bluuebunny/crossref_metadata_2025_split huggingface dataset:
Manic episode following SARS-COV-2 Infection
Authors: Bencharfa Z. , Amara Y. , El Moussaoui N. , Belbachir S. , Ouanass A. 
Published: September 2022

IntroductionIn December 2019, infection with the novel coronavirus (SARS-CoV-2) was first reported in the city of Wuhan, China. Although generally recognized for its often fatal respiratory problems, other neuropsychiatric complications are receiving increasing attention.ObjectivesWe will try through a clinical case to explain the psychiatric disorders in the context of this infection, and to highlight the two main explanatory theories of psychiatric disorders, in relation with the SARS-Cov-2 infection.MethodsWe report here a case of SARS-CoV-2 infection in a 54-year-old female patient with no specific pathological history, including psychiatric, who presented a fever, anosmia, and asthenia in the absence of any respiratory signs. Her PCR came back positive and her chest CT scan was normal.The patient was treated with paracetamol with vitamin C,with good clinical improvement. She came 15 days later to the psychiatric emergency room with psychomotor excitement. The patient was motorically unstable, could not hold still, her mimicry was hypermobile, contact with her was familiar, she was logorrheic with flight of ideas,she verbalized multiple projects, her mood was euphoric and her sleep was disturbed. Her blood tests were unremarkable.ResultsThe diagnosis of manic episode was retained, and the patient was put on Olanzapine 10 mg, sodium Valproate 1g and Lorazepam 2.5 mg in degression with good clinical improvement.ConclusionsAlthough the data in the literature remain scarce concerning the impact of this virus on mental health, we will try through this clinical case to explain the psychiatric disorders in the context of this viral epidemic, due to stress and inflammation.DisclosureNo significant relationships.
The difficult symbolic construction of physicians’ and nurses’ experiences working in COVID-19 intensive care units: A qualitative study on reports at a university public hospital in Southeastern Brazil
Authors: Turato E. , Silva F. , Guerra L. , Cavalcante J. , Gasparotto A.P. , Aoki R. 
Published: September 2022

IntroductionHumanistic studies that explore symbolic aspects of the experience of working on the COVID-19 frontline are necessary. Do these professionals have psychic time to symbolize such acute experiences? We expect these preliminary findings of this research provide subsidies for discussing psychological management in groups with these professionals.ObjectivesTo interpret emotional meanings reported by physicians and nurses on their experiences of working at COVID-19 intensive care units.MethodsClinical-qualitative design. Data collection with semi-directed interviews with open-ended questions in-depth applied to a sample of six professionals, closed by theoretical information saturation, in a Brazilian university general hospital. Trigger question: “Talk about psychological meanings of your experience in face of management of patients with COVID-19 at ICU”. Data treatment by the Seven Steps of the Clinical-Qualitative Content Analysis. Theoretical framework of Medical Psychology using Balintian concepts.ResultsWe raised 3 categories. (1) Psychic time and absence of symbolization in face of the pandemic; (2) Denial as a defense or psychosocial adaptation mechanisms; (3) Tensions and family support: triggers of ambivalent emotional experiences.ConclusionsRaw experience of COVID-19 pandemic did not allow for realization of symbolization. Psychological defenses are manifested, either to maintain balance or to deny the existence of dangers related to mental health. Presence of families and health team confirm that the feeling of loneliness is avoided. Anxieties related to the fear of contamination are recurrent. There is dual relationship regarding the emotional experiences of health professionals, but the data point to importance of looking at how these individuals perceive and experience the pandemic.DisclosureNo significant relationships.
The impact of the COVID pandemic on the treatment of psychoactive drug addicts in Zenica-Doboj Canton of BiH april 2020-april 2021
Authors: Kasper S. 
Published: September 2022

IntroductionThe paper presents experiences in working with drug addicts in Ze-Do Canton after the outbreak of the COVID pandemicObjectivesThe time frame in which the research was conducted was April 15, 2020 to April 15, 2021. Criteria for inclusion in the study were clinically and laboratory-proven dependence on psychoactive substances and participation in some of the types of treatment in our institution. Criteria for exclusion from the study due to population specificity were not definedMethods. The study was designed as a retrospective-prospective in which the following parameters were monitored: rate of retention in treatment, rate of relapse and overdose, deterioration of basic psychopathology, number of hospitalizations due to worsening addiction or comorbid psychopathology, suicide rate, incidence and prevalence of blood-borne hepatitis and HIV -a, incidence and prevalence of COVID in the addicted population and auto and hetero-destructive behavior of health care users.ResultsThe results of the study indicated an increased rate of abuse of substitution therapy, an increased rate of relapse, most often with stimulants, abuse of sedatives, antidepressants and anticholinergics, an increased rate of overdose but no deaths and an increased rate of hospitalization due to worsening basic psychopathology.ConclusionsThe study indicated a deterioration in the quality of health care of addicts to psychoactive substances caused by pandemic working conditions and a marked deterioration in basic psychopathology caused by social distancing and the impossibility of more frequent and direct contact with patients. continuous monitoringDisclosureNo significant relationships.
Distinctive features of First Episode of Psychosis during the Covid-19 pandemic
Authors: Casanovas F. , Dinamarca F. , Pérez Oms A. , Llimona Sánchez C. , García Hernández D. , Ginés J.M. , Pérez-Solà V. , Bergé D. , Mané A. 
Published: September 2022

IntroductionCOVID19 has brought several psychosocial stressors that are having an impact on global mental health. The impact of the pandemic on the incidence of First Episode of Psychosis (FEP) is not clear.ObjectivesTo describe the clinical and sociodemographic characteristics of FEP patients diagnosed since the onset of the COVID19 pandemic and compare them with the equivalent period of the previous year.MethodsWe included all FEP patients attended at Parc de Salut Mar (Barcelona, Spain) from March 14, 2020 (when the state of emergency in Spain began) to December 31, 2020 with the same period of 2019. We assessed sociodemographic variables, duration of untreated psychosis (DUP), cannabis and alcohol use, psychiatric diagnosis, and psychiatric symptom scales. We performed a univariate analysis between the groups using U-Mann Whitney for continuous variables and Chi-Square for qualitative variables.ResultsA total of 20 FEP patients were diagnosed in each period. No differences were found in sociodemographic variables, scales scores or DUP. During COVID19 period there was a smaller proportion of cannabis users (60% vs 90%; p=0.028) and a tendency of lower weekly consumption (14.44 vs 16.42; p=0.096). There were more cases of BPD (25% vs 5%; p=0.077) and less of affective psychosis (0% vs 25%; 0.017).ConclusionsDuring the COVID-19 pandemic we did not find an increase of FEP or more severe clinical presentations. However, we identified differences in the type of FEP that could be related to the psychosocial stressors of this time.DisclosureNo significant relationships.
The COVID-19 pandemic impact on prenatal anxiety
Authors: Nourchene K. , Khelifa E. , Maatouk O. , Ben Aissa S. , Abassi B. , Bouguerra I. , Anissa B. , Amdouni F. , Mnif L. 
Published: September 2022

IntroductionAnxiety manifestations are one of the most described symptoms during pregnancy. Meanwhile, the effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health and anxiety distress in particular, of pregnant and postpartum women remains unclear.ObjectivesThe purpose of our study was to evaluate anxiety among prgnant women during covid19 and describe its associated factorsMethodsIt was a comparative cross-sectional case- control study in a Tunisian gynecologic department. All women were in the third term of pregnancy. Anxiety symptoms were evaluated using Beck Anxiety Inventory (BAI). The data were compared to a control group assessed in a similar study conducted before the pandemic in the same city. Eighty pregnant women was investigated during the covid pandemic and 100 pregnant women investigated before the COVID-19 outbreak in Tunisia was assigned to the control group.ResultsPregnant women during COVID-19 scored less on BAI than controls (15.49±9.223 vs 17.40±7.410). Less patients presented moderate to severe anxiety during pandemic (38.8% (n=31) than controls 51% (n=51)). The difference between groups in means and prevalence values was not significant. The negative results could be related to the low power of the test (P=0.36).ConclusionsDespite the expected psychological distress among vulnerable population , Covid-19 didn’t impact anxiety prevalence or scores among pregnant women in our current study .DisclosureNo significant relationships.
Attitudes to COVID-19 during the lockdown among university students in Russia and Uzbekistan
Authors: Nikolaev E. , Aleksandrov A. , Poverinov I. , Niyazov L. 
Published: September 2022

IntroductionDuring the COVID-19 caused lockdown, when students had to study on-line, they became highly vulnerable to stress. How different were the attitudes of university students towards COVID-19 in such situation in different countries?ObjectivesThe goal is to determine the differences in attitudes to COVID-19 during the lockdown among university students in Russia and UzbekistanMethodsIn May 2020, there was an on-line survey of 163 students of both genders in Ulianov Chuvash State University in Russia and of 49 university students from Bukhara, Samarkand and Andijan in Uzbekistan. The instrument used was ‘Attitude towards COVID-19 Questionnaire’ (Nikolaev, 2020).ResultsThe comparison revealed that Uzbek students are more interested in the latest COVID-19 news than Russian ones (p=.0004), they also consider this pandemic as severe and dangerous for people (p=.0006), and think that governmental measures to fight coronavirus are adequate (p=.0008). Russian students in their turn, as compared with their Uzbek peers, feel highly concerned about the risk of their own infection (p=.00001), as well as the threat to their own life (p=.00546) and the life of their relatives and closest ones (p=.0005) as a result of coronavirus spread. In addition, Uzbek students regard themselves healthier than Russian ones (p=.0329). Students’ self-estimation of happiness does not differ (p=.0776).ConclusionsDifferences in attitudes to COVID-19 among students are associated with more apparent socially oriented behavior of students from Uzbekistan, and more personality-oriented behavior of Russian students.DisclosureNo significant relationships.
The dark side of social ties: coronavirus 2019-induced fear and intergroup conflicts
Authors: Tei S. , Fujino J. 
Published: September 2022

IntroductionThe relationship between fear and social ties has been frequently discussed in the context of the coronavirus 2019 (COVID-19) pandemic, but investigation of the nature of these experiences is still insufficient. Research suggests that people who respect social ties often experience better mental health outcomes. However, when socially isolated, excluded, or subjected to rumors, they may become more vulnerable to criticism, shame, and fear. Another potential problem of the COVID-19 pandemic is intergroup prejudice and distrust.ObjectivesTo examine the development and mitigation of social ties, fears, and biases during the COVID-19 pandemic.MethodsWe applied discourse analysis to relevant literature and their associated references that incorporated textual, social, and cognitive dimensions. The main databases used were PubMed and Web of Science.ResultsAlthough the importance of social ties was loudly vocalized as lessening loneliness, people also globally described stigma-related fear or intergroup conflicts. The sense of social ties appeared disproportionately amplified in the form of an in-group identity, group pressures, and empathic distress. Some people overstated worries about their COVID-19-positive status being revealed to others and causing distress for them. Furthermore, discrimination and vigilantism were manifested with fear-related stereotyping and hostility.ConclusionsOur findings support the view that social ties can indeed function as both risk and protective factors. Context-adjusted perspectives and reciprocal dialogs seem crucial to alleviate these negative impacts. The subsequent mitigation of misunderstandings, fear-induced bias, and maladaptive distress appraisal may lead to a more reasonable and flexible recognition of social ties.DisclosureNo significant relationships.
COVID-19 treatment corticosteroids-induced mania
Authors: Galvañ J. , Angélico I. 
Published: September 2022

IntroductionPsychiatric disturbances induced by substances are registered in both CIE-10 and DSM-5. It is also well known, since many years, the association between mania and corticosteroids (more than 200 results in PubMed found), recently widely used during the last pandemic against COVID-19.ObjectivesTo remember and to point out the association of substance-induced mental disorders, warning about the experimentation in new clinical settings and raising awareness to prevent or treat its possible consequences in mental health.MethodsA two cases clinical series with COVID-19 pneumonia treated with high-doses intravenous corticosteroids during more than a week. Two women, after theirs 50s, with no personal or family psychiatric history, developing after finishing the hospital treatment, insomnia, motor and behavioral hyperactivity and dysphoric mood with irritability, but preserving clinical insight.ResultsAt first, these states were assessed by internists and psychologists as reactive stress anxiety and were treated with benzodiazepines and psychotherapy, without success, during more than two weeks. After a psychiatric evaluation, considering the medical history and recent use of corticosteroids, the hipomania diagnosis was pointed out. Antipsychotic treatment (low doses olanzapine chosen) was induced with total remission of symptoms in less than 15 days with restitutio ad integrum. Regarding these cases, an updated bibliographic review on corticosteroid-induced mania and its treatment was carried out.ConclusionsWith this presentation, the authors would like to highlight, in these times of pandemic, the importance of remembering the influence and relationship of drugs use in major psychiatric syndromes, both in the causal origin and in the treatment.DisclosureNo significant relationships.
“When the virus decompensated the neurosis.” About a case
Authors: Valverde Barea M. , España Osuna A. , Vargas Melero P. , Solis M. 
Published: September 2022

IntroductionThe COVID-19 pandemic and social and mobility restriction measures have had a negative impact on the mental health of the population.ObjectivesThe objective is to demonstrate the impact of the pandemic on mental disorders.Methods64-year-old man who is taken to the emergency room after a suicide attempt, by hanging with a belt out of concern and measuring the contagion of the COVID-19 virus in the context of long-standing delirious ideas of contamination and hypochondriacal neurosis. Adaptive disorder in relation to previous divorce. Psychopathologically, the patient is anxious and restless, conscious, inattentive and poorly oriented in space and time. Accelerated language with monothematic discourse about the possibility of contagion that has caused isolation behavior to the point of shredding organic waste and throwing it down the toilet so as not to have to go out to throw it out for fear of contagion. Faced with a neighbor’s wake-up call due to a blocked pipe, he suffers a crisis of guilt and anxiety and attempts to commit suicide. COVID-19 PCR=negative. Beck’s Depression Inventory 24=moderate depression. IPDE accentuated obsessive and avoidant personality traits.ResultsDiagnosis: Moderate depressive episode with psychotic symptoms. Hypochondriacal disorder. Ananchastic personality disorder. Treatment: Paliperidone 3mg/24h. Sertraline 100mg/24hConclusionsIn obsessive personalities and hypochondriacal neuroses, the COVID-19 pandemic has posed an increased risk of decompensation for affective disorders and even suicide attempts. Isolation, lack of treatment and prior monitoring, as well as the difficulty of identifying vital stressors, must be taken into account if an early intervention is to be carried out.DisclosureNo significant relationships.
Perceptions of Tunisians on COVID-19 Vaccines: a qualitative study
Authors: Jomli R. , Jemli H. , Sabrine O. , Ouali U. 
Published: September 2022

IntroductionIn Tunisia, the Ministry of Health launched an awareness campaign in television spots and different social media platforms and started the vaccination campaign on the 13 March 2021 aiming to have vaccinated half of the Tunisian population by the end of 2021. However, to date, on July 31, 2021, only 1,104,286 people are completely vaccinatedObjectivesThe aim of the study was to identify Tunisians’ mental perceptions and attitudes towards COVID-19 vaccines to examine the predictors of the COVID-19 vaccine hesitancy in the Tunisian population.MethodsA group of citizens, randomly selected were invited to participate in the study. Data were collected through a focus group using a piloted topic guide. The entire discussion was recorded in audio-visual mode with a total duration of 1 hour. We also collected data on participant gender, age, education, and profession.ResultsSeven women and four men participated in the study All participants reported having doubts about the efficacy of the vaccines. Two participants reported that their acquaintances died after being vaccinated. They suspected that expired vaccines have caused the reported deaths. “I think these vaccines can be extremely dangerous. They could contain chemicals that are carcinogens or that have a castrating effect”, an interlocutor stated, supported by the rest of the group. We found unanimously in our study, attesting to the relevance of religion in the lives of the Tunisian people, which is in agreement with literatureConclusionsConstruction of multi-component and systematic interventions are required by public health authorities.DisclosureNo significant relationships.
Depression among frontline medical and paramedical staff during the coronavirus pandemic
Authors: Maatouk O. , Kammoun R. , Kammoun I. , Souabni K. , Karoui M. , Nefzi H. , Ellouz F. 
Published: September 2022

IntroductionThe current coronavirus pandemic is a unique and unusual situation. It is putting the general population under severe strain. However, frontline medical and paramedical staff remain particularly vulnerable to depression because of its close contact with patients.ObjectivesThe aim of this work was to screen and evaluate depression in the frontline professionals during the pandemic and to study their associated factors .MethodsIn this study , we conducted a national descriptive and analytical cross-sectional study over a 2-month period from September to October 2020. We used “Beck Depression Inventory” to assess depression and “Brief Cope Scale” to detect a possible correlation between depression and coping mechanisms.ResultsWe collected 78 professionals. The mean age was 29.86 years. 2/3 of workers were women. 67.9% of the staff were residents. 39.7% worked in Covid units. 7.7% had personal psychiatric history. 56.4% of the staff worked daily and 76.9% of them provided direct care to patients with Coronavirus. 52.6% of workers did not receive adequate training of protection against Covid-19.The staff reported 66.7% of death among their patients. 42.3% suffered from minor depression and only 2.3% suffered from severe depression. During this period we objectified an increase of 14.1% in the psychoactive substances use. Stigma affected 57.7% of professionals. We didn’t objectify a significant correlation between Depression and coping mechanisms .ConclusionsScreening depression among healthcare professionals should be considered in order to prevent it, ensure continuity of care and avoid sick leaves.DisclosureNo significant relationships.
Gender differences in reaction to Covid19 in people with Autism Spectrum Disorder
Authors: Van Der Gaag R.J. , Van Wijngaarden-Cremers P. 
Published: September 2022

IntroductionThe Covid 19 pandemic has had an enormous psychological impact in which women were mentally more affected than men (Berthelot et al 2020 - Liu et al 2020). More over it exacerbated symptoms and suffering in individuals with psychiatric disorders. The question is how did it affect individuals with autism (ASD). And if so, did it affect women and girls more that men and boys or differently.ObjectivesTo evaluate the impact of the covid 19 pandemic and the subsequent lockdown in patients with ASDMethodsa combination of literature review and assessement of the population of individuals with autism spectrum disorders in a large specialized unit for individuals with ASDResultsNo seperate reports on individuals with ASD were found in the recent literature. Obviously the pandemic and confinement had great impact on individuals with intellectual disabilities amongst whom many individuals with comorbid developmental disorders as ADHD and/or Autism (e.g.Palacio-Ortiz et al 2020 - Guessoum et al 2020) In our population some remarkable outcomes were noted in the sense that a substantial part of the population with autism had positive experiences: e.g. clear social rules / less contact. Males enjoyed more online contact and games / experienced less loneliness - In females we found significantly more depressive symptoms, anxiety and suicidal behaviour.ConclusionsCovid 19 has had a great psychological impact with marked gender differences. Remarkably in ASD men enjoyed some of the benefits of the confinement. In women with ASD the emotional impact was significantly higher.DisclosureNo significant relationships.
Suicide presentation and the risk at the time of the mandatory quarantine for the SARS-Cov-2 pandemic: medico-legal and forensic aspects
Authors: Scalise C. , Sacco M.A. , Zibetti A. , De Fazio P. , Ricci P. , Aquila I. 
Published: September 2022

IntroductionCOVID-19 pandemic is the most important health emergency of the 21st century. Since the high number of infected people and as there is still no specific therapy worldwide, the pandemic has been countered through the application of prevention measures based on social distancing and home isolation. These elements are known risk factors for the development of various psychiatric conditions. From a forensic point of view, these pathologies are related to a high suicide rate.Objectives

It is no coincidence that during the previous pandemics that have occurred in history there has been a significant increase in suicides. By this work, we therefore want to highlight the psychological consequences of a pandemic and the importance of preventive strategies.MethodsIt is important to focus not only on physical well-being but also on the psychological aspects that the pandemic produces in the daily life of each individualResultsIf the infecting agent causes the death of millions of people around the world, the socio-economic context that is created indirectly determines as many deaths.Conclusions
Therefore it is necessary to underline how it is advisable to implement preventive measures in order to significantly reduce deaths from suicide, a problem with an important impact in the social and forensic fields.DisclosureNo significant relationships.