared
Catatonia: Development of a neuropsychiatric entanglement through a clinical case
Authors: Chtibi M. , Zarouf H. , Berrada H. , Belbachir S. , Ouanass A. 
Published: August 2023

IntroductionCatatonia is a transnosographic and potentially fatal syndrome, most often associated with mood disorders or schizophrenia, but can also develop in autistic disorders, dementia, as well as in general medical conditions such as epilepsy, autoimmune encephalitis, hypercalcemia, hepatic encephalopathy, or diabetic ketoacidosis.Objectivesthe objective is to understand the semiology and treatment of catatonic syndrome in a clinical caseMethodsClinical caseResultsThe work we present is based on a clinical case of a patient with schizophrenia presenting a catatonic syndrome, of which a neurological cause was first evoked but after clinical investigations the diagnosis of schizophrenia was retained and currently the patient is stabilized on Clozapine. It is imperative to recognize a catatonic syndrome in order to treat it quickly, as some of the etiologies that cause this syndrome and the consequences of the syndrome itself can be life-threatening.ConclusionsCatatonia remains a subject of research for centuries, the diagnosis is clinical, based on a set of criteria grouped in the DSM5, its etiologies are psychiatric and organic including neurological. Rapid diagnostic and therapeutic management is essential to avoid life-threatening complications.Disclosure of InterestNone Declared
Attitudes towards a Compassion Focus Therapy Group for Psychosis: A Survey of Service Users and Clinicians
Authors: Slingerland N. , Twomey C. 
Published: August 2023

IntroductionThe Living Through Psychosis (LTP) programme at St Patrick’s Mental Health Services, Ireland (SPMHS) is heavily informed by the Compassion Focus Therapy (CFT) for Psychosis model. LTP offers an opportunity for service users to develop compassion skills to cope with emotional and psychological challenges relating to living with psychosis; and to develop their capacity to for a mindful, non-judgemental and compassionate awareness of distressing thoughts and images.ObjectivesThis (ongoing) online survey explores both service user and clinician attitudes towards the CFT-informed LTP group. We also aim to identify any potential concerns that might demotivate referrals to LTP and similar programmes, and to explore what are judged to be its benefits. The study also provides an opportunity to develop and improve the LTP programme to best fulfil service users’ needs.MethodsThe online survey is concise and responses are anonymous. Clinicians and service users complete similar-but-separate sets of questions that are adapted for relevancy and wording. The survey mainly consists of Likert Scale questions in relation to potential participation in, or referral to, LTP (after a visually-aided description of LTP is provided online within the survey). Using convenience sampling, the survey has been distributed among clinicians and service users through email and Internet advertisements within SPMHS and psychosis organisations such as Psychosis Ireland. Descriptive analysis is used for quantitative questions, while thematic analysis covers qualitative questions.ResultsData collection is currently ongoing and will finish in December 2022. Preliminary results will be presented at the conference.ConclusionsConclusions will be derived from the results. It is anticipated that the findings will be helpful in further developing the LTP programme and similar CFT programmes for psychosis.Disclosure of InterestNone Declared
SLEEP DISTURBANCES AMONG UNIVERSITY STUDENTS : A TUNISIAN STUDY
Authors: Turki M. , Firas J. , Mhiri H. E. , Sahnoun F. , Guermazi A. , Ellouze S. , Halouani N. , Aloulou J. 
Published: August 2023

IntroductionPoor sleep quality is a major health problem worldwide. University students tend to suffer from problems of sleep regularity, quantity and quality, which can affect their academic performance, and have a serious impact on their psychological and physical well-being.ObjectivesThe aim of this study was to assess the prevalence of insomnia among Tunisian university students, and to identify its associated factors.MethodsWe conducted a cross-sectional web-based study among university students from several Tunisian faculties. Data were collected using a questionnaire spread throughout social media (Facebook), using the Google Forms® platform, during September and October 2022.We used the “Insomnia Severity Index” (ISI) to assess the severity of insomnia.ResultsA total of 144 students completed the questionnaire. Their mean age was 23.38±3.27 years, with a sex-ration (F/M) of 2.8. Among them, 70.1% were single and 68.8% lived with family. Among our participants, 10.4% were followed for chronic somatic disease, 11.1% for chronic mental disease, while 29.2% have already been diagnosed and treated for sleep disturbances.ISI showed that 72.2% of students suffered from insomnia: 45.1% Subthreshold insomnia, 19.4% moderate clinical insomnia and 7.6% severe clinical insomnia. Insomnia was significantly more frequent among psychoactive substances users (75.7% vs 57.6%; p=0.043). ISI scores were significantly higher among cannabis users (17.4 vs 11.06; p=0.025).ConclusionsOur study highlighted that insomnia is prevalent within the university student population, and psychoactive substances consumption seems to worsen it. Thus, when designing interventions to improve sleep quality among students, the main determinants need to be taken into consideration.Disclosure of InterestNone Declared
suicide among women, its clinical specificities and risk factors
Authors: Douk K. , belabess I. , Nafiaa H. , Ouanass A. 
Published: August 2023

Introduction
In the general population, the authors have noted that most suicides are commited by men, this gender difference also includes the methods that suicidal people use to commit suicide; women tend to use less immediately lethal means such as drug ingestion in contrast to the methods that men adopt, which often include poisoning, hanging or the use of firearms. This is partly due to the fact that men verbalize their suffering less in the context of the hegemony of masculinity which delays the request for help.ObjectivesOur objective is to describe the profile of female patients admitted to the AR-RAZI hospital in Salé for suicide attempts and/or with a previous suicide attempts and their treatment and to identify the risk factors, which will allow us to develop preventive therapeutic strategies, taking into account their age, their reasons for hospitalization and clinical presentation on admission; their physiological characteristics, their somatic and psychiatric co-morbidities and their socio-cultural factors.MethodsWe have performed a cross-sectional study of 59 female patients admitted to Ar-Razi Psychiatric Hospital for suicide attempt or having already committed at least one suicide attempt, by means of a questionnaire specifying their age, marital status, occupation, socioeconomic level and residence.The patients in question were recruited within a 2-year time frame, coming for the most part from the regions of the kingdom that our center covers.Results-13 are between 21-25 years old, 10 are between 15-20 years old, 9 are over 51 years old, 7 are between 31-35, 6 are between 26-30, 4 are between 41-45 and only one patient who is in the age range between 46-50.-31 are single, 16 are married, 11 are divorced or in the process of being divorced and only one widow.-36 have children between 1 and 6 years old and 23 have never given birth.-39 women never had a job or have not had one for at least 2 years, 10 are students, 5 are working in the public sector, 3 are working in the private sector and 2 are living from personal or family businesses.-30 live in a modest socioeconomic level, 25 in a medium level and 4 in a high level.-21 patients live in Rabat, 14 in Salé, 4 in Témara, and the rest are spread over the urban, rural and urban periphery of the territory that our center covers.ConclusionsThe notion of suicide is quite wide to be reduced to suicide attempts, given the multitude of semiological equivalents of the suicidal act. apart from the etiology, the sex of the suicidal person strongly influences all the parameters of the suicidal person and the suicidal act, including the risk factors, the means used and the means of protection, hence the interest in adapting the preventive, diagnostic and therapeutic approach, both medical and social, by taking into account the sex of the suicidal person for optimal care.Disclosure of InterestNone Declared
Is Personality Disorder Madness? A Qualitative Study of the perceptions of Medical Students in Somaliland
Authors: Arisna H. R. , Handuleh J. , Bhui K. , Lee T. 
Published: August 2023

IntroductionPatients with borderline personality disorder are often a challenge to the mental health system. Psychiatrists see people with BPD as manipulative, difficult to manage, annoying, unlikely to arouse sympathy, clinicians hold negative attitude towards personality disorder.As the next generation of doctors, medical students’ perception of patients with personality disorder (PD) is critical.Yet a systematic review of the literature shows this has not been studied.ObjectivesThe study aims to identify :1) the understanding and perception of medical students about PD2) factors that may relate to this knowledge and perception.MethodsA focus group discussion (FGD) was conducted with eight medical students in their sixth year at Amoud University, Somaliland.A case vignette of a patient with typical Borderline PD symptoms was presented to stimulate discussion. Barts Explanatory Model Inventory (BEMI) was used to explore the issue.The FGD was conducted via MS teams, recorded, transcribed, translated and thematically analysedResultsThe Medical students showed reasonably accurate knowledge regarding Borderline PD, recognising features of unstable mood, impulsiveness, and emptiness. Of note half the participants believed religious intervention would be helpful “I believe in Islam. So,basically so to some degree it could be managed in certain religious centers”. Importantly, medical students, when asked to divest of their professional identity, and to describe their personal views associated PD with madness.ConclusionsThe views of PD as ‘madness’ and that religious intervention has a role have important implications for training and service development.The importance of a culturally sensitive training to Medical students regarding PD to match local cultural and religious views, and consideration of development of health services which are sensitive to religious practice is highlighted.We recommend including social and cultural implications in the training of medical students to better prepare them for the complexity of managing PD.Disclosure of InterestNone Declared
Unit for women with schizophrenia in a community mental health service: Description of current and projected programs and quality evaluation measures
Authors: González- Rodríguez A. , Seeman M. V. , Natividad M. , Barrio P. , Román E. , Balagué A. , Paolini J. P. , Monreal J. A. 
Published: August 2023

IntroductionWomen with schizophrenia require health interventions and safe spaces sufficiently different from those of men.ObjectivesTo describe units in two mental health outpatient services specialized in the treatment of women with schizophrenia and related disorders.MethodsTwo units in Spain projected to treat women with schizophrenia and related disorders - Community Mental Health Programs (CMHU Rambla, CMHU Sant Cugat) will be described. Recruitment, assessment, intervention, and evaluation and satisfaction measures will be characterized, and the need to build-in safety precautions (policy/structural).ResultsDemographics:(Preliminary 2021 data on the two services).Patients attending (CMHU): 3,393. Forty-five per cent diagnosed with severe mental illness. Schizophrenia and related disorders: 873 patients. 58% women.Staffing projected: 2 psychiatrists, 2 nurses, 1 clinical psychologist, 2 social workers.Physical structure: Safe spaces for women/children.Programs (offered currently and in planning stages): 1)Therapeutic Drug Monitoring/Adherence, 2)Individual/group patient/family sessions, 3)Perinatal Mental Health (preconception, pregnancy, lactation, postpartum, parent training/support), 4)Collaborative programs (primary care, medical specialties especially obstetrics/gynecology and endocrinology, trauma specialists, addiction experts), 5)prevention/intervention of suicide risk, 6)social services (single mothers, family issues, domestic abuse, sexual exploitation) 7)home-based services, 8)peer support, 9)physical activity, 10)psychoeducation for patients and families.Planned quality evaluation measures: diagnostic assessment (reliability, long-term validity);regular treatment effectiveness evaluation (individualization of treatment plans, assessment of adverse effects of drugs, screening for metabolic syndrome/ physical health, family intervention, psychoeducation (individual/group) assessment of suicidal ideation and global functioning.ConclusionsSpecific services for women with schizophrenia and related disorders represent an important resource to improve patient well-being and offer clinical care leading to individual recovery.Disclosure of InterestNone Declared
Use of systemic hormonal contraception and depression: a nested case-control study
Authors: Toffol E. , Partonen T. , Heikinheimo O. , Latvala A. , But A. , Haukka J. 
Published: August 2023

IntroductionDepression is twice as common in women as in men, especially in the young age group. Multiple factors may contribute to this gender difference. Growing attention is being focused on the role of sex hormones, including those of hormonal contraception
(HC). Some recent studies have indicated a higher risk of depression among women using HC, although the results are inconclusive.ObjectivesThe aim of this study is to examine the associations between the use of hormonal contraception and the risk of depression in childbearing age women.MethodsThe original cohorts for the study included all women aged 15-49 years with at least one redeemed prescriptions for HC in Finland in 2017 (n=294,356), and a 1:1 age-matched cohort of non-users. After exclusion of prevalent cases (n=35,102), all incident cases of depression (as recorded in the Care Register of Health Care and Register of Primary Health Care Visits) in 2018-2019 were identified (n=23,480), and a 4:1 age-matched control group (n=93,920) was selected from the above cohorts. Current use of HC in the 180 days before the event was compared in cases and controls, and associations with risk of depression were tested via conditional multivariate logistic regression models.ResultsDuring the follow-up, 23,480 incident cases of depression were identified. Current use (in the 180 days before the event) of HC (OR 0.82, 95% CI 0.79-0.85), in particular of estradiol- or
ethinylestradiol-containing combined HC was associated with a lower risk of depression (OR 0.83, 95% CI 0.76–0.89; OR 0.74, 95% CI 0.71–0.78, respectively) compared to non-use of HC. The results remained significant (OR 0.87, 95% CI 0.81-0.95; and OR 0.77, 95% CI 0.73-0.81, respectively) after controlling for covariates (marital and socioeconomic status, education level, chronic diseases). Use of progestin-only contraception was not associated with altered risk of depression.ConclusionsUse of HC in childbearing age women is not associated with increased risk of depression. Rather, the use of estradiol- or ethinylestradiol-containing HC is associated with a lower risk of depression.Disclosure of InterestNone Declared