bluuebunny/crossref_metadata_2025_split huggingface dataset:
Telehealth in Australia
Authors: Lakra V. 
Published: September 2022

IntroductionThere is a significant psychiatry workforce shortage in Australia, particularly in rural and remote communities. Given the large distances involved, telehealth – providing consultation via videoconference – has been widely accepted. Psychiatrists were among the highest users of telehealth services in Australia before the COVID-19 pandemic. However, the outbreak of COVID-19 resulted in a major transformation to service delivery across Australia. Private psychiatrists and state public mental health services had to rapidly transition to largely telehealth delivery to ensure continuity of care for consumers.In March 2020, additional telehealth item numbers were added to the Australian Medicare Benefits Schedule (MBS) to encourage physical distancing for those accessing medical services during the pandemic.ObjectivesTo provide an overview of the increase in telehealth activity since the COVID-19 pandemic.MethodsThe MBS is the list of services for which the Australian Government will pay a rebate. Key data on MBS telehealth activity since March 2020 was examined.ResultsThe use of telehealth has increased during the pandemic. A survey of Royal Australian and New College of Psychiatrists (RANZCP) psychiatrists found that 93% supported retention of telehealth MBS item number numbers following the COVID-19 pandemic, noting increased accessibility for consumers. Positive feedback has been received from consumers.ConclusionsDuring 2020 and 2021, the RANZCP worked with the Australian Government to ensure there were appropriate MBS telehealth services available for consumers. The RANZCP continues to work with the Government as they plan for a longer-term transformation of telehealth services beyond 2021.DisclosureNo significant relationships.
Prevalence of high risk of ADHD among adult users of Instagram in Russian Federation
Authors: Potanin S. , Morozova M. , Rupchev G. , Burminskiy D. , Lepilkina T. , Beniashvili A. 
Published: September 2022

IntroductionThe problem of diagnosis and treatment of ADHD in adults in the Russian Federation remains very relevant. Unfortunately, very little time is devoted to the topic of adult ADHD in standard and advanced training programs. In connection with these problems, it is important to study the prevalence of ADHD in the Russian population.ObjectivesTo determine the prevalence of an increased risk of adult ADHD on the example of Russian Instagram users.Methods

In the professional blog of one of the authors of the article in Instagram (@gentlepsydoc), a link was posted to an anonymous survey conducted using Google docs, in which patients filled out the Adult ADHD Self-Report Scale (ASRS v1.1) in the author’s translationResultsA total of 144 people took part in the screening, 87.5% of them were women, the average age of the participants was 35.5±12.3 years (from 20 to 56). An increased risk of ADHD according to the indicators of the ASRS scale was detected in 13.2 % of participants.ConclusionsAmong Instagram users, the prevalence of an increased risk of ADHD was higher than according to epidemiology data. This indicator could be influenced by a sample of patients, mainly consisting of subscribers of a professional blog of a psychiatrist, as well as the prevalence of women among the participants. In any case, these data speak in favor of the importance of diagnosing this condition in the Russian population, as well as including information about adult ADHD in training programs for mental health professionals.DisclosureNo significant relationships.
Patients’ online access to psychiatric records: Providers’ experiences
Authors: Fagerlund A. , Zanaboni P. , Lintvedt O. , Kristiansen E. , Wynn R. 
Published: September 2022

IntroductionPatients attending psychiatric specialist health services in Northern Norway have since 2015 had the opportunity to access their medical records online. Prior to implementation, there were some concerns in the professional field that patient accessible electronic health records might introduce some challenges.Objectives
In this study, we asked psychiatric providers in outpatient psychiatric care about the impact of patients’ online access to documentation practices and whether they felt the access impacted the provider-patient relationship. We also examined whether the providers sought to deny patients’ access to any information.Methods16 qualitative in-depth interviews were performed with mental health providers working in the specialist services in North Norway. Participants had different professional backgrounds, and included doctors, nurses, psychologists and others. The interviews were audio recorded and transcribed verbatim. The data were qualitatively analyzed by means of the framework method.ResultsThe providers varied in their encouragement of patients’ online access, but few expressed concerns. There had been little specific training on how to optimize the writing of notes to accomodate patients’ online acces, but several pointed out that there had been an increased focus on the importance of adapting the notes to promote understanding. Increased transparency was in general seen positively, but the service might not fit all patient categories. Very few patients were denied access. In most cases, the service could improve the patients’ understanding of the treatment and the provider-patient relationship.ConclusionsWhile some voiced caveats, patients’ online access was in general seen as beneficial to the treatment and the provider-patient relationship.DisclosureNo significant relationships.
PRESTOapp for health workers with mental health symptoms related to the COVID-19 pandemic
Authors: Primé Tous M. , Anmella G. , Segú X. , Fernández Canseco M.D.R. , Carrino C. , Villegas M. , Vicens V. , Blanch J. , Cavero M. , Vieta E. , Hidalgo-Mazzei D. 
Published: September 2022

IntroductionThe COVID-19 pandemic has caused a significant impact on the mental health of health workers that has brought many hospitals to launch immediate preventive mental health programs.Objectives(1) To adapt and enhance a smartphone app (PRESTOapp) for health workers with mental health symptoms related to the COVID-19, and (2) to demonstrate its potential effectiveness in significantly reducing anxiety-depressive and PTSD symptoms in this population. We aim to incorporate Natural Language Processing (NLP)-based techniques in a chatbot user-interface that will enable a more personalized and accurate monitoring and intervention.MethodsAn 18-months study with a 6-months preliminary phase to adapt PRESTOapp to health workers, enhance it with NLP-based techniques and chatbot user-interface, and evaluate its feasibility, and effectiveness in 12-months.ResultsPRESTOapp has the potential to provide a prompt, personalized and integral response to the mental health demand due to the COVID-19. It will help by providing an innovative digital platform, that will allow remote monitoring of the symptoms course, provide brief psychotherapeutic interventions, and detect urgent situations. If the preliminary results of this study point to a potential effectiveness of the intervention, PRESTOapp may be easily adapted to the general population.ConclusionsPRESTOapp may be one of the key digital platforms that may help preventing and treating potentially severe mental health consequences. Considering the unresolved problem of burnout in health workers even before the COVID-19, this project will develop the necessary technology for implementing cost-effective mental health solutions, not only during the pandemic.DisclosureNo significant relationships.
Comorbidity of Substance Use Disorders and Eating Disorders: a major concern for mental health care professionals
Authors: Tapoi C. 
Published: September 2022

IntroductionDuring the last 30 years, many studies have shown a high prevalence of substance use among patients diagnosed with an Eating Disorder (ED). Almost 50% of the patients with ED have a history of substance use, and 35% of the patients that seek help for an addiction disorder also meet criteria for ED. Nevertheless, both substance abuse specialists and pratictioners with expertise in ED have difficulties in treating these dually diagnosed patients.ObjectivesThe aim of this study is to emphasize the importance of assessing substance use in patients with ED and disturbed eating behaviors in patients with Substance Use Disorders (SUD), as well as the need for evidence-based treatment guidelines for this comorbid condition.MethodsA literature search of published articles on substance use patterns in ED and on the therapeutic approach for this comorbid condition was performed on PubMed database.ResultsA diagnosis of Bulimia Nervosa and the presence of binging/ purging behaviors are strongly associated with substance use. Most frequently used substances are represented by nicotine, caffeine and alcohol, followed by cannabis and amphetamines. Reasons why patients with ED use substances are emotional regulation and appetite suppression. Detailed and systematic evaluation of the substances used and for other psychiatric comorbidities is mandatory. Management plan involves simultaneously treating ED and SUD.ConclusionsThe comorbidity of Substance Use Disorders and Eating Disorders is a complex entity, but nonetheless treatable. Further studies are needed to specify the patterns of substance use in Eating Disorders and their implications for treatment.DisclosureNo significant relationships.
Assessment of physical activity level in young adults with eating disorder risk: a cross-sectional study in a non-clinical sample
Authors: Mróz M. , Brytek-Matera A. 
Published: September 2022

IntroductionPhysical activity (PA) level has been found to be an important correlate of eating disorders (EDs). The literature is inconclusive to whether PA is related to symptoms of EDs in non-clinical sample.ObjectivesThe first study aim was to assess the level of PA in non-clinical group of young adults with symptoms of EDs. The second aim was to evaluate the association between PA level and severity of EDs symptoms.MethodsThe sample consisted of 327 young adults (Mage = 21.72±2.00;MBMI = 23.20±7.43). All participants completed the Eating Attitudes Test (EAT-26) and the International Physical Activity Questionnaire(IPAQ). Finally, 32 individuals (9.79%) of the total sample scored above clinical cut-off on the EAT-26 (≥ 20) indicating a high level of symptoms and concerns characteristic of EDs.ResultsThe non-clinical group differed significantly in PA level (low-intensity, moderate-intensity, vigorous-intensity levels of PA; H(2,32)=26.19,p<0.001). There was no difference in the severity of ED symptoms between the groups of PA level. Our findings demonstrated a positive relationship between PA (IPAQ total score) and bulimic behaviour and thoughts about food (rho-Spearman=0.31,p=0.04). The highest Bulimia and Preoccupation scale scores were observed in group with vigorous-intensity levels of PA (Me=8.5).ConclusionsOur findings indicate that the severity of ED symptoms did not differ across the PA levels in a non-clinical sample of young adults. However, PA was positively associated with bulimia and food preoccupation. Since, excessive physical could be an important risk-factor of EDs, the recommended levels of PA for health in non-clinical sample should be enhanced in effective prevention programs.DisclosureNo significant relationships.
Body shame and disturbed eating behaviors: an ecological momentary assessment approach
Authors: Nechita D. 
Published: September 2022

Introduction

There is a well-established body of investigations showing that the experience of shame is associated with eating disorders symptoms. Meta-analytical data indicate that body shame is one type of shame that seems to be especially relevant in case of eating disorders. While there are many studies which investigated the association between the predisposition to feel ashamed about one’s body and eating disturbance, there are virtually no inquires on how momentary body shame is related to disturbed eating behaviors.ObjectivesIn this study we aimed to investigate the relationship between momentary body shame and disturbed eating behaviors using an intensive longitudinal design.MethodsFemales with high levels of eating disorders symptoms completed five, randomly-initiated surveys per day delivered via a smartphone application for a total of two weeks. The survey evaluated the level of body shame and disturbed eating behaviors (i.e., binge eating, purging, excessive exercises, body checking).ResultsPreliminary results indicate that higher levels of body shame are associated with higher levels of disturbed eating behaviors. The level of body shame was higher in binge eating days compared with non-binge eating days.ConclusionsFluctuations in body shame seem to contribute to the maintenance of disturbed eating behaviors. Implications and limitations of these findings are discussed.DisclosureNo significant relationships.
Correlations between alexithymia, emotional instability, autism spectrum disorder and eating disorders: analysis of a case
Authors: Valtueña García M. , Peña Herrero E. , Picado Rossi M. , Pedrosa Duque C. , Valladares Rodriguez P. 
Published: September 2022

IntroductionEating disorders and borderline personality disorder can coexist with high frequency in people with alexithymia. At the same time, it has been described that alexithymia can be present in patients suffering from depression, anxiety, obsessive-compulsive disorders, PTSD and eating disorders, among others. In this sense, it has been described that alexithymia could help maintain eating disorder.ObjectivesTo review the existing literature on the relationship between alexithymia, emotional instability and a family history of autism spectrum traits with the development of eating disorders. To expose, through the clinical case of a patient with eating disorders, the diagnostic complexity and evolution after the beginning of a comprehensive and multidisciplinary therapeutic plan with different mental health devices.MethodsTo review the personal and family psychopathological aspects and the clinical evolution of a patient with a diagnosis of restrictive subtype anorexia nervosa since its inclusion in a therapeutic program.ResultsThis is a longitudinal study through personal biographical reconstruction and family history and subsequent follow-up of a clinical case based on the implementation of an individualized therapeutic program and the results obtained.ConclusionsCurrently there is evidence in the literature that finds a high correlation between alexithymia and eating disorders. However, these findings are believed to be influenced by other comorbid symptoms such as depression or anxiety. Furthermore, the diagnosis of ASD in people with AN is a complex process that requires a thorough clinical evaluation over time. Detailed studies are needed to determine the importance of these factors in the development of an eating disorder.DisclosureNo significant relationships.
Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research
Authors: Voegeli M. , Sharma P. , Sharma S. , Sharma B. , Goyal I. , Sharma N. , Lakshmanan S. , Venu A. 
Published: September 2022

IntroductionPsychiatry emergencies in India is major challenge for emergency service providers due to rapid growth of various behavioural, higher morbidity and mortality rate. Despite, psychiatry conditions are neglected area related to stigma, share, lack of awareness, and superstitious beliefs. There is an urgent need for specialist psychiatric emergency services, which can fill the huge gap between policymakers and health service providers joined together.ObjectivesPresent feasibility study has been undertaken to evaluate the safety and efficacy of combined emergency and Ayurveda medicine management of psychiatric emergencies in community-based settings.Methods
Ayu-Emergency Care project was developed in partnership with policy makers, researchers and health care providers, a collaborative platform of emergency medicine and Ayurveda medicine (Indian Traditional Medicine) for developing whole-system perspective, where providers work in a coordinated and joined-up way. Twenty trained care providers in psychiatry emergency and Ayurveda management worked in partnership with community-based organisation.ResultsPatients with major clinical difficulties, in the acute phase were treated and managed by Ayu-Emergencypractitioners. Severe Agitation and violence relating to substance abuse, anxiety disorder and psychosis were the most common admission diagnoses. 2-weeks results indicate that Ayurveda intervention can reduce anxiety(p<0.01), aggression (p< 0.001) and agitation (p<0.01) significantly with no side effects reported. Intervention found to be clinically beneficial and cost-efficient alternative to out-of-home placements (i.e., Incarceration, psychiatric hospitalisation).ConclusionsThe study’s findings highlight safety, efficacy and feasibility of intervention. Patients both prefer and seem to benefit from community-based ayu-psychiatric care, and early-intervention community program could be a good model for such care.DisclosureNo significant relationships.
Comparison between haloperidol decanoate and oral haloperidol on seeking psychiatric emergency care
Authors: Osaku L. , Salvadori G. , Porcu M. 
Published: September 2022

IntroductionHaloperidol is a first generation, high potency, low cost and widely used antipsychotic. There are inconsistencies in the literature about comparison of effectiveness between long-acting injectable haloperidol (HDLAI) with oral haloperidol (OH), as well as the combined use of both formulations (HDLAI+OH).ObjectivesTo verify whether HDLAI reduces the number of emergency visits and hospitalizations when compared to oral OH, or in combination therapy HDLAI+OH.MethodsRetrospective observational study on a Psychiatric Emergency department, including patients aged 18 to 60 years, both genders, under continuous treatment for at least 5 months with Haloperidol for any psychiatric illness, divided into 3 groups of patients (HDLAI, OH, HDLAI+OH). Dependent variables: visits and admissions. Independent variables: sex and age. Data were checked for normality (Kolmogorov-Smirnov test) and homoscedasticity (Bartlett test). For comparison of average number of visits and hospitalizations of patients Kruskal-Wallis test followed by Dunn’s multiple comparison test was used. It was considered statistically significant if p < 0.05. This study was approved by the Ethics Committee of Maringá State University.ResultsNo statistical difference between groups HDLAI and OH was found. The HDLAI+OH group presented higher means of emergency visits and hospitalizations with statistical significance.ConclusionsIt suggests the use of HDLAI can be considered an alternative as effective as oral intake. Prolonged use of associated HDLAI and oral supplementation leads to worst outcomes.DisclosureNo significant relationships.
Peer Counseling in a Community Based Intervention for Unaccompanied Immigrant Youth
Authors: Qureshi A. , Morales N. , Collazos F. 
Published: September 2022

Abstract BodyUaccompanied migrant youth represent an at-risk population given the complexity of negotiating adolescence in a new culture, isolated from family and friends, without a secure base and subject to discrimination. In addition, many unaccompanied migrant youth have been subject to considerable trauma prior to, during, and post migration. In Spain, as in many countries, the residential, care, and mental health services are not adapted to the specific and complex needs of this population, and to that end complex not only are the youth not well served but providers are increasingly frustrated. The figure of the community health agent has been widely recognized as one that can function as an effective bridge between systems/institutions and marginalized and vulnerable populations. In this presentation we will describe an ongoing project that trains unaccompanied migrant youth who show promise in their cultural adaptation in the areas of cultural competence, mental health care and substance abuse to function as community health agents (or peer counselors) consistent with models of cultural consultation.DisclosureNo significant relationships.
Particularities of the Theory of Mind in the Academic environment during the Covid 19 pandemic
Authors: Ursoniu S. , Bredicean C. , Giurgi-Oncu C. , Bucur A.I. , Rivis I.-A. , Serban C.L. , Papava I. 
Published: September 2022

IntroductionThe current period is marked by several negative aspects of the COVID 19 pandemic, which have led to a series of emotional and cognitive changes that affect our functioning. The ability to “read” the minds of others is the key aspect of social behavior, helping us understand our context.ObjectivesTo identify the level of emotion recognition in Medicine students during the Covid 19 pandemic.Methods
Throughout 2021, we evaluated 649 Romanian General Medicine students in years 4, 5 and 6, by using a Google Play application (android and iOS). We analyzed socio-demographic parameters and the affective component of Theory of Mind (The Reading the Mind in the Eyes Test). The mean scores between groups were compared with the Student’s t and the ANOVA tests.ResultsThe mean score was 25.83 ± 3.36 (min 11, max 33) out of a possible maximum of 36. We noted that women have a higher capacity for recognizing emotions than men (26.04 ± 3.22 vs. 25.01 ± 3.78, P = 0.0016) without differences in terms of the study year. Also, women showed a greater ability to recognize negative emotions compared to men (16.57 ± 2.44 vs. 15.49 ± 2.75, P <0.001). No statistically significant differences were found between the two genders in terms of positive emotions’ recognition.ConclusionsThe ability to recognize emotions seems to be more developed in women, especially when it entails recognizing negative emotions. Theory of Mind abilities are important for empathy and the therapeutic relationship required in Medicine.DisclosureNo significant relationships.
Zero violence or zero seclusion. Which is more acceptable in our hospitals?
Authors: Tong K. , Gibbons A. , Byrne O. , Conlon T. , Kennedy H. , Davoren M. 
Published: September 2022

IntroductionThere is an established association between serious mental illness and violence. Secure forensic psychiatric services provide care and treatment to mentally disordered offenders. The majority of patients in forensic services suffer from severe mental illnesses such as schizophrenia, with co-morbid polysubstance abuse and maladaptive personality traits. Psychiatric services are under significant pressure to reduce the use of seclusion and restrictive practices, whilst mandated to provide safe environments for patients and staff.ObjectivesTo determine the number and characteristics of violent incidents in a secure forensic hospital in Ireland.MethodsA retrospective review of all incidents in Central Mental Hospital, Ireland between 1st March 2019 and 31st August 2021 was completed. Incidents were categorised into physical assaults and other violent incidents. Demographic measures and measures of violence risk (HCR-20), functioning (GAF), programme completion and recovery (DUNDRUM tool) were collated.ResultsA total of 321 incidents took place during the period examined, of which 47 (14.6%) involved physical assaults perpetrated by patients. Between March 2020 and August 2021, numbers of assaults increased by 50% and 78% compared to the preceding six-month period respectively. The majority of assaults were committed by a relatively small group of patients. Victims of assaults were more likely to be patients (n=27, 57.4%) and more likely to be males (n=43, 91.9%).ConclusionsPhysical assaults and other violent incidents happen in forensic and general psychiatric units. Restrictive practices, used in accordance with the law, are necessary at times to prevent serious harm to patients and staff in psychiatric hospitals.DisclosureNo significant relationships.