bluuebunny/crossref_metadata_2025_split huggingface dataset:
Women’s Perception and Attitude Towards Using Antidepressants During Pregnancy: A cross sectional study
Authors: Alshahrani S. 
Published: September 2022

IntroductionDepression during pregnancy leads to deterioration of the mothers’ and the fetus’ health.ObjectivesTo explore women’s perception and attitude towards using antidepressants during pregnancy and identify the factors that influence decision making regarding antidepressants use.MethodsA cross-sectional survey of 991 subjects using convenient sampling. All study subjects (PNU affiliates; staff and students) were invited to fill out an electronic questionnaire, KAAUH staff and PNU female associates who were less than 18 years old were excluded. Answers were reported using 5-
point Likert scale. The responses were summed up to give a total score for each respondent. The cutoff point is 75%. Respondents who scored above or equal 75% of the total score was considered as positive perception or favorable attitude.ResultsThe majority of women had negative perception and favorable attitude towards using antidepressants during pregnancy reaching 64%. While, women with positive perception and favorable attitude represented about 20% of the study subjects. The main factors influencing decision making were, education specialty (health, none-health) and subject history of diagnosis with any psychological disorder. Social stigma, religious believes and fear of addiction were reported by surveyors to be the reason influencing their perception and attitude about antidepressants use (P value <0.005).ConclusionsThis study reveals that although Saudi women reflect a negative perception towards using antidepressants during pregnancy, yet they have a favorable attitude once depression during pregnancy becomes an issue.DisclosureNo significant relationships.
The impact of Gender Identity Clinic waiting times on the mental health of transitioning individuals
Authors: Henderson N. , Selwyn V. , Beezhold J. , Howard R. , Gilmore R. , Bartolome I. 
Published: September 2022

IntroductionWaiting times for gender identity services, even before the Covid-19 pandemic, have been a cause of concern. Despite the waiting time standard for planned elective care in the NHS being a maximum of 18 weeks, the average waiting time for a first appointment with a gender identity clinic is 18 months. This study aims to analyse the effect that these timings have on the transgender community, and whether they impact the risk of developing mental health conditions such as depression or anxiety.ObjectivesThis study’s main aim is to analyse the correlation between waiting times and mental health burden in the transgender community.MethodsA literature review and analysis on a transgender individual’s mental health and waiting times for Gender Identity Clinics; looking at any key themes and conclusions. Research papers were taken from MEDLINE, The International Journal of Transgender Health, Oxford Academic, SpringerLink and Emerald Insight, with studies publishing date ranging from 2014 – 2021.ResultsThe transgender population were found to have higher rates of suicidal ideation, depression and self harm compared to the general population. Longer waiting times were found to contribute to feelings of low mood and suicidal ideation, as well as decreasing overall quality of life.ConclusionsLonger waiting times can decrease a transgender individual’s quality of life and impact their overall mental wellbeing: especially with the impact of COVID-19 and the rise in referrals.DisclosureNo significant relationships.
comparisation of ABO blood groups between female patiens diagnosed with depressive disorders an bipolar affective disorders
Authors: Vuk Pisk S. , Matic K. , Ivezic E. , Geres N. , Filipcic I. 
Published: September 2022

IntroductionThe prevalence of ABO alleles in population is different. Many studies confirmed the correlation between the occurrences of some diseases with different genotypes of ABO blood groups. Studies had shown possible differencese between patients with depressive dissorder and bipolar affective disorders according to ABO blood groups. There are contradictory results; some studies had shown significant association between blood group O and BAP, other showed relationship between unipolar depression and blood type O. Others shoedn association between involuntary depression and blood group A and negative association between blood group A and BAP.ObjectivesThe purpose of this study was to reassess the potential diferences between patients with depressive dissorder and bipolar affective disorders according to ABO blood groups.MethodsA total of 97 adult female psychiatric inpatients participated in this study. 57,7% were diagnosed with depressive disorder and 42,3% were diagnosed with bipolar affective disorder. Type of ABO group were measured from the blood samples taken in the morning after 30 min rest. From whole blood, genomic DNA was isolated on QIAcube device (Qiagen, Germany) using QIAamp DNA Blood mini QIAcube kit (Qiagen, Germany). ABO genotyping on 5 basic ABO alleles was performed using allele-specific
PCR.ResultsComparing ABO blood groups between female patients who are suffering from depressive disorders and bipolar affective disorders, we didn’t found any differences. In both examination groups, higher proportion of A blood group was significant.ConclusionsThe results of this study didn’t support the hypothesis of diferences in ABO blood group between depressive disorders and bipolar affective disorders.DisclosureNo significant relationships.
Quality of Life Among Women With Breast Cancer
Authors: Chouchane A. , Kacem I. , Bannour I. , Kahloul M. , Maoua M. , Naija W. , Mrizak N. 
Published: September 2022

IntroductionBreast cancer (BC) is the most common cancer in women all over the world. Its physical consequences and psychosocial distress had adverse effect on quality of life (QOL).ObjectivesEvaluate the QOL among women with BC.MethodsDescriptive cross-sectional study of BC patients, carried out during a period of 5 years. Socio-demographic and medical data was collected based on a pre-established synoptic sheet. The European Organization for Research and Treatment Quality of Life Questionnaires (EORTC QLQ-C30) and EORTC QLQ-BR23 were used to assess the QOL.ResultsA total of 100 patients were included. The mean age was 52 ± 8 years. The mean overall health score was 77.5 ± 25.5. The mean scores of physical and emotional functioning were 82 ± 25.1 and 90 ± 19.5 respectively. The QLQ-BR23 objectified a body image score of 63 ± 23.9, an average score for sexual functioning of 87.3 ± 22 with loss of sexual enjoyment in 75% of cases. The increase in mean overall health score and physical functioning was significantly associated with type of treatment (p = 0.01). The mean score of emotional functioning was correlated with the feeling of support (p = 0.04). The increase in the patient’s body image score was significantly associated with age (p <10-3), marital status (p = 0.01) and having had a mastectomy (p <10-3).ConclusionsOur results underline the importance of psychosocial care, which must be an integral part of oncological care in women with BC, in order to improve their quality of life.DisclosureNo significant relationships.
“It’s not only the bad side” - Experiences reported by health professionals working with women victims of sexual violence in a Brazilian university specialized outpatient service: A qualitative study
Authors: Turato E. , Cavalcante J. , Silva F. , Guerra L. , Azevedo R. 
Published: September 2022

IntroductionHealth Psychology is a scientific branch that studies interpersonal relationships in the field of emotions and behavior in clinical settings. Violence against women is a gender-based action that alarmingly affects the population, with sexual violence (SV) being one of its main phenomena. The complexity of the care offered to SV patients by clinical professionals impacts themselves, affecting their personal lives and the quality of their work.ObjectivesTo explore symbolic emotional meanings attributed by health professionals to care and follow-up of women victims of SV in state service of reference of the Unified Health System.MethodsClinical-Qualitative design was used to guide semi-directed interviews with open-ended questions in-depth. Clinical-Qualitative Content Analysis was employed to treat data. Five participants make up the multi-professional team at the Hospital of the Woman of the State University of Campinas. Theoretical framework chosen to interpret categories was Balintian Medical Psychology.ResultsThree categories were selected for this presentation: The human anguishes as the main challenge and handling of working with sexual violence; “To see things progressing”: to the patient and together with the team, a facilitator of the work; and “I try to leave it on the three’s leaves”: the difficult attempt to separate work from personal life.ConclusionsTaking care of SV is a very emotionally demanding task. Working with the team and see expected outcomes help clinical professionals deal with negative feelings, avoiding, for example, compensatory traumas. New research about social-cultural impacts of working with SV is important to develop institutional approaches of coping for health teams.DisclosureNo significant relationships.
The impact of burnout syndrome among medical students - meta-analysis
Authors: Hogea L. , Corsaro L. 
Published: September 2022

IntroductionThe medical profession is associated with high requirements and responsibilities, and high rates of burnout have been reported in the medical literature.ObjectivesThe aim of this study was to provide a detailed systematic review, focused on the impact of occupational burnout syndrome among medical students. A detailed perspective of existing instruments which are the psychometric properties and a meta-analysis of the average values of those three subscales of the most commonly applied tool - Maslach Burnout Inventory (MBI-HSS).Methods
The meta-analysis was performed based on the available data on burnout rates in medical students measured by the Maslach Burnout Inventory (MBI-HSS) method. In order to define the eligibility criteria for finding the relevant literature, the PICO method - the “population-intervention-comparison-result” approach was used.ResultsThe sample sizes included ranged from n = 73 to 4050 students. Mean values (M) ranged from 12.94 to 28.26 for emotional exhaustion and from 7.30 to 13.43 for depersonalization. M for personal achievement ranged from 31.3 to 38.07. Weighted averages and standard deviations were M = 22.93 (SD = 10.25) for emotional exhaustion, M = 8.88 (SD = 5.64) for depersonalization, and M = 35.11 (SD = 8.03) for self-accomplishment. The included studies reported different prevalence rates with burnout rates ranging from 7.0% to 75.2%. The prevalence rate of burnout measured by MBI-HSS varied between 10.0% and 63.4%.ConclusionsThe meta-analytical aggregation of eligible studies showed high values of “emotional exhaustion”, “depersonalization” and “self-accomplishment”.DisclosureNo significant relationships.
Main substance of consumption of patients in follow-up in the hospital consultation. Have there been changes in the current pandemic context? And what about women?
Authors: Pérez Oms A. , Dinamarca F. , Casanovas F. , Llimona Sánchez C. , García Hernández D. , Calls Samora M. , Ginés J.M. , Mayans J. , Pérez-Solà V. , Fonseca F. , Torrens M. 
Published: September 2022

IntroductionGender is a factor influencing characteristics of substance use disorders. The Covid-19 pandemic has had a great impact in all areas of society, meaning a context of exceptionality in this population. Usually the male population represents a greater number of patients in general samples, so the descriptive characteristics of a global sample may not be representative in the case of women.Objectives- Identify if there are changes in the main substance of psychoactive substance use during the Covid-19 pandemic. - Identify possible divergences in characteristics of the general sample with respect to the sample made up of women.MethodsIt will be used data collected in the database of patients in follow-up with the addiction consultation service in two periods of 6 months, one prior to the pandemic situation due to Covid-19 and another corresponding to same period in 2020. A descriptive analysis is carried out by applying chi-square statistic, performing the analysis by subgroups according to gender.Results84.8% of total sample are men. Results show that there are no statistically significant differences between periods in main substance of consumption. Despite this, differential trends can be observed in the sample that correspond to women with respect to the global sample and that of men.ConclusionsTaking into account the low number of women that make up the sample, the fact that differential trends are observed could indicate possible differences, which in case of increasing the sample size could acquire statistical significance and that this it would be specific to women subgroup.DisclosureNo significant relationships.
Cannabis use in early ADHD, a 3-years follow-up study in relations to clinical characteristics
Authors: Kvitland L.R. , Moa H. , Schei J. , Lydersen S. , Thomsen P. , Mundal I. 
Published: September 2022

IntroductionADHD is known to increase the risk of substance use, and is associated with lower degrees of education, criminal behavior and neuropsychic difficulties. Previous research is limited by small samples, variable findings, and short follow-up time. Earlier research tends to be limited to substance use above the threshold for abuse or dependency.ObjectivesThis study aims at looking at the effects of cannabis use both over and under threshold for abuse or dependency in relations to clinical characteristics over a 3-year follow-up period.MethodsAt follow up a total of 203 patients were diagnosed with ADHD either as primary of as secondary diagnosis, of those 57 (28,1%) had lifetime use of cannabis (LUC), mean age at inclusion was 15 and half years old and 40% were of female sex. SPSS (v.29) were used to perform independent sample t-tests to test for effects and Hierarchical block-wise regressions were done to check for confounding variables.Results
Lifetime cannabis use was associated with lower global functioning (p=0.000), increased risk of suicidal ideation (p=0.007), more suicide attempts (p=0.049), more self-reported symptoms (p=0.001), more school drop-out (p=0.000) and with psychotic features (p=0.024). Even after testing for know confounders such as female sex and age LUC explained significant variance.ConclusionsLUC is associated with increased functional and clinical characteristics. The findings are discussed in relationship with clinical practice and limitations of the study.DisclosureNo significant relationships.
Bipolar disorder and maternity
Authors: Palomo Monge M. , López Rodrigo M.V. , García Montero C. , Osca Oliver A. , Tascón Guerra M.F. , Pérez Fominaya M. , Ros Font V. 
Published: September 2022

IntroductionBipolar disorder can be a severe psychiatric disorder. The combined prevalence of bipolar I, bipolar II, and unspecified bipolar disorders according to DSM-IV is 1.8%. Mean age at first affective episode has been estimated to 20 years among out-patients in the United States (2).ObjectivesWe present the case of a 40-year-old patient, diagnosed with type I bipolar disorder. In her story, multiple admissions are recorded for both manic and depressive episodes. The patient showed a desire to be a mother and multiple therapeutic interventions were performed, de-escalation of stabilizers until she was withdrawn, which triggered generally manic episodes that required hospital admission.MethodsGiven the controversy in the decision to maintain or not drug treatment during pregnancy and the lack of clear criteria, in this case it was decided to try to gradually withdraw the treatment, which triggered several serious relapses. It was then decided to maintain the treatment at lower doses than usual or complete withdrawal, which in all cases precipitated relapses. Finally the patient reconsidered her wishes and abandoned the possibility of pregnancy.ResultsBipolar I DisorderConclusionsAlthough most studies have found similar lifetime prevalence rates of bipolar disorder between men and women, gender differences may be evident in the impact of reproductive life events on affected women. In addition to the controversy regarding the decision to maintain or not treatment during pregnancy, there is also the certainty that childbirth can be the specific trigger for a manic or hypomanic episode.DisclosureNo significant relationships.
Postpartum psychosis treatment: review of mother-baby units
Authors: Costa M.L. , Elduayen Vila A. 
Published: September 2022

IntroductionPostpartum Psychosis is an underdiagnosticated psychiatric condition that may be suffered by mothers within a year since delivery. It is a severe syndrome in which symptoms such as delusions, hallucinations and disorganized thinking may appear. The traditional approach of admitting the mothers separated from their children has shown harmful consequences. This has led to the creation of Mother-Baby Units (MBU), psychiatric admission units dedicated to full-time housing mothers and their babies.Objectives
To evaluate the evidence available regarding the potential benefits of MBU not only for the mothers, the babies, but for the mother-baby bond. To analyse postpartum psychosis risk factors and prognosis.MethodsA thorough review of scientific literature and databases regarding postpartum psychosis and MBU has been carried out. Additionally, international mental health care guidelines for perinatal mental disorders were analysed.ResultsA wide range of related aspects were studied for the present work, including characteristics of the patients, differences in the
self- assessment scales of depression, anxiety, postpartum attachment of the mother to the baby at admission and at discharge and the work and social adaptation. Other studies analysed the percentage of mother-baby separation at discharge, as well as the most frequent delusions, and the potential effect of childhood trauma on these patients.ConclusionsThe available evidence suggest that MBU may be helpful for the improvement of the mental health in women suffering perinatal mental disorders and for the building of a secure attachment style in the baby. The results of the interventions included in MBU programs also show promotion of a positive mother-baby relationship.DisclosureNo significant relationships.
Rates of Post-Partum Psychosis in women with risk factors cared for by a specialist community perinatal mental health service in London
Authors: Tsoumpris T. , Tang K. , Miele M. , Acosta C. 
Published: September 2022

IntroductionCommunity Perinatal Mental Health Services
(CPMHS) have been established in the UK, however, there is limited research around their real-world effectiveness. Post-Partum Psychosis (PPP), a severe episode of affective psychosis usually occurring soon after birth, has known risk factors. CPMHS offer assessment and interventions for women with risk factors for PPP, with a view to reducing the risk of its occurrence, as well as, where necessary, to proactively manage the illness to minimise the impact on the mother-infant dyad, as well as associated risks to self and/or others.ObjectivesTo review the rate of PPP in women with established risk factors, who were referred and managed by our CPMHS between September 2019-September 2021. This rate will be compared with the known rates of PPP reported in the literature. Rates of non-psychotic relapse, acute hospitalisation, children social care supervision and mother-infant separation as a result of postnatal relapse will be (amongst others) secondary outcomes. Perinatal interventions offered to reduce the risk of PPP and contingency planning will also be reviewed.MethodsThis will be a retrospective case review study involving women referred and cared for by our CPMHS from October 2019 to October 2021, with known risk factors for PPP. Women identified as high risk for PPP receive consultant led-care in our service, therefore cases will be identified via the individual caseloads. Subsequently, electronic case notes will be reviewed to determine the primary and secondary outcomes, as well as the perinatal interventions that were offered.ResultsTo be reported.ConclusionsTo be reported.DisclosureNo significant relationships.
Effectiveness and implementation of a MUltidisciplinary Lifestyle focused approach in the Treatment of Inpatients with mental illness (MULTI+): a stepped wedge study protocol
Authors: Van Schothorst M. , Den Bleijker N. , Hendriksen I. , Cahn W. , De Vries N. , Van Harten P. , Deenik J. 
Published: September 2022

IntroductionPeople with mental illness (MI) have a reduced life expectancy compared to the general population, mostly attributable to somatic diseases caused by poor physical health. Modifiable lifestyle factors are increasingly associated with the onset of somatic diseases in people with MI. Despite the increasing evidence for the efficacy of lifestyle interventions there is little change in routine clinical care. This discrepancy is referred to as the implementation gap and has caused a need for effectiveness and implementation research in real-world settings.ObjectivesThis study investigates the health outcomes and implementation of a multidisciplinary lifestyle focused approach in treatment of inpatients with mental illness (MULTI+).MethodsThis is an open cohort stepped wedge cluster randomized trial in inpatients psychiatric wards of GGz Centraal. Three clusters are randomly allocated to one of the three pre-defined steps to integrate MULTI+. MULTI+ can be tailored to fit individual psychiatric wards and includes 10 core components aimed at improving lifestyle factors. The primary outcome is to investigate whether there is a greater decrease in the QRISK3 cardiovascular risk score after receiving MULTI+ as compared to treatment as usual. Secondary outcomes include somatic and mental health outcomes, lifestyle factors, and implementation factors.ResultsFirst results expected in 2022.ConclusionsTo our knowledge, this will be the first large-scale study evaluating the long-term effects of a multidisciplinary, multicomponent approach aimed at improving lifestyle factors. We expect that this approach will increase long-term sustainability and can serve as a potential blueprint for future implementation of lifestyle interventions to improve routine clinical care.DisclosureNo significant relationships.