bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barking dogs seldom bite? a case of diagnostic overshadowing in emergency department
Authors: Cerejeira J. Gonçalves , Burón C. , Carrasco I. Santos , Meseguer C. Capella , Vázquez E. Rodríguez , De Llano De La Viuda M. Queipo , Ramírez A. Gonzaga , Valera G. Guerra 
Published: February 2022

IntroductionDiagnostic overshadowing is one of the main consequences of stigma involving patients diagnosed with a psychiatric disorder. Some studies show that in emergency departments, being diagnosed with a psychiatric illness can lead to a poor evaluation of organic symptoms, delaying the diagnosis and putting the patient’s life at risk.Objectives- To present the case of a patient diagnosed with factitious disorder who was misdiagnosed after attending the emergency department due to the stigma related to his psychiatric diagnosis. - To provide a reflection on stigma in mental health.MethodsWe will present a case report and a literature review.ResultsWe report a case of a 57-year-old man diagnosed with a factitious disorder. He attended the emergency department of our tertiary care center with confused speech, desorientation and disruptive behavior at home. Although the clinical picture was compatible with a confusional state, he was ordered to be admitted to the psychiatric service. No blood test was previously requested. Three hours after being admitted, he suffered an episode of seizures. A blood test was requested and severe hypomagnesemia (0.2 mg / dl) was found. Because of this episode the patient was admitted to the Intensive Care Unit for three days.ConclusionsFactitious disorder is a serious mental disorder with a significant stigmatizing burden. Giving a patient this diagnostic label should be the subject of careful thought in order to protect him from future diagnostic neglect.DisclosureNo significant relationships.
The role of national trainees associations in pandemic times
Authors: Santos M.J. , Samouco A. , Azvee Z. , Seker A. , Mogren T. , Da Costa M. Pinto 
Published: February 2022

IntroductionThe challenges posed by the COVID-19 pandemic were many and daunting. Almost overnight, the lives of millions of people all over Europe was disrupted and people had to adapt to a completely new situation. Healthcare personal were amongst the ones most affected by it, whether by changes in their everyday work routine or by being the people directly in charge of responding to the demands of the pandemic. Trainees are an indispensable part of healthcare personal and, as a result, they were vastly affected by the pandemic.ObjectivesDiscussing the role of National Trainees Associations (NTAs) in pandemic times, including how they dealt with the new challenges, their successes and hardships, and their steps going forward.MethodsGathering of institutional information about the work of the Portuguese, Irish and Turkish NTAs during the COVID-19 pandemic. Critical appraisal of each of their contributions and projects.ResultsThere were impacts to trainees’ clinical work, formative activities and even personal lives. Amidst this turmoil, NTAs were precious institutions. Their objective is to represent the trainees of each country, looking for formative opportunities and linking trainees. During the pandemic, the work developed by the NTAs increase in importance, serving as a beacon of important information and as intermediaries in a number of discussions. They also aimed to minimize the impact on formative activities, whether by providing recommendations or by organizing some form of educational activity.ConclusionsWe provide some national examples – Portugal, Ireland and Turkey – and draw comparisons and lessons from each one.DisclosureNo significant relationships.
Role of media surveillance function during COVID-19 breakout
Authors: Naveed A. , Masood S. 
Published: February 2022

IntroductionIt is a digital era and people always turn on television to gain knowledge of what’s happening around, same is the case with COVID-19 breakout. Whole world relied on media to understand the scenario, as media has always played substantial role in providing information regarding precaution and treatment of the disease.ObjectivesTo assess influence of media surveillance function on society during COVID-19 breakout.MethodsParticipants included in the study are 11 and above who can utilize abstract thinking as per Piaget’s theory of cognitive development. Questionnaire used in the study was Media surveillance questionnaire, it was previously used in the study done during Ebola Virus Disease (EVD) spread in Nigeria. In current study the questionnaire was used by replacing disease name i.e. EVD to COVID-19. Questionnaire was distributed online on social media groups.ResultsAccording to data analysis majority agrees that major source of COVID-19 news is television and Radio, messages on media help in avoiding sick people, media provides helpful information regarding disease prevention and control and messages on media needs more clear directions.ConclusionsMedia played positive role during COVID-19 breakout and it also spread awareness about the myths, false home remedies and precautionary measures. Media also informed society about the health emergencies in case if anyone is infected with the virus. Still media messages need more clarity and direction as people rely more on media than social media. It is media’s responsibility to provide accurate information and more clear messages after inquiring matter properly especially when it’s about human lifeDisclosureNo significant relationships.
Tunisians peoples dealing with death in COVID-19 pandemic: Lived experiences of grief
Authors: Ghabi H. , Aissa A. , Meddouri S. , Ouali U. , Nacef F. 
Published: February 2022

IntroductionAs Dame Cecily Saunders said, “How people die remains in the memory of those who live on.” For Muslim people, funerals and burial procedures are crucial moments that help them come to terms with the loss of a loved one. The COVID-19 pandemic has disrupted usual experiences of grief since funerals and burials are held without the presence of family. Approaches to support grief are needed to be adapted to these particular circumstances.ObjectivesDescribe the lived experiences of grief of the Muslim Tunisian family for patients who died due to COVID -19.MethodsThis was a qualitative study with a phenomenological approach. Data of patients who died due to COVID -19 were collected. One family member or more of each deceased was contacted. Semi directive interview was conducted to help participants to describe the lived experience.Results30 persons participated in this study. The reactions of participants towards death were crying, being sad, and being choked. The reactions of grief were influenced by several factors. These included: the circumstances of the deceased, relationship with him, the hospitalization in an intensive care unit, doctors’ expectation, and the average length of stay in hospitals before the death. Islamic religious beliefs influenced the way family experienced grief, mainly toward the management of the dead body and the imposed funeral protocol.ConclusionsThis study describes the devastating impact of COVID-19 toward lived experiences of grief of Muslim Tunisian. In light of these results, grief therapies should be adapted and evaluated in this population.DisclosureNo significant relationships.
Internet addiction in times of COVID-19: Review of the situation
Authors: Regaya M. , Abdelghaffar W. , Amamou B. , Rafrafi R. , Gaha L. 
Published: February 2022

IntroductionCovid-19 pandemic represents a sanitary crisis with social, economic and political negative impacts. Studies had well established the link between stress and the display or maintenance of addictive behaviour. Measures like social distancing and confinement imposed by governments during this pandemic, could explain an outbreak of internet addiction cases.ObjectivesAssess the prevalence of internet addiction in times of the covid-19 pandemic and to study its relationship with personal and family factors but also with the psychiatric comorbidities.MethodsWe conducted a cross sectional analytical study during the period of the covid-19 pandemic, using an internet survey exploring socio-demographic and clinical data: through Hamilton depression and anxiety rating scale and the Rosenberg self esteem scale. The assessment of internet addiction was carried out using Young’s Internet Addiction test.ResultsOur study included 150 users, the average age was 36 years, mainly made up of women, married, having children, with a good socioeconomic level and of university education. The prevalence of depressive and anxious symptoms were respectively 7.3% and 18.7%. The prevalence of internet addiction in our study was 9.4% including 0.7% having severe repercussions. Being married (p<10-3) and having children (p=0.006) were considered as protective factors against internet addiction. People having an internet addiction were at bigger risk of having low self esteem (p=0.023), depressive (p=0.04) and anxious symptoms (p<10-3).ConclusionsInternet addiction is a new concept, though it’s impact on the well being is well established and it’s likely to worsen in times of pandemic. Therefore, it’s necessary to take preventive measures to deal with it.DisclosureNo significant relationships.
Depressive symptoms and suicidal ideation during the COVID-19 pandemic in Russia
Authors: Medvedeva T. , Enikolopov S. , Boyko O. , Vorontsova O. 
Published: February 2022

IntroductionThe COVID-19 pandemic may bear serious consequences for mental health, such as the increase in psychopathological symptoms.ObjectivesAnalysis of changes in depressive suicidal ideation symptoms and during the COVID-19. Depressive symptoms and suicidality were considered separately.MethodsInternet survey 22.03.20–22.06.20 (908 responses), included SCL-90R, COPE, question about suicidal ideation.ResultsThe analysis showed a positive correlation between suicidal thoughts and depression (Spearman .45; p<.001), a growing trend in the depressive symptoms (Std.J-T=2.51, p=.012), and the increase in severity of suicidal thoughts (Fisher’s Exact Test, 5.92, p=.046). Severity of depression positively correlates with the emergence of the virus in the city, contraction of disease among friends (Spearman .165; p<.001), sick and die fears, an also is linked to more expressed seeking «emotional, social and instrumental help» (COPE). The intensity of suicidal ideation was not associated with these factors, but negatively correlated with «acceptance» and «planning».ConclusionsThe increase in depressive symptoms and suicidal thoughts is determined by different factors. Depressive symptoms is associated with various fears and mediated by non-constructive ways of coping, but there are also constructive coping-strategies as the search for help. The intensity of suicidal thoughts is associated with higher levels of stress, which cannot be explained by the «objective» threat of contagion and fears, but is experienced as an «indefinite» anxiety, supposedly linked to the measures to counter the pandemic, such as restrictions on social interactions, loneliness and uncertainty. The increase in depressive symptoms is linked with an orientation to another person, but the suicidal ideation is not.DisclosureNo significant relationships.
Parental subjective wellbeing during the COVID-19 lockdown: Evidence from the epicenter of a pandemic crisis
Authors: Biffi E. , Pepe A. 
Published: February 2022

IntroductionThe Coronavirus disease (COVID-19) health emergency has led national states to adopt severe actions forcing many people to cope with new and unexpected challenges. Those constraints risked to jeopardized the mental health and subjective wellbeing (SWB) of individuals.ObjectivesThe present cross-sectional quantitative study explored whether and to what extent psychological and social aspects were determinants of parental SWB as outcome variable during the COVID-19 lockdown.MethodsThe sample was composed of 304 Italian parents (93% female, mean age 41.5, 91% from Lombardy). Data were gathered through Computer Assisted Web Interview (CAWI) four weeks after the beginning of the national lockdown. World Health Organization (WHO) wellbeing scale along with other self-reported measures of social support, feelings of abandonment, feeling of being equipped and adequacy of living spaces were administered. Data were analyzed by hierarchical regression models (Ethics Committee of Milano-Bicocca University approval N.0034537/20)ResultsAccording to the WHO cutoff score, 37.7% of parents reported low well-being levels. The regression model (F=11.2, p<.001) suggested that the feeling of abandonment and the feeling of being equipped were the most important contributors to SWB. Other statistically significant (but with lower effect sizes) variables were the support received by the partner and the adequacy of living spaces.ConclusionsThe findings bear out the pivotal importance of subjective states (such as feelings of abandonment or perceptions of being poorly equipped) in relation to the levels of parental SWB during the COVID-19 lockdown. Implications for planning psychological interventions aimed at strengthening personal resources to face the emergency are discussed.DisclosureNo significant relationships.
Kleptomania as a neglected disorder in psychiatry
Authors: Torales J. , Ventriglio A. , González I. , Castaldelli-Maia J. 
Published: February 2022

Kleptomania is an impulse control disorder characterized by the irresistible urge to steal not for monetary gain. Since its conceptualization, this categorical diagnosis has been conflated with common beliefs regarding the social class and gender such as the idea that women are intrinsically fragile and that people in the middle class were unlikely to commit theft. Also, its use has been controversial in the medical and forensic fields. This presentation will provide a historical excursus through the definitions of the syndrome and summarize the available pharmacological and psychotherapeutic options for its treatment. Currently, there is a lack of systematic studies regarding the clinical characteristics of kleptomania and its treatment options for practical standardized approaches.DisclosureNo significant relationships.
On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
Authors: Maldonado-Belmonte M.J. , Fernández-Jiménez E. , Román-Belmonte J.M. 
Published: February 2022

IntroductionPost-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after discharge from ICU. Further studies are needed to explore global cognitive impairment among PICS patients after COVID-19 infection.ObjectivesTo analyse the global cognitive functioning in patients with PICS after COVID-19 infection in a Functional Rehabilitation Unit in Madrid (Spain) using the Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S).MethodsThis study was conducted in the Hospital Central de la Cruz Roja, in Madrid (Spain). A sample of 17 PICS adult patients was included, with age ranging from 56 to 74 years old (mean = 68.35 years; 13 males). Patients were assessed around three weeks after referral from their reference hospital. The total score of the SCIP-S was used as outcome. Descriptive analyses were conducted (mean and standard deviation) on standardized scores (z) based on age-adjusted general population norms. Significant impairment was set at z < -1.5.ResultsMean total z-score on SCIP-S was -1.08 (S.D. = .82) from the total sample, with 52.9% of cases with significant impairment (mean = -1.74; S.D. = .21).ConclusionsThese preliminary results show the probable presence of mild-moderate global cognitive impairment in a relevant proportion of patients after COVID-19 infection. Longitudinal studies, with larger samples, are needed where the premorbid cognitive level is considered.DisclosureNo significant relationships.
A study on the effects of stress and hopelessness in isolated COVID-19 patients in relation to severity of infection
Authors: Mittal S. , Nagendran S. 
Published: February 2022

IntroductionIn India, Coronavirus pandemic started in the month of march 2020 and is growing day by day. In view of India being one of the most populous countries, it is hard to follow social distancing and abide by the lockdown rules. Therefore, as of December 2020, total number of covid-19 cases has crossed the 10 million. But the recovery rate in India is high, so the fear due to Covid-19 has decreased in intensity.ObjectivesTo assess level of perceived stress in isolated covid-19 patients To assess level of hopelessness in isolated covid-19 patientsMethods30 Patients of diagnosed Covid-19 positive,who were isolated in covid care setting in Uttar Pradesh(India),above 18yrs of age,of both sexes and willing to participate in the study were included, their socio-demographic data collected. Beck’s hopelessness scale and Perceived stress scale were administered. Infection severity upto moderate was selected and ICU patients were excluded. Results were analysed using SPSS software.ResultsIt was observed that level of hopelessness increased with increasing age and increasing severity of covid-19.Level of perceived stress also increased with increasing age and increasing covid severity. There was no relation seen between hopelessness level and perceived stress level and no difference was seen in the levels of hopelessness and perceived stress between the two sexes.ConclusionsLevels of hopelessness and stress increased with increasing age and increasing severity of covid-19.No relation seen between hopelessness level and perceived stress level and no difference was seen in the levels of hopelessness and perceived stress between the two sexes.DisclosureNo significant relationships.
COVID-19 pandemic and physical health screening in an assertive community treatment service
Authors: Taylor M. , Udo I. 
Published: February 2022

IntroductionPatients with severe mental illness experience physical health inequities. They are less likely to receive preventative care and adequate treatment for physical illnesses. Physical health screening of patients receiving antipsychotics is usually carried out every six months. This comprises screening bloodwork and ECGs, and the sharing of results with family physicians.ObjectivesWe sought to investigate whether the pandemic affected the receipt of routine physical health screening in patients managed by an Assertive Community Treatment (ACT) Service.MethodsA comprehensive chart review was performed on 62 ACT patients. We compared the receipt of screening bloodwork and ECGs from March—December 2020 to the same period in 2019. Results were analyzed using McNemar’s Chi square test with Yates’ correction.ResultsPatients were less likely to have received an ECG during the pandemic period. 69% received an ECG from March—December 2019 versus 42% from March—December 2020 (χ2= 7.76, p<0.01). Similarly, patients were less likely to have received screening bloodwork during the pandemic period (69% vs. 50%, Χ2= 4.32, p<0.05). Qualitative discussion with ACT staff regarding the 39 patients who had not received an ECG and/or bloodwork during the pandemic period revealed system-related (8%), patient-related (23%), and Covid-related (69%) barriers to screening. Covid-related barriers included transport concerns and lab closures.ConclusionsACT patients were less likely to have received routine health screening during the Covid-19 pandemic. Thus, the pandemic may have exacerbated physical health inequities for patients with severe mental illness. Covid-related barriers to screening represent an important target for intervention.DisclosureNo significant relationships.
University entrance exam anxiety of adolescents during COVID-19 pandemic: Cognitive flexibility and self-regulation
Authors: Korhan M. , Engin E. , Güloğlu B. 
Published: February 2022

IntroductionAfter the first case of Covid-19 was emerged in Turkey on March 11, 2020, schools were closed distance education began. On March 21, curfew was declared for people who under the age of 20. Subsequently, the date of the nationwide university exam was changed twice.ObjectivesThis study has two aims. The first goal was to investigate the factors that affect the test anxiety of individuals who will enter the university exam during the Covid-19 outbreak. The second aim was to investigate whether the test anxiety levels of the participants vary according to the level of cognitive flexibility and self-regulation.MethodsThe study consists of 420 (284 women, 131 men and 5 others). The age range of the participants was between 18 and 21, with the mean of 18.33. Exam Anxiety Scale, Adolescent Self-Regulation Skills Scale and Cognitive Flexibility Scale were used to collect data.ResultsThe findings indicated that women’s level of test anxiety was higher than men. Those who do have concentration issues in distance education have high level of test anxiety. Test anxiety was higher for students whose household income decreased because of the pandemic. MANOVA results revealed that individuals with low test anxiety have higher ‘self-regulation successful’ scores and lower ‘self-regulation unsuccessful’ scores. Moreover, it was yielded that people with low test anxiety have higher level of cognitive flexibility.ConclusionsProtective factors such as cognitive flexibility and self-regulation play an important role in individuals’ management of test anxiety.DisclosureNo significant relationships.
Online counseling experience of Turkish counselor candidates throughout COVID-19 pandemic
Authors: Korkmaz H. , Güloğlu B. 
Published: February 2022

IntroductionAs in many areas of life, the covid-19 epidemic has had a great impact on psychological counselor training. Although studies and practices on online counseling are increasing every day in the world, there has not been a psychological counseling method preferred by experts in Turkey, which comes from community culture and, where physical contact is important, until the pandemic.ObjectivesThe examination of the opinions of the students studying in the last year of the psychological counseling and guidance undergraduate program during the pandemic regarding online counseling, where they perform their first psychological counseling experience.MethodsThe study was conducted with 10 counseling students, 9 women and 1 Man. The age range of the students is 22-24 and the average age is 20.6. The students’ opinions are taken with open-ended questions such as “Can you share your views on online counseling before online counseling?“ The reflection letter that the students responded to was subjected to content analysis.ResultsThe findings of the study show that there are four themes: Emotions before the counseling process, Thoughts before the counseling process, Therapeutic relationship, Online counseling in professional life. For example; in online counseling, negative emotions such as anxiety, excitement, fear, anxiety, stress, anxiety, as well as feeling comfortable and safe are among the positive feelings they experience in their therapeutic relationships.ConclusionsAs a result, although students have a positive view of online counseling, they mainly prefer to do it face-to-face. The findings were discussed taking into account Turkish culture.DisclosureNo significant relationships.