bluuebunny/crossref_metadata_2025_split huggingface dataset:
Old Age Psychiatry and Prison
Authors: Tort V. , Perez-Pazos J. , Perez-Sanchez E. , De Gomar-Malia J.M. , Peraire-Miralles M. 
Published: September 2022

Old age population is growing steadily during last decades (WHO 2017). Old population suffer from more morbidity including mental disorders (De Lorito,2018). This fact also applies for prison population (Yortons 2006) and in the lasts years has been an increasing interest for this topicThe aging of the world population is reflected in the penitentiary setting, with a progressive increase of elderly inmates. These prisoners present complex clinical processes with multiple comorbidities, requiring a specialized approach. In the 2020, the old age population in prison (considered over 60 years old) is around 5% in Catalonia (377 inmates,), same proportion (5%) in Spain.If we consider the cut-off point 50 y.o. (as other research) the proportion is 12% Our aims are to describe sociodemographical and clinical characteristics of old age inmates (over 50 y. o.) who required to be admitted to psychiatric unit in Catalan prisons between 2016 and 2020. The asample of this study will be around 150 inmates admitted in our unit. Elderly inmates present a high prevalence of substance abuse (especially alcohol), affective symptoms (depression) and cognitive deterioration. Likewise, is observed a significant presence of personality disorders, anxiety, post-traumatic disorders, psychotic disorders, and physical comorbidities. Prisoners over 50 have a different profile from the rest of the prison population. They suffer more physical and mental illnesses, so they require specific health and social approach. It would be advisable to adapt clinical care by optimizing resources, developing prison psychogeriatrics and establishing specific evaluation and treatment methodDisclosureNo significant relationships.
Homicide and Suicide in the Elderly
Authors: Zeppegno P. , Gramaglia C.M. 
Published: September 2022

Homicide and suicide are complex phenomena raising questions and interest which go far beyond the medical and psychiatric field, as they represent a challenge for an understanding which is, first of all, human. In older adults, homicide and suicide may present together in the homicide-suicide phenomenon. The most common motive underlying this behavior in intimate partner relationships is the so-called “mercy killing”, where the perpetrator kills the partner to eventually allow relief from declining health conditions, and then commits suicide. Actually, older adults account for a disproportionately high number of suicide deaths and approximately 55% of late-life suicides are associated with physical illness, notwithstanding psychiatric comorbidity. Physical illness is more likely to eventually lead to suicidal behaviour when it represents a threaten for the individual’s independence, autonomy, self-esteem and dignity, and when it impacts on quality of and pleasure with life, sense of meaning, usefulness and purpose in life. As the current historical period is one marked by opportunities which have allowed a rapid increase of life expectancy and longevity, it clearly emerges the need to balance benefits and harms of curative and palliative therapies, especially for painful, terminal illnesses. The expression of suicidal thoughts in older adults, as well as behaviours suggesting “silent” or indirect suicidal attitudes, should be carefully investigated and clinicians should try to decode the possible communicative role of suicidal behaviour while avoiding premature conclusions about the “rationality” of patients’ decision to die.DisclosureNo significant relationships.
Acute Ekbom’s syndrome in a patient with acute urethritis
Authors: Martínez Muelas A. , Paiva Pajares D. , López Isern M. , Ivanov P. , Sánchez Pérez M. 
Published: September 2022

IntroductionDelirium of parasitosis was first described by Karl Ekbom in Sweden in 1938. It is a hallucinatory monothematic delirium characterized by the unwavering conviction of having the skin infested with insects or parasites. Multiple etiologist has been described such as psychiatric and neurological disorders, substance intoxication or other medical conditions. We present a case of debut of Ekbom’s syndrome in an individual recently diagnosed with acute urethritis on antibiotic treatment.ObjectivesTo report a case of a patient with a debut of Ekbom’s syndrome and acute urethritis.MethodsA 40-year-old man with no previous psychiatric history is admitted psychiatric emergency room accompanied by his wife for intense anxiety and isolation at home. During the examination, the patient explains a lot of fear of a series of bugs such as bees and small parasites that invade him. The onset of symptomatology coincides with a diagnosis of chlamydia urethritis and the initiation of treatment with ceftriaxone 500mg IM + Azithromycin 1g VO. Complete physical examination is performed without alterations. Toxicological, biochemistry, hormonal and vitamin study did not show any alterations.ResultsAntipsychotic treatment was started with Olanzapine up to 10mg/day and supportive treatment with benzodiazepines. The patient showed rapid improvement. At discharge, he is asymptomatic from the urological and psychopathological point of view.ConclusionsEkbom’s syndrome is a multifactorial disorder. The patient was diagnosed of an acute psychotic disorder due to another medical condition and/or treatment with antibiotics.DisclosureNo significant relationships.
The impact of COVID-19 on the quality of life of older adults: a cross-sectional study in Athens, Greece
Authors: Argyropoulos K. , Tagkalaki Z. , Argyropoulou A. , Avramidis D. , Jelastopulu E. 
Published: September 2022

IntroductionThe COVID-19 has affected both physical and mental health of the elderly.ObjectivesThe purpose of the present study was to estimate the impact of the second lockdown in Greece, on both quality of life and mental health in older people.MethodsA cross sectional study was conducted among older adults who visited a primary care physician, from 1st of March to April 30th. An anonymous questionnaire was administered to collect basic sociodemographic data and implementation of hygiene precaution measures. The 5-item World Health Organization Well-Being Index (WHO-5) to measure well-being, the Generalized Anxiety Disorder Assessment (GAD-7) instrument was used to assess the anxiety levels and Geriatric Depression Scale (GDS-15) depressive symptoms of the responders, respectively. Statistical analysis was performed with SPSS v.24.0Results
222 elderly took part in the study. 62.6% were female. According to the WHO-5, 37.4% present poor quality of life. GDS-15 reveals that 70.7% of the participants screened positive for moderate depression and 1.8% with severe symptoms. GAD-7 results estimated 32.9% of the participants to suffer from serious anxiety disorder and 37.4% from moderate. GAD-7 and GDS-15 were strongly associated (p <0.05) with female gender, low educational level and with comorbidities (coronary disease, diabetes mellitus and skeletomuscular diseases). Health precaution measures were negative correlated with mental health of the elderly. However, in participants with frequent contact with family and friends, lower anxiety levels were detected.ConclusionsOur results highlight that older adult has experienced negative impact on both quality of life and mental health during 2nd Covid-19 lockdown in Greece.DisclosureNo significant relationships.
COVID-19-related stigma among the non-infected general population from Iran
Authors: Nadoushan A.H. , Faghankhani M. 
Published: September 2022

IntroductionCOVID-19-related stigma has been raised as a crisis since the beginning of the pandemic. We intended to develop a valid and reliable questionnaire to measure COVID-19-related stigma, attributed by the non-infected general population, and applied it in Tehran from September to October 2020.ObjectivesThis study measures the COVID-19-related stigma attributed by the non-infected general population using a valid and reliable questionnaire specific to COVID-19-related stigma.MethodsA preliminary questionnaire with 18 items was developed. The score ranged from 18 to 54 while the higher score indicating a higher level of COVID-19-related stigma. Out of 1064 randomly recruited Tehran citizens without a history of COVID-19 infection, 630 participants, who completely responded to the questions on a phone call, entered the study.ResultsThe content validity was established with a scale content validity index of 0.90. Item CVI and Item content validity ratio were higher than 0.78 for all items. Internal consistency was confirmed with Cronbach’s alpha of 0.625. Exploratory factor analysis revealed seven latent variables, including “blaming and penalty-seeking behavior”, “social discrimination”, “dishonor label”, “interpersonal contact”, “spreading rumors and myths”, “overvalued idea”, and “apathy toward the patients”. The mean (SD) of the score was 25.1(4.71) in our study. 86.8% of participants reported a low level of stigma with a score below 31. 13.2% of them demonstrated a moderate level of stigma, and none of the participants showed a high level of stigma.Conclusionswe found a low level of stigmatizing thoughts and behavior in Tehran, which may be due to social desirability bias.DisclosureNo significant relationships.
Psychological resilience and anxiety in response to COVID-19
Authors: Ionescu T. , Boscaiu V. , Fetecau B. , Tudose C. 
Published: September 2022

IntroductionIn Romania, the first case of COVID-19 was detected on 26 February 2020 and the number of cases has been rising afterward.ObjectivesThe goal of this study was to assess anxiety and resilience regarding the COVID-19 pandemic and to analyse possible protective measures and risk factors.MethodsThis is a cross-sectional study and data were collected March and April 2021. Participants filled in the Zung Self-Rating Anxiety Scale and the Connor-Davidson Resilience Scale.ResultsThe sample consisted of 440 participants who presented to the general practitioner (female-65.7%) and the most representative age group was 35-64 years old; 18.4% of the participants stated that they were infected; 56.6% reported that they do not know anyone in their entourage who was infected/ has died of COVID-19 (group A), 32.9% knowing people with an infection in their close social environment (group B) and 10.5% had close people who died (group C). Almost half of the respondents (49,3%) scored above the cut-off point of the anxiety index (mild 38.6%, moderate 9.9%, severe 0.8%). As we expected, there is a strong negative correlation between anxiety levels and resilience (Pearson Correlation=-.551, p<0.01). If groups A and B had similarities regarding anxiety levels (44.97 and 44.23), those knowing someone who died of COVID-19 (group C) had a higher anxiety level (47.81%) (p<0.05).ConclusionsThe recent COVID-19 pandemic has caused an understandable surge in anxiety among the general population. Low level of resilience is predictive of the phenomenon of having high anxiety in the face of the death of others.DisclosureNo significant relationships.
An increase in somatization in pandemic time in association with lexical characterictic of statements about pandemic
Authors: Medvedeva T. , Enikolopov S. , Boyko O. , Vorontsova O. , Stankevich M. 
Published: September 2022

IntroductionOne of the negative consequences of the COVID-19 pandemic may be an increase in somatization.Objectivesidentification of implicit characteristics of texts indicating the peculiarities of the opinion about the pandemic by people with high somatization level.MethodsSurvey (03/23/2020–01/29/2021, N=1188). Used: SCL-90-R, COPE, Constructive Thinking Inventory (CTI). It was offered to express an opinion on the pandemic. The statements were divided into the two text arrays - “high somatization” and “low somatization” (based on the parameter “somatization” SCL-90R). The frequency of words in these text arrays was estimated (LIWC).ResultsThe analysis showed an increase in somatization as the pandemic developed (Std.J-T Statistic=4,327). The relationship between somatization and anxiety, sleep disturbances, and depression was revealed. Higher rates of somatization are associated with a decrease in emotional coping, «global constructive thinking» and «personal superstitious thinking», an increase in «categorical thinking». The connection between somatization and a number of non-constructive copings is shown. Texts associated with high somatization demonstrate higher number of pronouns of the first person (30.77%, 17.19%), a decrease in the tonality of words, a vocabulary (LIWC) of suffering, negative sthenic emotions (1,53%, 0,93%), a decrease in the vocabulary of motivation and resistance (0,93%, 1,49%), a decrease in vocabulary associated with the body (0,20%, 0,32%).ConclusionsThe connection between somatization and high emotional distress, which manifests itself in negative emotional vocabulary and is associated with a low level of emotional coping, is shown. The “representation” of the pandemic, presented in the text, is “divorced” from somatic manifestations, fear of illness and death.DisclosureNo significant relationships.
Ms. Noemi Monika Szeifert
Authors: Szeifert N. , Szilágyi S. , Schmelowszky Á. 
Published: September 2022

IntroductionWorking in COVID – 19 Health Care Units – Psychological impacts (PTSD, Depression, Anxiety Disorders) Working in the frontline during COVID-19 has put under extreme psychological and physical pressure the health care workers. The severe psychological symptomps can emerge on short, mid and long term as well. Our research is focusing on the psychological impacts of front line health care workers.Objectives
In our lecture, we summarize our reserach made in the National Traumatology Center, Budapest, Hungary among health care workers who worked in the front and in the second line during the most severe period of the pandemic in Hungary, and discuss probable risk factors for PTSD and chronic psychological distress related to COVID-19. Furthermore we make an overview on the most frequently used coping skills for dealing with the psychological stress caused by the pandemic among the health care workers. The sample taking was processed in July 2021, after 3 month the 3rd COVID – 19 wave officially ended in Hungary.Methods
123 health care workers completed the online survey anonimously, included Beck Depression Inventory, Spielberger Anxiety State Inventory, PTSD Checklist, Lazarus Coping Scale.Results23% of HCW reported symptomps of depression, nearly 25% dealing with sleeping disorders and 38% with chronic fatigue, 42,50 % HCW suffering from anxiety disorders, 22% HCW experiencing symptomps of PTSD.ConclusionsWith our results we would like to raise awareness of the challenges and severe psychological consequences that these colleagues, our national heroes we can say, are facing after working in COVID-19 Health Care Units.DisclosureNo significant relationships.
Baseline beliefs, depression, anxiety, and stress in humanities students in the context of the COVID-19 pandemic
Authors: Ivanov D. , Aleksandrovich Y. , Gorkovaya I. , Averin V. , Titova V. , Rozhdestvenskiy V. 
Published: September 2022

IntroductionThe COVID-19 pandemic can be seen as mental trauma. The concept of baseline beliefs helps to explain the extent to which mental trauma affects individuals.ObjectivesThe study aimed to investigate baseline beliefs in humanities students in Russian universities and analyse the relationship between baseline beliefs and emotional reactions.MethodsData collection was carried out between May and July 2020 using a Google form that we developed. A total of 92 humanities students participated in the study. The WAS-37 was used to examine baseline beliefs, and the DASS-21 was used to determine depression, anxiety, and stress levels.ResultsWe found that the mean values of the scales “Benevolence in the World” (M = 34.8±6.5), “Self-image” (M = 27.2±4.4), “Luck” (M = 32.7±5.7) and “Controlling beliefs” (M = 27.9±4.0) were above the normative mean values for the Russian population and only the values of the scale “Justice” (M = 20.8±3.8) were below these. All components of baseline beliefs had negative associations with depression, anxiety, and stress; only “Benevolence in the World” was associated exclusively with anxiety (rs = -0.223, p < 0.05), and “Justice” with depression (rs = -0.223, p < 0.05).ConclusionsIn a pandemic, the world around them is perceived by humanities students as less fair. Trust in the world, beliefs about the fairness of the world and a positive self-image are correlated with a more favourable emotional state. By this, we support the view that individuals’ implicit beliefs (baseline beliefs) are related to the severity of the traumatic event.DisclosureNo significant relationships.
Dynamics of emotional reactions among Russian students during the COVID-19 pandemic
Authors: Gorkovaya I. , Ivanov D. , Aleksandrovich Y. , Titova V. , Rozhdestvenskiy V. 
Published: September 2022

IntroductionThe pandemic of a new coronavirus infection can be considered as a long-term traumatic event. It is known that chronic stress is characterized by dynamics of emotional state caused by processes of adaptation and maladaptation.ObjectivesOur study aimed to investigate the dynamics of depression, anxiety, and stress levels among Russian students during the COVID-19 pandemic.MethodsData were collected from May to July 2020 (the first pandemic wave) and from October 2020 to April 2021 (the second wave). A total of 170 non-medical university students participated in the study. We used the DASS-21 to determine levels of depression, anxiety, and stress.ResultsWe found that during the first wave of the pandemic, 57 % of students showed no symptoms of depression, 77 % had no symptoms of anxiety, and 76 % showed no signs of stress. In the second wave, 50 % of students showed no depression, 65 % no anxiety and 67 % no stress. Analysis of mean values showed that the second pandemic wave provoked higher levels of anxiety (M = 3.32±4.25 vs M = 4.71±4.71, p < 0.05) and stress (M = 6.50±4.50 vs M = 7.99±4.97, p < 0.05) .Conclusions
The second wave of the new coronavirus pandemic provoked more severe emotional reactions among Russian students than the first. By these results we suggest that the duration of the pandemic harms the emotional state of the general population. Therefore, it is essential to develop and implement psychotherapeutic programs to restore the mental health of Russian citizens.DisclosureNo significant relationships.
Meaningful orientations and asthenia in pregnant women and young mothers during the first COVID-19 pandemic wave
Authors: Titova V. , Ivanov D. , Aleksandrovich Y. , Gorkovaya I. , Rozhdestvenskiy V. 
Published: September 2022

IntroductionPregnancy and childcare are naturally stressful for women, often accompanied by the asthenic syndrome. In a pandemic situation, this type of stress may be potentiated by external conditions.ObjectivesThe study aimed to investigate the life-state orientations and asthenia levels of pregnant women and young mothers in the context of a pandemic. We also analyzed the correlations between the life-state orientations and the different types of asthenias.MethodsData collection was carried out in June 2020 using a Google form that we developed. Pregnant women and young mothers with children under seven years of age participated in the study with 47 respondents. We used the Purpose-in-Life Test to investigate the meaningful orientations and the MFI-20 to determine the level of asthenia. Both questionnaires were adapted for use in Russia.ResultsWe found that the mean overall MFI-20 score (M = 58.0±5.9) exceeded the mean values in our sample, indicating the presence of the asthenic syndrome. Physical asthenia (M = 12.9±1.4) and decreased activity (M = 12.0±1.7) were the strongest, with the lowest score on the general asthenia scale (M = 10.6±1.8). Correlation analysis showed that all components of meaningful orientations had multiple positive correlations with different types of asthenias, and the overall asthenia score was 100 % related to life meaningfulness (p < 0.01).ConclusionsPregnant women and young mothers are at risk for asthenia in the COVID-19 pandemic. This is obviously due to many responsibilities of mothers raising children.DisclosureNo significant relationships.
Evaluation of stress and coping skills of nursing students during a COVID-19 pandemic
Authors: El Kefi H. , Kabtni W. , Krir W. , Baatout A. , Bouzouita I. , Torkhani O. , Gafsi I. , Bencheikh C. , Oumaya A. 
Published: September 2022

IntroductionThe coronavirus epidemic started in Tunisia in March 2020. Health personnel have been in the front line in the fight against this virus since that date. The COVID units of the hospitals and the different hospital services have been reinforced by student nurses (trainees, volunteers…).ObjectivesTo evaluate the degree of stress perceived during the COVID-19 pandemic by student nurses. To identify coping skills during a COVID-19 pandemic.MethodsDescriptive, retrospective study conducted in March 2021 on the 60 senior nursing students enrolled in the military health school. We used the Cungi (1997) stress scale and developed a self-questionnaire on coping skills used by the students.ResultsOur population was 54.3% male and 45.7% female. The average age was 22.6 years. The majority of the senior students (54.3%) worked in units dedicated to the care of patients with COVID-19. On the Cungi Stress Rating Scale, students had very low (13%), low (27%), and high (60%) stress levels. The main coping methods used were watching movies and listening to music (81%), playing sports (80%), praying (75%), rigorously applying social distancing measures and wearing protective gear (73%), talking with friends or psychologists (62%), doing yoga or meditation (34%), drinking herbal tea, alcohol, or taking psychotropic drugs (23%).ConclusionsThe COVID-19 pandemic is a time of major stress for nursing students. The coping methods used seem insufficient. Psychological support should be provided.DisclosureNo significant relationships.