bluuebunny/crossref_metadata_2025_split huggingface dataset:
Woman aspects of behavior addiction, including gambling
Authors: Kalo Z. 
Published: August 2023

AbstractBehavioral addictions, also known as non-substance or non-drug addictions, refer to a range of compulsive behaviors that individuals engage in despite the negative consequences that result from these behaviors. Research on behavioral addiction in women has shown that women are at a higher risk for certain types of behavioral addictions, such as shopping addiction and internet addiction, compared to men. Studies suggest that women may be more susceptible to these types of addictions because of social and cultural factors, such as societal expectations of women to be nurturing and caregiving, which may lead them to use these behaviors as a form of coping mechanism. There is also evidence that women are more likely to experience shame and guilt as a result of their addiction, which can make it more difficult for them to seek help and support. Gambling among women has traditionally been less common than among men however, this trend is changing. Survey have shown that the number of women who gamble is on the rise, and that they are becoming increasingly diverse in terms of age, income, social background. Research studies have found that the rate of problem gambling among women is lower than men, but that women tend to develop gambling problems more quickly than men. This is thought to be due to a number of factors, including women’s greater vulnerability to stress and depression, as well as the fact that women are more likely to have a history of trauma or abuse. Overall, research on behavioral addictions among women is still a relatively new field, and there is a need for more studies to be conducted in order to better understand the unique factors that contribute to the development of these types of addictions in women.Disclosure of InterestNone Declared
Positive and Negative Syndrome Scale (PANSS) predictors of hospitalization during home treatment on 1045 patients with schizophrenia in acute crisis
Authors: Talisa R. , Sabaté A. , Córcoles D. , Leon J. , Malagón A. , González A. M. , Bellsolà M. , Samos P. , Jerónimo M. Á. , Martín L. M. , Pérez V. 
Published: August 2023

IntroductionSeveral factors related to the risk of requiring psychiatric hospitalization have been described in patients diagnosed with schizophrenia treated with methods other than home treatment. With regard to the symptoms, high global illness severity and positive symptoms of schizophrenia have been most frequently related to the risk of hospitalization in patients with schizophrenia. However, there are no studies describing which clinical factors increase the likelihood of being hospitalized while undergoing home follow-up.ObjectivesTo determine which of the clinical factors assessed in the PANSS predict the risk of hospitalization in patients diagnosed with schizophrenia following a home treatment program.MethodsAll patients with schizophrenia who were visited by a home treatment team in Barcelona between January 2017 and December 2021 were included in the study. A comparative, bivariate analysis of each item of the PANSS and of the global results of each category was conducted on those who were hospitalized and those who were not hospitalized. Finally, a logistic regression of each category of the PANSS was done on both groups, controlling for other socio-demographic and clinical factors.ResultsA total of 1045 patients with schizophrenia were evaluated in this study. PANSS positive symptom subscale (PANSS-S), PANSS General Psychopathology, PANSS Excited Component and PANSS Global Score scored higher in patients who were finally hospitalized in a conventional acute treatment unit. Regarding the PANSS negative symptom subscale, no significant differences were found between the two groups.In patients who required hospitalization, the scores of all the PANSS positive symptom subscale (PANSS-P) items and all items on the PANSS excited component (excitement, tension, hostility, uncooperativeness and poor impulse control) were significantly higher. Some items regarding general psychopathology (Somatic concern, anxiety, guilt feelings, tension, and mannerisms) were also significantly higher in the hospitalization group. Only 3 items—blunted affect, guilt feelings and motor retardation—scored significantly higher in patients who did not require hospitalization. In the logistic regression, only the global score of the PANSS-P reached statistical significance (P = 0.001).ConclusionsPositive symptoms scored in the PANSS seem to be the most predictive factors of hospitalization regarding clinical symptoms in patients with Schizophrenia following home treatment. Other items regarding exciting symptoms and general psychopathology also showed as relevant regarding the risk of conventional hospitalization in those patients.Disclosure of InterestNone Declared
Common beliefs about sexuality: a Tunisian survey among pregnant women
Authors: Zouari A. , Guermazi F. , Amamou B. , Hentati S. , Feki I. , Baati I. , Gaha L. , Masmoudi J. 
Published: August 2023

IntroductionSexual relationship is affected by the emotional factors, changes in women’s body, sexual dysfunctionsand also common beliefs about sex in pregnancy. Couples might tend to avoid sexual intercourse in pregnancy due to different beliefs.ObjectivesOur objective was the evaluation of sexual related and common beliefs among pregnant womens.MethodsWe conducted a cross-sectional and descriptive study. We targeted Tunisian pregnant women whatever the term of pregnancy. We collected data using a self-questionnaire performed with Google Forms and posted regularly on social networks over a period of six months. In order to assess the most common beliefs, we used a panel of questions inspired by the literature.Results34 pregnant women participated to the study. Mean age was 31,56 years (SD =3,25). All the participants had a secondry or university education (5.9% and 94.1% respectively). Ninteen women (55.9%) were multiparous with 44% in the third trimester.Among participants, 20.6% believe that sexual intercourse can be harmful to the baby, 41.2% believe that the number of intercourse should be limited during pregnancy and 17.6% thought that sexual intercourse should be stopped in the first three months.In relation to body image, 11.8% of women approve that pregnancy takes women’s all beauty and 8.8% thought that their bodies weren’t attractives as before for spouses. About a quarter of our population (23.5%) agreed that pregnant women lose sexual desires and 14.7% approved that intercourse satisfies only men. Only one women (2.9%) reported that intercourse during pregnancy is considered a sin.ConclusionsWe have identified through this study different beliefs about sexuality during pregnancy, sometimes aberrant and which can affect the sexuality of couples. Attention of health professionals should be attracted to this issue and sexuality should definitely be integrated into prenatal care and counselling.Disclosure of InterestNone Declared
Women during the war - stress, resilience and self-efficacy during the Russian-Ukrainian war (May 2022) among women from Ukraine, Poland, Slovakia and Romania
Authors: Piotrowski A. , Boe O. , Sygit-Kowalkowska E. , Petrovska I. , Predoiu A. , Predoiu R. , Görner K. , Rawat S. , Makarowski R. 
Published: August 2023

IntroductionThe sudden and large-scale Russian invasion of Ukraine has caused significant stress not only in Ukrainians but also in citizens of countries which have received the largest numbers of refugees.ObjectivesThe aim of the current study was to identify stress, resilience, and self-efficacy levels, as well as to examine the relationships between these variables, in a sample of women from Ukraine, Poland, Slovakia, and Romania during the third month of Russian aggression on Ukraine.MethodsThe study involved measuring a sample of Ukrainian (N = 82), Polish (N = 102), Slovak (N = 79), and Romanian (N = 42) women using the Perception of Stress Questionnaire, the Brief Resilience Scale, and the Generalized Self-Efficacy Scale in May 2022.ResultsThe results showed that during the third month of Russian aggression on Ukraine, stress levels and its components (emotional tension, external stress, and intrapsychic stress) were the highest among Ukrainian women and the lowest among Polish women. The sense of self-efficacy was the lowest among Ukrainian women and highest among Polish women, while resilience was the lowest among Ukrainian women and the highest among Slovak women.ConclusionsWomen from Ukraine reported being in the worst mental state compared to the rest of the sample. Moreover, a path analysis of the measured variables points to a multifaceted relationship between stress, resilience, and self-efficacy among women from Ukraine, Poland, Slovakia, and Romania during the third month of the Russian invasion.Disclosure of InterestNone Declared
Neurobiology and neuroimaging of the maternal brain
Authors: Sutter-Dallay A.-L. 
Published: August 2023

IntroductionThe epidemiology of psychiatric disorders of the perinatal period and their mainly thymic dimension are now well established. However, the underlying physiopathology remains uncertain and poorly explored.ObjectivesThe purpose of this presentation is to explore the current knowledge in terms of neurobiology/neuroimaging underlying the modifications in maternal brain functioning and the links with perinatal psychiatric disorders.MethodsA narrative review of the current international literature was carried out.ResultsResults of the current studies suggest that during pregnancy and the postpartum period, hormones and sensory interactions with the offspring relate to complex structural and functional changes in the brain. This reproduction-related brain plasticity embraces various areas implicated in maternal caregiving, primarily regions involved in reward/motivation, salience/threat detection, emotional regulation, and social cognition such as the ability to empathize and infer the mental state of the baby. Some structural irregularities and differences in activation patterns potentially involved in the triggering of disorders are starting to be identified.ConclusionsThe survival of newborns is largely dependent on the mother, and her brain appears to have evolved to support mother-infant bonding and sensitive care. Brain research offers a growing scientific understanding of the neural correlates of these disorders and opens a window to their prevention and treatment.Disclosure of InterestNone Declared
Impact of psychiatric disorders on pregnancy and its management. A French retrospective cohort study
Authors: Briaud E. , Doolub D. , Guinot S. , Deparis J. , Jaafari N. 
Published: August 2023

IntroductionEvery pregnancy and birth is unique, and despite this, few studies exist on the condition of pregnant women with mental disorders.ObjectivesThis study analyzes the impact of prevalent mental disorders in pregnant women to determine which clinical or socio-demographic characteristics significantly impact pregnancy.MethodsThis retrospective and naturalistic cohort study is based on the medical records of 99 patients managed in a university hospital. All patients had an ICD-10 mental disorder (psychiatric and/or substance use disorders) diagnosed before pregnancy.ResultsOnly 24.2% of the pregnant women had no adverse outcomes throughout pregnancy, labor, and delivery. The remaining mothers had violence issues, and mothers with psychotrauma were likelier to have stillborn babies. Pregnant women with mental disorders were less keen to screen for Down’s syndrome and more likely to have artificial delivery in case of comorbid drug addiction and alcohol use disorder (AUD). Anonymous birth and placement of newborns were related to substance abuse and pre-pregnancy AUD comorbidities or AUD alone before pregnancy. Besides, four clinical characteristics were found to be predictive of adverse pregnancy outcomes: young maternal age (β
=-1,15,p<.03), late-term first contact with the maternity hospital (β=0.08,
p<.02), advanced term of delivery (β=4.01,
p<.03), and a history of psychiatric disorders associated with an AUD but without smoking before pregnancy (β
=-1,07,p<.03). Despite all, pregnant women had a relatively sustained follow-up of their pregnancies.ConclusionsMental disorders have a negative impact on pregnancy. More studies should be promoted to raise the attention of professionals to manage and improve women’s pregnancy and motherhood with psychiatric conditions.Disclosure of InterestNone Declared
ADHD Dimension, Childhood trauma and Perceived Stress: an observational study on peripartum women affected by mood and anxiety disorders
Authors: Bilotta I. , Anibaldi G. , Stampatore L. , Concolato C. , Medugno M. , Fattorini A. , Cutillo L. , Bernardi S. , Culicchia G. , Bassi de Toni A. , Del Casale A. , Pompili M. , Angeletti G. 
Published: August 2023

IntroductionPregnancy is an important life event, involving body and mind transformation as well as brain reorganization. ADHD dimension is an additional aggravating factor, albeit poorly studied in the literature, in patients with mental health disorders in the peripartum.ObjectivesThe purpose of this study was to evaluate the correlation among ADHD dimension, trauma in childhood, and anxiety-depressive symptomatology to assess whether the ADHD dimension may affect the quality of life of peripartum patients, and to identify vulnerability factors and self-harm
risk.MethodsThe sample included 74 women aged 21-46 years, recruited from Sant’Andrea Hospital in Rome between 2015 and 2019. All recruited women were administered the following scales: Adult ADHD Self Report Scale (ASRS), Edinburgh Postnatal Depression Scale (EPDS); Childhood Trauma Questionnaire (CTQ), Perceived Stress Scale (PSS); Minnesota Multiphasic Personality Inventory (MMPI). Statistical analysis was performed by Pearson’s correlation with SPSS software to verify the presence of linear relationships (p<0.05) among theADHD dimension, assessed by the ASRS scale, and the other psychopathological dimensions.ResultsThe sample was divided into two groups depending on the results of ASRS: 26 patients were positive for at least one of the ASRS scale items, while 48 patients were negative. The groups did not statistically differ in socio-demographic variables examined. The medium score at EPDS was 15,11 (± 8,43). It was found that the severity of ADHD dimension directly correlated with the duration of mental symptoms in peripartum (r=0.324;p=0.013), with the total CTQ scale score (r=0.342; p=0.004), with emotional abuse detected by CTQ (r=0.415; p<0.001), with emotional neglect detected by CTQ (r=0.291; p=0.014) and with perceived stress detected by PSS scale (r=0.456; p<0.001). Furthermore, we identified a correlation between self-injurious ideation and ADHD symptomatology (r=0.269; p =0.049) evaluating the item 10 of EPDS.ConclusionsThe severity of ADHD traits directly correlates with the symptomatology and duration of mental disorder in peripartum. Specifically, ADHD patients who develop anxious-depressive symptoms are more likely to have experienced emotional abuse and emotional neglect in childhood.Disclosure of InterestNone Declared
Neuropsychiatric effects of Synthetic Cathinones - a review
Authors: Mendes Coelho J. , Bicho M. , Peixoto C. , Fontes H. 
Published: August 2023

IntroductionThe emergence of new psychoactive substances (NPS) has had a substantial impact worldwide. NPS mimic the effect of “existing” drugs and are specifically manufactured so that the new substances fall out of regulatory frameworks. Although the structural changes might be minimal, NPS often have marked differences in potency and subsequent harm.The population of the Azores archipelago has been particularly affected by the rapid growing and changing nature of this phenomenon, mainly caused by the introduction and spread of the “newly” synthetic cathinones as a inexpensive and easily available street drug.Before any educational, public health and socioeconomic policy changes be proposed to accurately tackle the problem, the basic step of knowing how these substances have been affecting their users, specially their neuropsychiatric effects, must be taken.ObjectivesThis project aims to characterize the neuropsychiatric side effects caused by the acute intoxication of NPS with a psychostimulant profile, namely synthetic cathinones.MethodsDescription of the neuropsychiatric symptoms of intoxicated users of stimulant NPS that present to non-governmental organizations specialized in addictions and also to the psychiatry emergency department in Sao Miguel - Azores.Review of the forensic records of the deaths by suicide in 2021 in Sao Miguel, looking for evidence of recent abuse of NPS or previous history of “NPS use disorder”.Non-systematic review of the recent and relevant scientific literature on this topic.ResultsThe desired effects are increased energy, mood enhancement, euphoria, mental clarity, improved concentration, improved sociability, increased talkativeness, empathy inducing effects, amplification of sound and colour and prosexual effects. Nevertheless, in the case of intoxication, the frequent neuropsychiatric side effects tend to be agitation, agressiveness, irritability, altered consciousness, brief psychosis with paranoid delusion, visual and auditive hallucinations, transient mania, enhanced sensorial experiences, headaches, dizzyness, seizures, confusion and amnesia. Usually, the acjute intoxication period tend to be followed by a “crash” with depression, craving, anxiety, panic, suicidal ideation and behaviours. A third of the deaths by suicides in Sao Miguel Island in 2021, 7 out of 21, were in stimulant NPS active or recent users.ConclusionsReview of the neuropsychiatric effects of New Psychoactive Substances with a psychostimulant profile. Further studies of this population of synthetic cathinone users in the Azores are due, namely studying their socioeconomic background, looking for risk and protective factors, and also the long-term side effects.Disclosure of InterestNone Declared
Post-migration trajectories and psychopathological vulnerability
Authors: Tarricone I. , Tarricone Ilaria , D’Andrea Giuseppe , Jongsma Hannah E , Tosato Sarah , Gayer-Anderson Charlotte , Stilo Simona A. , Suprani Federico , Iyegbe Conrad , van der Ven Els , Quattrone Diego , di Forti Marta , Velthorst Eva , Menezes Paulo Rossi , Arango Celso , Parel Mara 
Published: August 2023

Abstract: BackgroundPsychosis rates are higher among some migrant groups. We hypothesized that psychosis in migrants is associated with cumulative social disadvantage during different phases of migration.MethodsWe used data from the EUropean Network of National Schizophrenia Networks studying Gene-Environment Interactions (EU-GEI) case-control study. We defined a set of 3 indicators of social disadvantage for each phase: pre-migration, migration, and post-migration.Results249 cases and 219 controls were assessed. Pre-migration (OR 1.61, 95%CI 1.06-2.44, p=0.027) and postmigration social disadvantages (OR 1.89, 95%CI 1.02-3.51, p=0.044), along with expectations/achievements mismatch (OR 1.14, 95%CI 1.03-1.26, p=0.014) were all significantly associated with psychosis. We found a dose-response effect between number of adversities across all phases and odds of psychosis (≥6: OR 14.09, 95%CI 2.06-96-47, p=0.007).ConclusionsThe cumulative effect of social disadvantages before, during and after migration was associated with increased odds of psychosis in migrants, independently of ethnicity or length of stay in the country of arrival. Public health initiatives that address the social disadvantages that many migrants face during the whole migration process and post-migration psychological support may be reduce the excess of psychosis in migrants.Disclosure of InterestNone Declared
Tobacco and alcohol use in Tunisian young doctors: a way to evade occupational stressors
Authors: Ghrab M. A. , Sellami I. , Abbes A. , Hajjaji M. , Jmal Hammami K. , Masmoudi M. L. 
Published: August 2023

IntroductionThe medical field is very stressful. To reduce stress, healthcare workers may resort to different habits, including smoking and drinking.ObjectivesWe aimed to assess the smoking and drinking habits of interns and fellows in Tunisian hospitals.MethodsA cross-sectional study was conducted in April 2022 through online platforms. A pre-established questionnaire was sent to Tunisian medical interns and fellows, working in public hospitals, and collected sociodemographic and occupational data. The Fagerstörm test was used to evaluate nicotine dependence.ResultsOur population consisted of 182 Tunisian interns and fellows. Their mean age was 26.38±2.03 years. Females represented 71.4% of the total population. One hundred of them (54.95%) were fellows, out of which 18% specialized in surgery. Sixty-one per cent of these young doctors were single. Twenty-two individuals were smokers with male predominance (59.1%). Smoking was associated with age (p<0.001) and female sex (p=0.001). Fagerstörm test score’s mean was 4.09±2.52. High to very high nicotine dependency was found in 31.8% of cases. Thirty-five interns and fellows consumed alcohol and 51.4% of them were females. Alcohol use was associated with sex (p<0.001).ConclusionsDespite knowing their hazard, young doctors still resort to drinking and smoking as a coping mechanism. The promotion of healthier coping mechanisms is essential.Disclosure of InterestNone Declared
Assessment of self-esteem among Tunisian cannabis users
Authors: Kacem M. , Bouali W. , Henia M. , Brahim S. , Zarrouk L. 
Published: August 2023

IntroductionSelf-esteem plays a role in the adaptive functioning of the human being. It could be a protective factor regarding multiple risks particularly substance use.ObjectivesThe aim of this study is to assess self-esteem among a group of young Tunisian users of cannabis.MethodsThe total study sample was composed of 137 participants, who took part of a transversal descriptive study during two months (January and February 2020). These partakers were comprehensively recruited among Emergency patients of Mahdia Hospital. Thereupon, the main criteria for the selection of these patients was their consumption of cannabis, regardless of their primary health care seeking reason or purpose.The research was carried out upon their declaration of cannabis consumption and their compliance to be part of such a study. Thus, Data were collected on a pre-determined data sheet that included various information (age, sex, lifestyle, personal and family psychiatric history, age at which they started their cannabis consumption and the rate of cannabis use …).Accordingly, Self-esteem was assessed using the Rosenberg Self-Esteem Scale (RSES). Consequently, the interview took place after the subject’s verbal and informed consent and the assurance of anonymity and confidentiality of the interview content.ResultsIn our study population, the cannabis consumers were young adults aged between 18 and 35 years old, with a male predominance of 71%. Among those users, 65.9% were single and 29.7% dropped out of school or experienced academic failure. On a socio-economic level, we concluded to a rate of 5.8% (lower class), 60.9% (middle class) and 33.3% (upper class).Besides, 40.8% were employed. In total, 23.2% had a psychiatric history. Furthermore, the use of other substances was also prominent and frequent as follows: alcohol 72.5%, tobacco 74.6%, ecstasy 41.3% and 25.4% cocaine. The use of cannabis was considered as a means of indulgence and pleasure for 66.7%, as an anxiolytic for 26.8% and as a sedative for 23.9%.Self-esteem, among those cannabis users, was very low in 20% of cases, low in 38% of cases, medium in 15% of cases and high in 25% of cases. Consequently, more than half of the study population remains below the medium average according to RSES.ConclusionsThese results lead us to question the relation between cannabis and self-esteem. The question that is evolved about the use of cannabis is the following: Is it used as a remedy or is it the cause of self-esteem deficiency?Disclosure of InterestNone Declared