bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self-harming behaviour in liaison psychiatry : Case series and literature review
Authors: BENALLEL K. , MANSOURI W. , KADIRI M. 
Published: August 2023

IntroductionSelf-harm (SH) is common, in particular among young people. It can be seen in a wide range of psychiatric disorders, ranging from anti-social personality disorders to schizophrenia and mood disorders. In the extreme, self-harm can be functionally life-threatening. Such is the case of phlebotomy, emasculations and self-amputation. The severity of certain damage and the urgency of an initial somatic treatment contribute to make self-harm one of the most frequent reasons for intervention in liaison psychiatry.ObjectivesThrough our case series and a literature review, we tried to describe the socio-demographic and psychopathological characteristics of the self-harmers and to identify the specificities of their management in liaison psychiatry.MethodsIt is a descriptive cross-sectional study, in the psychiatric department of a general hospital in Rabat, concerning patients evaluated for SH with or without other psychiatric manifestations. The data collected are analysed using the statistical software ‘JAMOVI’. Patients seen in psychiatric consultations, in medical-surgical emergencies or in liaison psychiatry for SH were included. Patients already hospitalized in psychiatry were excluded.Results35 patients were recruted of who 65.7% were male. 68.6% were single. 51.4% had a low socio-economic level and 42.9% had an average level. 48.6% had a psychiatric history of which 22.9% had attempted suicide. Abuse was present in 34.3%, family separation in 22.9%, death of a parent in 20% while no patient reported sexual abuse. The most common method used was a razor blade in 57.1% of cases. The most mutilated site was the forearms in 65.7%, following a frustration in 60% and a conflict situation in 25.7%. 48.6% were hospitalised (34.5% in psychiatry, 5.6% in intensive care and 5.6% in otorhinolaryngology).ConclusionsSelf-harm is a frequent pathological behaviour whose incidence is increasing. Understanding the psychological and biological basis of self-harm will help to improve the management of these patients and prevent the recurrence of this dangerous behavior and its complication by suicide.Disclosure of InterestNone Declared
Asessing anxity among patients who survived after infection with COVID 19
Authors: Khalifa I. , Ben Salah H. , Youssef R. , mejri M. , Loghmari A. , Maktouf Bouhlel A. , Boukadida L. , Yaacoubi H. , Bouassida K. , Jaballah R. , Zorgati A. , Boukef R. 
Published: August 2023

IntroductionThe actual pandemic of COVID 19 is a very unusual yet real situation we are facing. It has affected people in both physical and psychological way. In fact,in such particular circumstances, so many people experience stress, anxiety and depression.ObjectiveObjectivesThe goal of our study is to emphasize theanxiety among patients who were tested positive with COVID 19 , using the HAD scale.MethodsIt is a retrospective study single-centerstudyPatients are collected from a database of the Sahloul emergency COVID unit. We include patients whose age is greater than or equal to 18 years old who has been infected with SARS-COV-2 according to the results of the PCR test. All patients lost to follow-up, refusing to participate in this study, having a psychiatric illness or having taken a psychotropic medication before randomization or non-cooperating (unable to respond to the evaluation test) were excluded. At 30 days follow up, anxiety was evaluated by HAD scale.Results200 patients were included in this study.In our study, 98 patients had symptoms of anxiety (49%) after one month of their consultation in the emergency room; i.e. 39% have a doubtful symptomatology of anxiety and 10% have a certain symptomatology. Half (51%) of the patients had no signs of anxiety depression. The average age of the patients in whom the presence of definite anxiety symptoms was noted was 56.2 years; 63.7% of these patients were female. No difference was noted in relation to the pathological history. Patients in whom the symptoms of anxiety were certain presented a persistence of clinical signs for 10.7 days in average as opposed to 7.1 days in patients without anxious symptoms (p<0.001).ConclusionsAnxiety is so common among COVID 19 patients and it has a huge influence on the evolution of their health state . This is why all health workers have to fight against COVID and its effects on both physical and mental health . Highlighting the fact that a psychological assistance is highly recommended in the management ofCOVID19 patients in order to improve their prognosisDisclosure of InterestNone Declared
Quality of sleep among healthcare workers treating patients with coronavirus disease-19
Authors: Omrane A. , Touil I. , Sghaier E. , Jaoued O. , Chelly J. , EL Arbi F. , Fkih Hassen M. , Mergheli S. , Knani J. , Khalfallah T. 
Published: August 2023

IntroductionSince the declaration of the first Covid-19 case on December 08th ,2019, and to curb the spread of this pandemic, each country and notably Tunisia, has implemented a preventive strategy dominated by general lockdowns in accordance with social distancing and basic hygiene measures. These measures were not applicable in the health care sector as health care workers are at the forefront in the fight against COVID-19. This condition affects not only their physical health caused by elevated workload, but also their mental health causing anxiety, fear, and depression. Previous studies have reported that health care professionals feel stigmatized, experience high levels of anxiety and symptoms of depression, and have sleep problems. Impaired Quality of Sleep (QoS) can affect their efficiency in providing medical services and adequate psychological support for patients suffering from COVID-19.ObjectivesTo evaluate the QoS among health care professionals treating patients with COVID-19 and quantifying the symptoms of depression and levels of anxiety.MethodsA cross-sectional study was conducted in 75 health care professionals matched by age and sex working in public hospital Taher Sfar Mahdia. The study was based in a self administred, French language questionnaire containing three validated questionnaires: 7-item Generalized Anxiety Disorder (GAD-7) Scale, 9-items Patient Health Questionnaire (PHQ-9) Scale, Pittsburgh Sleep Quality Index (PSQI) and additional survey constructed for the purpose of the study.ResultsHealthcare professional treating COVID-19 patients (Group I) group was predominately females mean aged of 32.67±7.04. The health professionals treating COVID-19 patients had poorer Quality of Sleep; Pittsburgh score 10.6 ± 742 vs 7.89 ± 6.14 in the group not treating COVID-19 patients ( p=0.001). Levels of anxiety and depression were significantly higher in the group I (respectively p=0.005 and 0.03). Multiple linear regression analysis revealed that higher scores on GAD (beta = .809, p < .01) and the lower one was the number of persons in charge (beta = –0.632; p < .01) were independent predictors of a poorer quality of sleepConclusionsThis study has revealed the heavy mental health burden health care professionals treating infected patients in Tunisia during the COVID-19 pandemic are exposed to. Providing early psychological support and a psychologically safe environment for these healthcare workers may alleviate their stress and, consequently, ameliorate their QoS. More attention should be devoted to their quality of sleep and work schedules. In many countries, online training, telehealth supports, behavioral group therapy, cognitive behavioral therapy, and mindfulness-based therapy have been deployed for frontier Healthcare workers and have proven effective in such circumstances.Disclosure of InterestNone Declared
Development of depression in patients hospitalized for COVID-19 infection
Authors: Lucijanić D. , Mihaljević-Peleš A. , Piskač-Živković N. , Rakoš I. , Mužinić Marinić L. 
Published: August 2023

IntroductionCoronavirus pandemic (COVID-19) has caused a great psychological impact all over the world. With this research, we want to discover the incidence and associated risk factors for depressive symptoms among hospitalized patients. The objective is to investigate patients with criteria of a severe clinical picture and expressed systemic inflammatory response to SARS-CoV-2 coronavirus infection and if they develop mental disorders- depression, measured by Depression, anxiety and stress scale- DASS-21 scale. With this research, we also calculate the index of the immune-inflammatory response SII and test the hypothesis that people with higher SII will develop mental disorders more often. Demographic variables, comorbidities, COVID-19 severity criteria, and the intensity of the organism’s inflammatory response have also been examined. Psychiatric questionnaires were for the first time applied directly to patients with coronavirus infection during hospitalization.ObjectivesTo identify possible risk factors for depression and to investigate the association between disease severity and the occurrence of psychopathology among COVID-19 hospitalized patients.MethodsThe subjects are patients suffering from COVID-19, older than 18 years who were hospitalized in the respiratory center KB Dubrava. After an interview and informed consent, demographic data was taken and two psychological questionnaires had been applied. Variables: patient characteristics -demographic data, experience of vulnerability, information on whether they have been previously treated psychiatrically, symptoms of anxiety, depression, stress, somatic comorbidities Intensity of systemic inflammation Severity of COVID-19.ResultsA total of 169 patients hospitalized were analyzed. The median age of the patients was 65. There were (62.1%) men and (37.9%) women. On admission, most patients had a severe (134, 79.3%) or critical (17, 10.1%) form of COVID-19. The median Charlson comorbidity index was 3 points. Arterial hypertension was present in 101 (59.8%), diabetes mellitus 42 (24.9%), hyperlipoproteinemia 30 (17.8%), obesity 61 (36.1%), malignant disease 17 (10.1%) patients. 11 (6.5%) smoked and 7 (4.1%) patients consumed alcohol. The median CRPa was 72.75 mg /L. Median SII was 1741. During hospitalization, the median DASS21 score for depression was 14, for anxiety 8, and for stress 6. Regarding depression, it was absent in 49 (29%), mild in 27 (16%), moderate in 47 (27.8%), severe in 18 (10.7%) and extremely severe in 28 (16.6%) patients during hospitalization.ConclusionsPatients with symptoms of depression during hospitalization felt statistically significantly more likely to be in danger of life due to COVID-19, had a more pronounced intensity of symptoms of COVID-19 upon admission. Additionally, patients with higher DASS 21 scores for depression were significantly more likely to be female, had COPD and required oxygen supplementation at higher flows.Disclosure of InterestNone Declared
Cost-utility of tDCS in depression treatment
Authors: Sauvaget A. 
Published: August 2023

AbstractDepression is one of the most common psychiatric disorders causing considerable economic burden. However, the current treatment as usual, pharmacotherapy and psychotherapy, provides unsatisfactory treatment outcome for majority of the patients and in most cases fails to prevent treatment resistance and chronicity. tDCS, has emerged as a new neuromodulation treatment and has shown efficacy in depressed patients. To provide important insight to the payers, the cost-utility of tDCS in comparison to treatment as usual, should be clarified.Disclosure of InterestNone Declared
The social stigma and psychological impact in post COVID 19
Authors: Halouani N. , Gdoura D. , Bouattour O. , Turki M. , Moussa N. , Ellouze S. , Aloulou J. 
Published: August 2023

IntroductionCoronavirus 2019 (COVID19) is a contagious disease. Infected patients are not only the vectors of the disease but also often the victim of the social stigma attached to it.ObjectivesTo assess the social stigma perceived by post-COVID19 patients.MethodsThis is a 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 in Sfax.The anxiodepressive disorders were screened using the “Hospital Anxiety and Depression Scale”. Post-traumatic stress disorder was assessed using the Impact of Event Scale-Revised.Perceived stigma due to COVID19 was assessed by items from the psychometric tool: self-reported instrument measuring COVID19-related stigma.ResultsThe mean age was 66.62 ± 13.34 years. Male patients represented 60.4% of the study population.In our study, the prevalence of anxiety, depression and post-traumatic stress disorder was 24.7%, 11% and 13.6% respectively.In our study, 21.4% of the participants felt discrimination and social stigma, especially from neighbors (18.2%).Anxiety was statistically correlated with the presence of stigma related to COVID19.We have a highly significant relationship between depression and stigma. (p=0.002)No correlation was found between stigma and post-traumatic stress disorder.ConclusionsIn addition to social stigma, people with COVID 19 may perceive themselves as different from normal in terms of physical or mental abilities, leading to a high likelihood of self-stigma and social isolation.Disclosure of InterestNone Declared
The Impact of the COVID-19 Pandemic on Domestic Abuse Against Turkish Immigrant Women in Germany
Authors: Cindik-Herbrüggen D. E. D. 
Published: August 2023

IntroductionThe most common but most hidden form of violence against women is domestic violence. One out of every three women in the world is exposed to physical, psychological or sexual violence by her close partner at any time in her life (Ünal and Gülseren, 2020). As a result of the social isolation measures and quarantine regulations brought by the Covid-19 pandemic, reports of domestic violence against women have increased.ObjectivesThis study aimed to investigate the relationship between psychological violence, psychological maltreatment and depression, anxiety among Turkish immigrant women living in Germany during the COVID-19 pandemic.MethodsThe Profile of Psychological Abuse of Women, Psychological Maltreatment of Women Inventory, Generalized Anxiety Disorder-7 (GAD-7) Scale, and The Patient Health Questionnaire-9 (PHQ-9) were delivered to participants.ResultsOur results show that participants who had been exposed to psychological abuse and domestic violence reported to have higher depression and anxiety scores. Furthermore, participants with low income and married to spouses with no formal education or only primary school graduates were reported to have higher depression, anxiety, domestic abuse and psychological maltreatment scores during the COVID-19 outbreak.ConclusionsOur findings demonstrated that Turkish immigrant women who had experienced psychological abuse and domestic violence by their partners during the pandemic were reported to have higher depression and anxiety.Disclosure of InterestNone Declared
Health Locus of Control and Health Anxiety in Patients with COVID-19
Authors: Semenova E. R. , Deshchenko E. , Pervichko E. , Konyukhovskaya J. 
Published: August 2023

IntroductionPerceived sense of control over one’s health contributes to determining health-related behaviors and an individual’s health status. Therefore, it may enhance vulnerability to health anxiety in response to COVID-19 and influence implementation of preventive strategies and adherence to them. Health anxiety may serve as one of the factors that increase the perception of COVID-19 as dangerous and life-threatening. We hypothesized that external health locus of control may demonstrate a connection with higher levels of health anxiety, whereas internal health locus of control may be considered a protective factor alongside some personality traits due to its role in determination of coping strategies.ObjectivesTo assess health locus of control (HLC) in patients with COVID-19 and evaluate its connection with the levels of health anxiety.MethodsThe study has involved 62 participants, average age is 23,4±8,2, with 36 of them being diagnosed with COVID-19 one or more times, average age is 24,5±8,9, whereas 26 of them were healthy, average age is 21,8±7,1. The following methods were used: Brief Illness Perception Questionnaire (modified for COVID-19), Perceived Stress Scale, the state scale from the State-Trait Anxiety Inventory, Short Health Anxiety Inventory, Illness- and Treatment-Related Locus of Control Scale, HEXACO-24 Personality Inventory, Self-Government Test.ResultsCOVID-19 patients differed from healthy participants by the following parameters: perceived danger of COVID-19 (31,53±9,51 vs 33,92±11,5; p>0,05); perceived stress (28±8,68 vs 26,5±7,3; p>0,05); state anxiety level (23,3±11,1 vs 25,1±12,5; p>0,05); health anxiety (14,3±6,76 vs 13,8±5,7; p>0,05); internal HLC (18,8±3,24 vs 17,8±4,67; p>0,05); external HLC (5,97±1,89 vs 5,81±1,92; p>0,05); extraversion (11,8±3,36 vs 13,10±3,71; p>0,05).Correlation analysis has revealed mild positive correlations between health anxiety level and both external HLC (0,32; p<0,05) and chance HLC (0,25; p<0,05), mild negative correlation between health anxiety and internal HLC (-0,18; p>0,05). Analysis of COVID-19 related variables found that health anxiety levels were positively correlated with perceived danger of coronavirus disease (0,37; p<0,01), perceived stress (0,59; p<0,001) in the whole sample. Negative correlation was observed between extraversion and health anxiety (-0,49; p<0,05) in the group of COVID-19 patients.ConclusionsThe results obtained in our study demonstrate the connection of the higher levels of health anxiety in COVID-19 patients with more external orientation of HLC. The connection between extraversion and health anxiety is also observed. Our study indicates that participants diagnosed with COVID-19 one or more times tend to have higher health anxiety levels in comparison to healthy participants.Disclosure of InterestNone Declared
The Role of COVID-19 Pandemic Anxiety and Perceptions in COVID-19 Vaccination
Authors: Semenova E. R. , Konyukhovskaya J. , Sviridova S. , Pervichko E. , Stepanova O. , Mitina O. , Shishkova I. 
Published: August 2023

IntroductionSince stress and anxiety are significant manifestations of psychological distress during the COVID-19 pandemic, we studied their role in making a decision about vaccination.ObjectivesTo study the relationship between the intention to be vaccinated against COVID-19 with health anxiety and stress levels.MethodsThe methodological complex includes the author’s socio-demographic questionnaire (Pervichko, 2020, 2021, 2022); the questionnaire “Scale of perceived stress-10” (Ababkov, 2016); the questionnaire “Perceptions of the COVID-19 pandemic” (Pervichko et al., 2020), developed on the basis of the Russian-language version of the E. Broadbent’s short questionnaire about the perception of disease (Broadbent, 2006); the State-Trait Anxiety Inventory (STAI) (Spielberger, 2002) and the “Short Health Anxiety Inventory” (Pervichko et al., 2020).The study involved 232 respondents who did not have COVID-19 (average age – 29.1 ± 13.7 years). Among the respondents, 68.5% have already been vaccinated, 23.3% do not plan to be vaccinated and 8.2% plan to perform the procedure.ResultsThe methodological complex includes the author’s socio-demographic questionnaire (Pervichko, 2020, 2021, 2022); the questionnaire “Scale of perceived stress-10” (Ababkov, 2016); the questionnaire “Perceptions of the COVID-19 pandemic” (Pervichko et al., 2020), developed on the basis of the Russian-language version of the E. Broadbent’s short questionnaire about the perception of disease (Broadbent, 2006); the State-Trait Anxiety Inventory (STAI) (Spielberger, 2002) and the “Short Health Anxiety Inventory” (Pervichko et al., 2020).The study involved 232 respondents who did not have COVID-19 (average age – 29.1 ± 13.7 years). Among the respondents, 68.5% have already been vaccinated, 23.3% do not plan to be vaccinated and 8.2% plan to perform the procedure.ConclusionsHigher health anxiety, situational anxiety, perceived stress, and greater perceived life threat due to coronavirus contribute to COVID-19 immunization procedures, which is accompanied by perceptions of greater control of the pandemic.Disclosure of InterestNone Declared
tDCS home based treatment following accelerated dTMS in the elderly depressed
Authors: Baeken C. 
Published: August 2023

AbstractWith a growing number of elderly persons, geriatric depression - associated with important morbidity and mortality- is becoming a significant health problem. Given the risk of polypharmacy and increased side effects, alternative non pharmaceutical treatments such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) may be solution. Recently, the FDA approved deep brain TMS (dTMS) for depression, not only stimulating deeper cortical areas but response and remission rates may be better, especially in elderly populations. Nevertheless, beneficial follow-up options following rTMS treatment remains to be determined. Therefore, one week after the last accelerated dTMS, all patients followed a 3 week open label tDCS with a home-use device. Study rationale and preliminary findings will be discussed.Disclosure of InterestNone Declared