bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing Family Functioning Before and After an Integrated Multidisciplinary Family Treatment for Adolescents With Restrictive Eating Disorders
Authors: Rogantini C. , Orlandi M. , Provenzi L. , Chiappedi M. , Coci C. , Criscuolo M. , Castiglioni M. , Zanna V. , Borgatti R. , Mensi M. 
Published: September 2022

IntroductionPrevious studies applying the Lausanne Trilogue Play (LTPc), a semi-structured method for observing family dynamics, highlighted dysfunctional interaction patterns in the families of individuals affected by restrictive eating disorders (REDs). Family-centered approaches are considered the first-line treatment for severe cases of REDs in adolescence.ObjectivesTo investigate family functioning in the families of adolescents with severe REDs assessed before and 6 months after a multidisciplinary family treatment program that combined psychodynamic psychotherapy, parental role intervention and triadic or family-centered intervention.MethodsSixty-seven families of adolescent patients diagnosed with REDs were assessed for eligibility between July 2017 and October 2020. Family functioning was assessed using the clinical version of LTPc. Nutritional counseling and neuropsychiatric monitoring were also provided.ResultsWe observed a significant change in the family functioning score for the LTPc phase 2, in which the father interacts with his daughter while the mother acts as a silent observer. This suggests that the fathers, when playing an active role, could improve dyadic family functioning. The treatment was not found to change triadic functioning: a 6-month treatment may not be long enough to modify interactions at the triadic level.ConclusionsA brief multidisciplinary treatment program may significantly improve family functioning in the families of patients diagnosed with severe REDs. Although appropriate clinical trials are needed to further test the efficacy of this treatment, our study reinforce the concept that treatment programs targeting the individual patient and both the parents should be a first-line approach in adolescents with severe REDs.DisclosureThe authors declare that they do not have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstrac.
Self-report questionnaires in eating disorders: do we need to be careful interpreting self-report in conditions with self-perception issues?
Authors: Evans C. , Paz C. , Medina J.C. , Grau A. 
Published: September 2022

IntroductionA major revolution in psychiatry since the late 20th and early 21st Century has sought to put the individual client at the heart of intervention, promoting shared decision making. Increasing use of patient reported outcome measures (PROMs) to evaluate interventions and even steer therapies (“power assisted steering for psychotherapy”, Evans 2012) appears congruent with this. But is caution needed interpreting PROMS where self-perception distortions form a core part of the client’s problem? Eating disorders are a paradigmatic test.ObjectivesTo see if PROM scores at initial presentation at services for ED seemed congruent with help-seeking. We report CORE-Outcome scores here.MethodsInclusion criteria were a diagnosis of an ED and opting in to treatment. Consecutive new clients at all the centres were approached for participation. Scores distributions were analysed to see if numbers of low scores, “non-clinical range” scores seemed congruent with help-seeking.Results18% of the participants who completed the CORE-OM at baseline had a score below the Clinically Significant Change (CSC) cutting point. Though the rate was higher in participants with an Anorexia type I diagnosis (22.6%) than those with other ED diagnoses (15.8%): in the expected direction, the difference was narrowly non-significant (chi-squared = 3.5, d.f. = 1, p = .06). Scores did relate to treatment level.ConclusionsThe predicted elevated rate of non-clinical baseline scores in the AN1 group was narrowly non-significant but the rate of 18% non-clinical scores in a help-seeking population raises a cautionary message about interpretation of change from initially low scores.DisclosureI am one of the three trustees of CORE System Trust which holds the copyright on the CORE measures used in this study but the measures are all provided under a Creative Commons licence so I receive no remuneration from this.
Adolescents’ knowledge of and attitudes towards eating disorders
Authors: Heneghan A. , Livanou M. 
Published: September 2022

IntroductionEating disorders (EDs) constitute serious mental illnesses with high morbidity, lifetime mortality and associated stigma due to the label of mental illness. The sparse research assessing adolescents’ knowledge of and attitudes towards EDs highlights their low understanding of these conditions.ObjectivesThe proposed study aims to bridge this gap by investigating adolescents’ knowledge of and attitudes towards EDs as this will inform young people’s engagement with ED services.MethodsParticipants aged 12-18 will be randomly assigned a vignette depicting either a male or female 15-year-old displaying symptoms of anorexia nervosa (AN) or binge eating disorder (BED). They will be asked to select what they believe the condition described in the vignette is from a pre-determined list. They will then be informed of the correct diagnosis before completing a series of scales designed to assess their attitudes towards EDs. Participants’ own potentially disordered eating behaviours will be assessed using the ED risk composite (EDRC) subscale from the EDI-3.ResultsIt is expected that BED will be less likely to be correctly identified compared to AN, eliciting more stigma and male vignette subjects will be seen more negatively than female vignette subjects. Also, it is expected that participants with higher EDRC scores will have more knowledge of and less negative attitudes towards EDs than those with lower EDRC scores.ConclusionsThis study will highlight the need for education around EDs targeted at adolescents to increase their knowledge and awareness, providing them with factual information ought to reduce stigma and negative attitudes and beliefs about EDs.DisclosureNo significant relationships.
Ideas of Self and Adulthood in Girls with Eating Disorders
Authors: Dovbysh D. , Kurganskaya D. 
Published: September 2022

IntroductionAdolescence, when physical body image changes occur, is highly vulnerable to the development of eating disorders. At this age, there is an acute task of accepting oneself as another - an adult who has changed.ObjectivesTo study the features of the image of an adult in young people with eating disorders.MethodsThe study involved 58 girls (from 17 to 22 years old). The main group included 31 people with a high risk of eating disorders, the control group - 27 people with an average and low risk. Respondents filled in: Taylor Manifest Anxiety Scale, Eating behavior rating scale, projective drawing of an adult and child, association test about words «adult» and «child»Results1. A high level of personal anxiety was revealed in the main group; 2. The visualized image of an adult in the main group has more distortions and fewer signs of gender identification than in the normal group; 3. Semantic ideas about adulthood in the main group are negatively emotionally colored and include categories related to eating behavior; 4. Semantic ideas about childhood in the main group are more negatively emotionally colored, and ideas about the present are more connected with appearance than in the control group. Semantic ideas about the future in this group are often negatively colored.ConclusionsFigurative and semantic ideas about childhood, adulthood and about oneself in the present and in the future in girls with eating disorders have qualitative characteristics in comparison with the control group.DisclosureNo significant relationships.
Siblings’ experiences of having a brother or sister with an eating disorder
Authors: Heneghan A. , Manitsa I. , Livanou M. 
Published: September 2022

IntroductionDespite the huge effect eating disorders (Eds) have on the lives of sufferers and their families there has been little research on the effect an ED has on siblings even though their lives are repeatedly significantly affected by the situation. It is important to gain more insight into the experiences and needs of siblings as the nature and magnitude of the effect of patients EDs on non-affected siblings is mixed in the current research.ObjectivesTo conduct a systematic review allowing an extensive search of the current literature to identify where the current research is lacking. Also, to highlight the need for a greater focus on the effect of EDs on siblings both in research and clinical practice.MethodsA systematic review is being conducted to gain an understanding of the gaps in the literature.ResultsIt is expected that the systematic review will reveal a lack of literature regarding siblings’ experiences of having a brother or sister with an ED. As well as showing the conflicting emotions felt by the siblings, both positive due to the love they feel for their sibling and negative due to the burden they feel.ConclusionsBy raising awareness of the needs of non-affected siblings this research should have a notable impact on their experiences by highlighting the need for specific interventions and support services as well as education about their siblings’ ED.DisclosureNo significant relationships.
My stomach is full
Authors: Queipo De Llano De La Viuda M. , Gonzaga Ramírez A. , De Uribe Viloria N. , Guerra Valera G. , Jiménez Aparicio T. , Vallecillo Adame C. , De Andrés Lobo C. , Santos Carrasco I. , Gonçalves Cerejeira J. , Navarro Barriga N. , Mateos Sexmero M.J. , Rodríguez Rodríguez B. , Fernández Lozano M. 
Published: September 2022

IntroductionAnorexia nervosa is an eating behavior disorder that is often related to various personality factors. The relationship between obsessive compulsive disorder and eating Disorders has been highlighted.Objectives
To present a clinical case of a patient with eating disorder and gastric bezoar, secondary to compulsive hair ingestion.MethodsBibliographic review of articles published in relation to the comorbidity of these disorders, based on articles published in the last 5 years in Pubmed.Results

26-year-old female. Diagnosis of restrictive anorexia nervosa. She was admitted to the hospital on two occasions for nutritional disorders. In the last admission, she reported greater anxiety and significant weight loss. She reports that she has limited her food intake, but she does feel thin and is unable to eat for fear of gaining weight. Ruminative thoughts about her body image. During admission, the patient expressed a sensation of fullness, nausea and vomiting, later observing in abdominal X-ray and gastroscopy, the presence of a gastric trichobezoar, which was finally resolved conservatively.ConclusionsTrichotillomania is observerd in 1 in 2000 people, trichophagia is even less frequent. According to DSM-
V, these disorders are grouped within obsessive-compulsive spectrum disorders. A Trichobezoar is a conglomerate that can be found in the stomach or intestine, composed mainly of hair, previously ingested. Trichotillomania can be associated with anorexia nervosa, especially in patients with obsessive personality traits, which occurs frequently. The gastric slowing that patients with anorexia often present is a factor that favors the formation of the bezoarDisclosureNo significant relationships.
Eating Disorders during the pandemic COVID-2019
Authors: Rodríguez Rodríguez B. , Santos Carrasco I. , Fernández Lozano M. , Mateos Sexmero M.J. , Navarro Barriga N. , De Andrés Lobo C. , Jiménez Aparicio T. , Vallecillo Adame C. , Guerra Valera G. , Gonzaga Ramírez A. , Queipo De Llano De La Viuda M. , Gonçalves Cerejeira J. , Valdivieso Burón C. 
Published: September 2022

IntroductionConcerns about health and fitness during lockdown may serve as a trigger for eating disorders in vulnerable individuals. Other risk factors may also include increased use of social networks and comparison with beauty ideals. Isolation, loneliness and problems with emotional regulation may lead people to reduce food intake by giving them a greater sense of control.ObjectivesEmphasise the relevance of the increase in the incidence of Eating Disorders (ED) cases during the pandemic.MethodsReview of the scientific literature based on a relevant clinical case.Results14-year-old female, residing with her mother. She reports that from the beginning of COVID-19 confinement she became obsessed with leading a healthier life, starting to restrict food, limiting fats and carbohydrates, and having also started compulsive physical activity (approximately 4 hours of aerobic exercise per day), without associated purging behaviours. She also acknowledges eating small amounts (although she minimises this aspect) and controlling all calories, stating that food and practices aimed at “staying healthy” now dominate her life. Her previous BMI was 18, with a current BMI of 11.7.ConclusionsPatients suffering from ED, who often have poor knowledge of their illness and find social-emotional communication difficult, may delay seeking help. Studies suggest the relevance of identifying specific vulnerability factors among ED patients in confinement in order to develop preventive strategies and personalised treatment approaches.DisclosureNo significant relationships.
Mental Health of Unaccompanied Immigrant Youth
Authors: Morales N. , Collazos F. , Qureshi A. 
Published: September 2022

The number of UMY in Spain is increasing, since the early 1990s, mostly coming from the Maghreb, although the number of those coming from different sub-Saharan African countries has gradually increased. Most of them leave their countries fleeing poverty, violence, and in search of better opportunities. They may be influenced by traumatic experiences and social stressors that can lead to emotional distress and mental health problems. They have particular needs and characteristics, so the local Child Protection Systems need to adapt their procedures to facilitate the youngsters’ social Integration and psychosocial development. This presentation will describe an ongoing project being carried out in Catalonia, the main objective is to guarantee the right to mental health of UMY in the Protection System through culturally competent biopsychosocial care, and to effectively coordinate care between the public mental health network and the Child Protection System. Finally, through training and the acquisition of competencies, the aim is to avoid burnout in professionals who care for these youths on the front line. The approach is consistent with the cultural consultation models developed in Montreal and London with the goal of providing structural support for localized and culturally competent responses. This project, to be developed over two years, has four main subprojects: 1. On-line training for professionals in “Cultural competence in mental health and psychosocial intervention”. 2. Training of “peer” UMY as “Community Mental Health Agents”. 3. Creation and implementation of multidisciplinary groups of psychosocial intervention. 4. Culturally competent psychiatric and psychological assessment.DisclosureNo significant relationships.
Assessment of impulsivity and other psychological factors in obese patients
Authors: Martin Villalba I. 
Published: September 2022

IntroductionObesity is a multiorgan disorder that is caused by eating a much larger overeating that the body needs to live. Obese people tend to eat a lot and after hours, and it is hypothetised that it exists a relationship between increased impulsivity and obesity. In addition these patients tend to have more psychopathology,ObjectivesThe aim of the study is to observe if obese people ingest impulsively and if there are differences between the sexes regarding impulsivity. Also it will be studied the relationship between impulsivity in these patients and other psychosocial factors, anxiety and depression symptoms and personality traits.Methods
It was carried out an assessment of impulsivity in 30 obese population followed at the outpatient Endocrinology that attended pre-bariatric surgery groups.Patients were handed the Plutchik impulsivity questionnaire, Hospital Anxiety and Depression Scale (HADS) and The Temperament and Character Inventory (TCI).Results

In our sample, 43.4% of the obese patients did not show high levels of impulsivity, while 56.6% did show markedly impulsive traits. No differences in impulsivity between sexes were found. No other significant relationships with addititional psychological factors were found.ConclusionsA larger sample is needed to reach a conclusion and to extrapolate the results to the general population. People with morbid obesity have higher impulsivity and a binge eating;in addition they have more psychopathology, mainly affective, greater impulsivity and greater severity on scales that assess the core symptoms of disordered eating behavior and body dissatisfaction.DisclosureNo significant relationships.
Tunisian’s largest Psychiatric emergency department in the context of the COVID-19 lockdown
Authors: Sayari N. , Maamri A. , Charaa O. , Hajri A. , Zalila H. 
Published: September 2022

IntroductionGeneral Lockdown was first declared in Tunisia from March 20th to May 4th 2020 to contain the spread of COVID19 pandemic, the last sanitary lockdown period was declared from July 12th to august 1st in 2021. Psychiatric emergency access and consultation has been affected by the confinement. RAZI Hospital Emergency Department (RHED) is the only emergency department in Tunisia specialized in psychiatry. Thus making it the most representative psychiatric emergency health care service in Tunisia.ObjectivesTo assess changes in patients flow and admission rates in RHED in the context of the COVID-19 lockdownMethodsWe examined emergency room records and the hospital’s computer admission database during the first and the last COVID19 lockdowns and compared it to the same period of the previous year.ResultsThe number of consultations was significantly lower in 2020 lockdown (N = 577) compared the same period in 2019 (N = 1525) (p<10−3). We observed a drop in RHED emergency hospitalization rate from 45.57% to 29.81% during this study period. The number of consultations per day was significantly lower during the first lockdown (N= 12.44) compared to the last lockdown (N=26.61) (p<10−3), the hospitalization rate rose from 29.81% during the first lockdown to 44.36% during the last.ConclusionsFear of COVID19 contamination and lockdown limitation had a huge impact on RHED visits and admissions. Medical team had to adjust in order to prevent further delay in acute psychiatric care.DisclosureNo significant relationships.
Prevalence and forms of aggressive behavior among patients admitted to an acute psychiatric ward
Authors: Girasek H. , Soos A. , Gazdag G. 
Published: September 2022

IntroductionAggressive behavior is frequently associated with acute psychiatric admission. Several studies highlight the increased risk of aggression in certain psychiatric disorders.ObjectivesThe aim of the study was to explore the extent of aggressive behavior, its various manifestations, and its association with gender, age, and diagnosis among patients admitted to an acute psychiatric ward.MethodsPatients admitted to our acute psychiatric ward in a three months period were included and the Dynamic Appraisal of Situational Aggression - Inpatient Version (DASA-IV) questionnaire was administered in the first seven days after admission for all patients.ResultsA total of 290 patients, 153 men and 137 women, with a mean age of 46.9 years (SD=17.5) participated in the study. Men were overrepresented among patients who showed aggressive behavior (p=.008). There was no correlation between age and DASA-IV score (p=.259). 40% of patients (N=116) did not show aggression, while 60% (N=174) experienced some form of aggression. Of those who exhibited some form of aggressive behavior, 94% had only low, 4% had high, and 2% had extremely high levels of aggression. Aggression was most common in patients with intellectual disabilities, dementia, and bipolar disorder.ConclusionsAccording to our findings the majority of the acutely admitted psychiatric patients shows no or only low level of aggression. There were also differences in the forms and extent of aggressive behavior between the diagnostic groups. Risk assessment is important because it provides an opportunity for early detection and prevention, and the development of personalized treatment plans.DisclosureNo significant relationships.
Socioeconomic factors and regional differences in mental disorder-based disability pensioning in Finland
Authors: Karolaakso T. , Autio R. , Näppilä T. , Nurmela K. , Leppänen H. , Rissanen P. , Tuomisto M. , Karvonen S. , Pirkola S. 
Published: September 2022

IntroductionPrior literature has indicated low socioeconomic status (SES) and regional differences as epidemiological risk factors for disability pension (DP) due to mental disorders.ObjectivesOur studies aimed to examine these associations and differences in greater detail, with separate consideration of the risk factors for mood disorders (F30–39) and non-affective psychotic disorder (F20–29) DP.MethodsSubjects (N = 36 879) were all those granted DP due to a mental disorder for the first time between 2010 and 2015 in Finland. All the subjects were matched with three controls. Education, income and occupational status were used as measures of SES. Conditional logistic regression models were used to study SES differences. Negative binomial regression analysis was used to study the levels of DP risk in the Finnish hospital districts.Results
DP recipients had low educational and income levels and often lived alone. The risk of DP was greater in white-collar occupational groups compared with blue-collar workers. Students had the greatest risk of DP for all mental and mood disorders. Significant differences in the regional mental disorder DP risks did not appear to follow the traditional Finnish health differences.ConclusionsWe found evidence of SES factors and regional variation associating with mental disorder-related severe loss of working and studying ability in a disorder-specific way. The increased risk of white-collar worker DP could be related to the psychosocially demanding contemporary working life. Regional variation in DP may at least partly relate to differences in regional mental health service systems.DisclosureNo significant relationships.
Mortality from suicide among adolescents and young people in the Altai Republic, Russia, for the period of 1990-2019
Authors: Semenova N. 
Published: September 2022

IntroductionThe Altai Republic (AR) is the national subject of the Russian Federation where suicidal situation is unfavorable as the death rate from suicide exceeds the national rates by three times. The high level of suicide among adolescents and young people is especially alarming.ObjectivesTo analyze the dynamics of mortality from suicide among adolescents and young people in the AR for the period from 1990 to 2019.MethodsData on mortality of the population were obtained from the Russian databases of demographic indicators and analyzed in terms standardized per 100,000 population.ResultsThe highest mortality rates from suicide are recorded in the 20-24 age group. The suicide rate, compared to 1990, decreased slightly from 82.5 (in 1990) to 79.7 per 100 thousand (in 2019). The dynamics of mortality from suicide among adolescents aged 15-19 is also unstable. When comparing the indicators in 1990 and in 2019, one can verify the negative dynamics in the form of a 4-fold increase in the suicide rate – from 14.4 (in 1990) to 58 (in 2019). An analysis of the ethnicity of young people who committed complete suicide showed that the majority of suicides (90%) were indigenous Altaians.ConclusionsIn adolescents and young people of the AR, the death rate from suicide exceeds the all-Russian indicators from 7.9 to 9.3 times. Effective preventive measures are needed to improve the situation.DisclosureNo significant relationships.