bluuebunny/crossref_metadata_2025_split huggingface dataset:
Recent Trends in Russian Psychiatry with Particular Emphasis on Training in Women’s Mental Health
Authors: Ilina N. , Semenova N. 
Published: September 2022

There will be two main foci to this presentation.Firstly, Designing and implementing a new educational program entitled “Women victims of domestic violence: Detection, clinic, help” – that is mainly based on the teaching of several modules, WPA International Curriculum for Mental Healthcare Providers on Violence Against Women. Our program is a follow-on to the one held during the COVID-19 pandemic restrictions, at which interest was expressed in sharing ideas and resources.Secondly, Informing on the recent trends in Russian perinatal psychiatry. This covers the psychiatric training in the assessment domain, case management, and service evaluation.We will introduce and review some resources for use in women’s mental health practicals, propose innovative pedagogical structures for practical teachings, such as Problem Based Learning, ‘Vicarious Learning,’ and encourage discussion of how the practical aspects of women’s mental health teaching can be supported and enhanced.Teaching modules and training pathways will be delivered (“not too much; not too little and in the right order”), and dimensions of quality in continuing professional development in women’s mental health (i.e., Sophistication, Credibility, Timeliness, and Utility) will be outlined.This will be followed by a discussion exploring the different prioritization of the teaching modules across various organizations.We urge our audience to consider it is time for psychiatric training in women’s mental health to move from the margins to the center.
Neurosyphilis as a cause for neuropsychiatric symptoms: a case report
Authors: Romero Gerechter I. , Molina Liétor M.D.C. 
Published: September 2022

IntroductionSyphilis is a sexually transmitted infection which in its late phase can cause all kinds of neuropsychiatric symptoms. A case report of a 79-year-old male with a manic episode probably due to lues is presented.ObjectivesA case of a patient with neurosyphilis is presented followed by a theoretical review on the topic.MethodsA case is presented with a bibliographic review.ResultsA 79-year-old male was hospitalized with symptoms of disorientation, inattention, and difficulty for abstract thought. His speech was verbose, incoherent with megalomaniac ideas. He presented affective symptoms such as hyperthymia, emotional lability and intermittent crying. He also had nomination problems and recent memory mistakes. He also suffered from insomnia. He presented as his medical history HIV infection under control and syphilis treated in December 2020 with a negative RPR test in June 2021. During his hospitalization he was treated with increasing doses of olanzapine and valproic acid. Irritability improved with this treatment.ConclusionsNeurosyphilis may be presented as any kind of neuropsychiatric disorder. Laboratory tests are required as there is no conclusive imaging test. Penicillin and symptomatic management are the proper treatment. Neuropsychiatric disorders in elderly population must consider infectious diseases and previous pathologies as differential diagnosis.DisclosureNo significant relationships.
Tunisian sociodemographic profile of elderly patients hospitalized in psychiatry
Authors: Djemal F. , Messedi N. , Chamseddine A. , Bouattour W. , Charfeddine F. , Aribi L. , Aloulou J. 
Published: September 2022

IntroductionElderly people have always presented physiological changes and suffered from many diseases. There are few studies focused on this growing particular population, especially with mental pathologies. Thus, psychiatric hospitalization of the elderly population is more frequent nowadays.ObjectivesThe aim of this study is to establish the socio-demographic characteristics of elderly patients hospitalized in psychiatry.MethodsRetrospective and descriptive study over a period of 20 years and 6 months on patients aged over 65 years old hospitalized in the psychiatry “B” department of the Hedi Chaker University hospital in Sfax, Tunisia, for a psychiatric disorder, selected according to the DSM 5 diagnosis criteria.ResultsThe number of records identified was 62, out of 4019 patients (15.4%). The mean age of patients was 71.1 years old and the sex ratio (Male / Female) = 0.67. Patients were originally from Sfax in 58.1% and from rural areas in 58.1% of cases. Most of patients (78.4%) were living at least with one member of their family. They were married in 53.2% of cases. The average number of children was 5.21. The majority of patients were illiterate (61.3%) and never had a professional activity in 45.2% of cases. Social coverage concerned 96.8% of our sample.ConclusionsElderly patients hospitalized in our department were mainly illiterate, females and living with their family. Despite everything, family involvement in care is still necessary for this category of patients.DisclosureNo significant relationships.
Clock Drawing Test – low accuracy in early hours
Authors: Sejunaite K. , Gaucher F. , Riepe M. 
Published: September 2022

IntroductionEarly diagnostics of neurodegenerative disease and their comorbidities is linked to better treatment outcome and improved quality of life. The first patient assessment should lay strong foundations for the direction of the upcoming diagnostic procedure. Clock Drawing Test (CDT) is often used as an early screening instrument in geriatric patients presenting with cognitive disorders.ObjectivesThe goal of the present study was to evaluate diagnostic accuracy of the CDT in a geriatric cohort with mild cognitive difficulties.MethodsOut of a pool of in- and outpatient data presenting with subjective cognitive difficulties three diagnostic groups were formed – mild cognitive impairment, depressive disorder and healthy controls. CDT was scored using a quantitative scoring system with each aspect of the clock evaluated separately. CDT data was analysed for its discriminative value in early diagnostics of AD and DD.ResultsLogistic regression produced a significant model with a low percentage of explained variance in both DD and AD groups. Same CDT items were significant predictors for DD and AD pathology. ROC curve inspection allowed only a poor discrimination capability for the significant predictors.ConclusionsDespite being a popular screening test, CDT is a poor choice for individuals presenting with a mild cognitive impairment. Using CDT alone might result in initial stages of neurodegeneration going undetected, thus depriving patients of early treatment options. Same error types were significant predictors in DD and AD. This indicates that CDT can detect a general impairment; however, an in-depth neuropsychological assessment is needed for differential diagnostics.DisclosureNo significant relationships.
Determinants of insulin treatment satisfaction among type 2 diabetic older adults
Authors: Zaouali F. , Lassoued N. , Sondess A. , Alaya W. , Sfar M.H. 
Published: September 2022

IntroductionGlycemic control for elderly diabetics is a challenge. Treatment satisfaction reflects this control.ObjectivesTo determine the factors associated with insulin treatment satisfaction among type 2 diabetic elderly.MethodsA cross-sectional study on 86 type 2 diabetic insulin dependent elderly recruited from the outpatient endocrinology consultation during June and July 2021. We applied the Diabetes Treatment Satisfaction Questionnaire (DTSQ) and geriatric assessment scores.ResultsThree quarters of the patients were satisfied with the insulin therapy. Satisfied patients had significantly less history of hospitalization and more regular follow-up. Diabetic neuropathy medications were significantly less taken by satisfied patients. The number of daily insulin injections was significantly higher in the unsatisfied patients. Diabetic foot was significantly more frequent in unsatisfied patients. Satisfied patients were significantly less depressed, more independent in both basic and instrumental activities of daily living, without memory impairment, in better nutritional status and not falling. Higher DTSQ scores were associated with regular follow up (β 7.92, 95% CI 1.83 to 34.3). Lower DTSQ scores were associated with the history of hospitalization (β 0.12, 95% CI 0.02 to 0.58), the taking of medications for diabetic neuropathy (β 0.07, 95% CI 0.09 to 0.51), the high number of insulin injections (β 0.43, 95% CI 0.19 to 0.97) and the presence of diabetic foot (β 0.17, 95% CI 0.01 to 0.38).ConclusionsRisk factors for patients’ insulin dissatisfaction should be detected early and managed appropriately to improve patients’satisfaction and consequently their well-being.DisclosureNo significant relationships.
Depression among type 2 diabetic insulin-dependent older adults
Authors: Zaouali F. , Lassoued N. , Boubaker F. , Alaya W. , Sfar M.H. 
Published: September 2022

IntroductionAlthough depression is one of the most common diseases among older people, it is still underdiagnosed due to frequent misleading symptoms.ObjectivesThe aims of our study were to assess depression in type 2 diabetic insulin-dependent older adults and to identify factors associated with depression among this population.MethodsA cross-sectional study on 100 type 2 diabetic insulin-dependent elderly recruited from the outpatient endocrinology consultation during June and July 2021. We applied the geriatric assessment scores: the Geriatric Depression Scale 15-item, the KATS score, the Lawton scale. the five-word test, the Mini Nutritional Assessment and the Timed Up and Go test.ResultsThe mean age of the population was 70.8±5.8 years with sex ratio of 0.85. Depression was noted among 57% of the patients who were distributed as follow: around one fifth (21%) had mild depression while 36% had moderate to severe depression. Around one quarter of the patients (24%) were dependent in the basic activities of daily living. Depression was significantly associated with dependency (β = 5.27; 95% CI, 1.01 to 27.35), ophthalmologic diseases (β = 8.81; 95% CI, 2.18 to 35.63), high frequency of nocturia (β = 3.71; 95% CI, 1.24 to 11.05) and high frequency of bleeding at insulin injection site (β = 4.21; 95% CI, 1.49 to 11.84).ConclusionsOur findings suggest that the prevalence of depression is high among type 2 diabetic insulin-dependent older adults. Early assessment of depression’s risk factors is a major pillar of the comprehensive care of our seniors.DisclosureNo significant relationships.
Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses
Authors: Rasskazova E. , Kovyazina M. , Karakurchi M. 
Published: September 2022

IntroductionExpectations and fears about chemotherapy and radiotherapy in patients with oncological illness may not only affect their subjective well-being (Shaverdian et al., 2018) but also treatment satisfaction and complaints of side effects (Guidolin et al., 2018, Dong et al., 2014, Colagiuri et al., 2013).ObjectivesThe aim was to compare beliefs about treatment in patients referred to radiation therapy and chemotherapy, and to reveal their relationship to health anxiety and subjective well-being.Methods53 patients referred to radiation therapy and 63 patients referred to chemotherapy completed the Treatment Perception in Oncological Illnesses Scale (Kovyazina et al., 2021), Illness and Treatment Self-Regulation Questionnaire (Kovyazina et al., 2019), Satisfaction with Life Scale (Diener et al., 1985) and Scale of Positive and Negative Experiences (Diener et al., 2009).ResultsCompared to radiation therapy, with chemotherapy, patients tend to be more doubtful about the effectiveness of treatment and more anxious about the need for it (p<.05). Moderated mediation analysis demonstrated that lack of understanding, doubts about the effectiveness and anxiety about radiation and chemotherapy are associated with subjective ill-being indirectly - through a higher level of health anxiety (β=-.79--.35, SE=.17-.26, 95% CI [-1.42 - -.75 – -.37 - -0,08]). Feelings of helplessness regarding treatment mediated the relationship between doubts and confidence about treatment effectiveness and well-being in both groups.ConclusionsResults demonstrated that some fears and expectations about chemo- and radiotherapy could provoke health anxiety and helplessness regarding treatment that is related to poorer well-being.DisclosureNo significant relationships.
Is the Living Will an interesting way to determine themselves? Qualitative research about considerations said by oncologists in a university service care in Southeast Brazil
Authors: Turato E. , Rodrigues J.R. , Santos C. , Bispo A.C. , Lima C.S. 
Published: September 2022

IntroductionWhat does the physician think in his/her intimacy about clinical care for when his/her death would be near? Living Will is a type of advance directive with the aim to guarantee the testator’s autonomy when faced with death. Particularly oncologists are often faced with human finitude. Their delicate work does not protect them from the possible anguish of thinking and preparing for their own death. It is pertinent to know the psychic mechanisms normally present in the management of this expectation.ObjectivesTo explore symbolic representations of oncologists such as referred to the possible elaboration of their own Living Will.MethodsQualitative design. Eight participants, clinicians, sample closed by theoretical saturation of information. Semidirected interviews in-depth were conducted online during the pandemic, fully transcribed. Technique of Clinical-Qualitative Content Analysis used for data treatment to generate categories of discussion. The authors search for core meanings in the corpus of interviews, after free-floating readings.ResultsThree categories emerged from the material: Living Will: postponing the decision in order to not anticipate death; From Rationalization Mechanism to Intellectualization: a more sophisticated defensive strategy; Loss of Autonomy: the doctor’s belief while to feel him/herself patient.Conclusions(1) Even with all scientific knowledge, respondents have archaic thoughts on defining advance directives as healthy individuals would mean rushing time of their death. (2) Resistance of these professionals to an imagined scenario of end reveals underlying anguish in writing of living will. (3) There is fear of losing autonomy when they do not know how their Living Will can be seen.DisclosureNo significant relationships.
Exploratory study on the effectiveness of integrative neurocognitive remediation therapy (iNCRT) for cancer survivors
Authors: Rogiers A. , Kyndt D. , Van Eycken S. , Le Febvre J.-C. , Brohee M. , Degols C. , Fontaine C. , Neyns B. , Kornreich C. 
Published: September 2022

IntroductionCancer survivors frequently report suffering from neurocognitive impairment, that persists after physical recovery from their disease. Cognitive impairment is associated with important emotional disturbances, socio-professional consequences and diminished quality of life.ObjectivesThis observational study aims to assess the effectives of an integrative neurocognitive remediation therapy (iNRCT), offered as a 12-week program (1day/week), organized within our Cognitive Remediation Clinic. The iNCRT combines personalized computerized cognitive training and neurocognitive strategy training, with group sessions of physical exercise, mindfulness, and cognitive behavior therapy (CBT).MethodsThe assessment before and after NCRT includes neuropsychological testing (10 subtests), assessment of daily functioning and subjective neurocognitive function (NCF).ResultsOut of 16 eligible cancer survivors, 12 patients were recruited and 11 completed the iNCRT; median age 53 years [range, 41-71]; 3 patients had a prior history of a central nervous system tumor, 5 patients of breast cancer, 2 patients of stage-IV melanoma, and 1 patient of gastric cancer. After iNCRT subjective NCF did not improve significantly (p=0.13) according to the Cognitive Failure Questionnaire. However neuropsychological assessment revealed an improvement on ≥ 1 impaired subtest in all patients; 6 patients improved on ≥ 4 impaired subtests. Improvement was most prominent in long-term verbal and visual memory, working memory and executive function. All patients reported a clinical benefit in their daily function after completion of iNCRT.ConclusionsOur iNRCT, which combines personalized neurocognitive training with physical exercise, mindfulness and CBT can be an effective therapeutic model for treating neurocognitive impairment in cancer survivors, with a clinically relevant impact on their daily function.DisclosureNo significant relationships.
Mindfulness in pain self-control of people with chronic pain: a cross-sectional study
Authors: Laranjeira C. , Querido A. 
Published: September 2022

IntroductionChronic pain has a significant impact on individuals’ daily lives, and its control is essential for improving quality of life. In this sense, the practice of Mindfulness is a useful non-pharmacological technique for self-management of chronic pain.ObjectivesThis study aims to identify the level of knowledge regarding the effectiveness of Mindfulness for self-control of pain by people with chronic pain.MethodsA cross-sectional study was conducted on a sample of 23 adults with chronic pain. The online survey assessed sociodemographic characterization, Brief Pain Inventory, and knowledge/opinion about the effectiveness of mindfulness strategies.ResultsThe sample consisted mostly of middle-aged women, with family support, employed and with higher academic qualifications. 47.8% of the sample had experienced pain for over 20 years with the most prevalent diagnosis being fibromyalgia. The average intensity of chronic pain corresponded to moderate pain and the level of acceptance of it was low, interfering in instrumental activities of daily life. Although they had never tried the technique, most of the sample knew what mindfulness consisted of, considering it as a viable option for self-management of chronic pain. Moderate and positive correlations were found between the level of acceptance of pain and greater availability for the practice of mindfulness (rho=.137; p<.001), the same happened between satisfaction with the practice of mindfulness and self-control of pain (rho=.259; p<.001).ConclusionsOur findings outline the need to include non-pharmacological measures such as mindfulness in therapeutic schemes for chronic pain management, given the manifest interest of this population.DisclosureNo significant relationships.
Aesthetics and mental health: an increase in personality disorders
Authors: Garcia-Bernal C. , Rodriguez-Menéndez G. 
Published: September 2022

IntroductionThere has been a growing interest in our society for aesthetic interventions and achieving perfect beauty standards. We analyze its relationship with the mental health of our present time.Objectives1. Describe the most frequent pathologies associated with aesthetic interventions.2. Describe the population that most frequently uses these interventions.3. Management of this pathology.MethodsSystematic bibliographic review of the literature of the last 5 years following the PRISMA recommendations between March and June 2021.Results4 articles were included. Most of them coincide in a high prevalence of borderline personality disorders, high impulsivity, high levels of anxiety, low perceived self-esteem and dysmorphophobia. Greater coordination between physicians who are dedicated to aesthetics and mental health is proposed due to the rise of this fashion.Conclusions1. High increase in the use of aesthetic techniques.2. Women who consume these techniques more.3. High prevalence of personality disorders.4. High prevalence of dysmorphophobia.5. Referral is recommended in some cases to mental health consultations for specific treatment.DisclosureNo significant relationships.
Narcissism as a protective factor against the risk of self-harming behaviors without suicidal intention in Borderline Personality Disorder. Preliminary results
Authors: Alberdi-Páramo Í. , Montero-Hernández G. , Pérez Lombardo M. , Ibañez Vizoso J. , Pemán Rodríguez J. , Niell Galmés L. , Rodríguez Quijano J. , Baena Mures R.Á. 
Published: September 2022

IntroductionThe spectrum of suicidal behavior is a core factor of the prognosis and care of Borderline Personality Disorder (BPD).ObjectivesIdentify possible BPD specific personality traits that could act as protective factors of nonsuicidal self-injuries (NSSI).MethodsWe performed a cross-sectional, observational and retrospective study of a sample of 134 BPD patients aged from 18 to 56. We assessed the presence or absence of suicidal behavior and NSSI as well as different sociodemographic variables. Millon, Zuckerman-Kuhlman and Structured Clinical Interview for DSM personality questionnaires were also applied. The analysis of the association between variables was carried out with a multivariate negative binomial logistic regression model.ResultsA statistically significant association between NSSI and suicidal behavior was found. Elseways, statistically significant differences were also found in the association between NSSI and the SCID variables for Narcissistic Disorder, which appears as protective variables. These results provide an idea of the dynamic relationship between NSSI and suicidal behavior in a BPD population with particularly severe characteristics.ConclusionsThe role of narcissistic personality traits appears to be important in identifying protective factors for NSSI and suicidal behavior in BPD patients and could be the subject of further research projects.DisclosureNo significant relationships.
Considering Envy and Rivalry within the nomological network of pathological narcissism: an empirical study
Authors: Faccini F. , Rogier G. , Cavalli R. , Velotti P. 
Published: September 2022

IntroductionFew is known regarding the intervening variables between pathological narcissism and sadism personality. Specifically, envy is a psychoanalytical construct that appears especially promising in illuminating such relationships.ObjectivesTo extend the knowledge regarding the nomological network of pathological narcissism.MethodsWe administered to a sample of Italian adults a battery of self-report questionnaires including the Italian version of the Benign and Malicious Envy Scale, the Assessment of Narcissistic Personality, The Narcissistic Admiration and Rivalry Questionnaire and the Pathological Narcissism Inventory.ResultsFirst, the Italian version of the Benign and Malicious Envy Scale showed good fit indexes confirming the original factorial structure as well as configural invariance. We found that only the grandiosity facet of the Pathological Narcissism Inventory, the Rivalry subscale of the Narcissistic Admiration and Rivalry Questionnaire and the Malicious subscale of the Benign and Malicious Envy Scale positively and significantly predicted Assessment of Narcissistic Personality scores. Moreover, throughout a structural equation modeling approach, the hypothesis that rivalry and malicious envy both mediate the relationship between grandiosity and sadism was empirically supported.ConclusionsThe use of the Benign and Malicious Envy Scale resulted to be promising in the investigation of the nomological network of pathological narcissism. Limitations and future directions are discussed.DisclosureNo significant relationships.