bluuebunny/crossref_metadata_2025_split huggingface dataset:
Online psychotherapy in times of COVID-19: professional’s experience
Authors: Sakoman A. Jambrosic , Jendricko T. , Zegura I. , Skelin M. , Brecic P. 
Published: February 2022

IntroductionThe global pandemic of corona virus has brought on the imperative of swift organisational changes within mental health care institutions. Outpatient psychiatric care system with all its complex features was organized online. Patient’s adjustment to different modality of treatment, and their benefit, was of our primary concern. Mental health professionals had many challenges in this process as well. Couple of months into providing this form of treatment, we were interested in therapist experience.ObjectivesThe aim of this study was to highlight challenges faced by the various mental health professionals that were a part of interdisciplinary team at University Psychiatric Hospital Vrapče.MethodsWe used self-assessment scales to assess mental health professionals experience and to recognize some of the possible difficulties in this process. We have examined satisfaction with available technology, suitability of different psychotherapeutic background when providing online treatment, therapists competencies for this kind of treatment and levels of perceived stress. Mental health treatment comprised individual and group approach, and was provided by interdisciplinary teams of psychiatrists, clinical psychologists, social workers, social pedagogues, psychiatric nurses, and work therapists.ResultsThe results show differences between professional’s psychotherapy background, educational level and previous experience in perceived efficiency and experienced stress in the process of providing online treatment.ConclusionsThe findings of this study have proven that professionals perceive technical, organisational standards, previous experience, and education to be important for their efficiency. This should be taken into account when developing standards in online treatment within mental health institutions.Conflict of interestNo significant relationships.
Telecommuting and employees’ mental health
Authors: Lietor M.D.C. Molina , Cuevas I. , Prieto M. Blanco 
Published: February 2022

IntroductionTelecommuting is defined as “a work practice that involves members of an organization substituting a portion of their typical work hours to work away from a central workplace, using technology to interact with others as needed to conduct work tasks”. The prevalence rate of telecommuting in Sapin in 2019 was 5%, while this rate grew up to 34% during de COVID-19 pandemic.ObjectivesThe purpose of this poster is to make a review about how telecommuting affects the employees’ mental health.MethodsA review os the available literature on employees’ menthal health.ResultsMost employers who offer telecommuting consider it a strategic decision for their businesses: it could reduce the expenses of physically accommodating the employees, and it might help employers to contact their subordinates anytime, if needed. Many articles in the popular press about telecommuting extol the benefits of this practice on employees’ health (work-life balance, reduction of travel expenses). However, only a handful of empirical studies substantiate these claims (job satisfaction, quality of life, and role-related stress). Less discussed is the potential of telecommuting to have a negative impact on employees’ health. It may increase both social and professional isolation, which in turn is associated with higher levels of emotional exhaustion, cynicism, cognitive stress complaints and lower levels of work engagement.ConclusionsFinally, although it is not as effective as personal contact, organizations may stimulate qualitative virtual interaction with coworkers by providing robust online meeting tools and infrastructure, so users can seamlessly collaborate regardless of their physical location.
Tele-rehabilitation for people with dementia in the COVID-19 pandemic: A case-study
Authors: Lorito C. Di , Duff C. , Rogers C. , Tuxworth J. , Bell J. , Fothergill R. , Wilkinson L. , Bosco A. , Howe L. , O’Brien R. , Godfrey M. , Dunlop M. , Van Der Wardt V. , Booth V. , Logan P. , Harwood R. 
Published: February 2022

IntroductionThe Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership NHS foundation Trust successfully delivered PrAISED through a video-calling platform during the COVID-19 pandemic.ObjectivesThis qualitative case-study identified participants that video delivery worked for, and highlighted its benefits and challenges.MethodsInterviews were conducted with participants with dementia, caregivers and therapists, and analysed through thematic analysis.ResultsVideo delivery worked best when participants had a supporting carer, when therapists showed enthusiasm and had an established rapport with the client. Benefits included time-efficiency of sessions, enhancing participants’ motivation, caregivers’ dementia awareness and therapists’ creativity. Limitations included users’ poor IT skills and resources.ConclusionsThe COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele rehab, but success is reliant on having a caregiver and an enthusiastic and known therapist.
Telehealth in children’s psychiatric services
Authors: Shchedrinskaya O. , Bebtschuk M. , Khairetdinov O. 
Published: February 2022

IntroductionCovid-19 intensified public demand for telehealth services in child psychiatry. The shift towards online services raised concerns related to safety and quality of services.ObjectivesThe objective of the study was to explore outcomes and perceptions regarding psychiatric telehealth services from the patients’ and professionals’ perspectives.MethodsSurvey and questionnaires were the main methods to collect feedback after 1129 sessions conducted by psychiatrists and psychotherapists for 559 young patients in 2020.ResultsOverall, patients/caregivers were generally satisfied with the quality of services, despite some technical issues and limitations of the platform. The most common outcomes of the sessions were: psychotherapy, in-depth assessment, pharmacotherapy, in-patient treatment, referrals for in-person appointments with other specialists, parenting strategies. Professionals gave more positive feedback on telehealth services after a few months of practice and training. Psychiatrists preferred conducting telehealth appointments for the patients they have previously seen in-person. The most common diagnosis were various neurodevelopmental disorders (48,9%), as well as patients within F84.0-F84.5 27,9%, and F84.8 (19,8%). Identification challenges, confidentiality and safety maintenance were among the top concerns for mental health workers. Specific guidelines for caregivers helped to use the appointment time effectively, prevent some technical and organizational issues and decrease negative effects of limited communication capabilities during a telehealth appointment.ConclusionsTelehealth services in psychiatry are meeting real needs of patients, caregivers and professionals, and require further development. Proper training for professionals and clear guidelines for caregivers are among the key factors that enhance the quality of services.
New technologies as tools to prevent suicide in adolescence: A literature overview
Authors: Sarli G. , Polidori L. , Forte A. , Pompili M. 
Published: February 2022

IntroductionSuicide in adolescents represents a major public health concern. To date, a growing number of suicide preventive strategies based on the use of new technologies are emerging.ObjectivesThe purpose of the present paper is to provide an overview of the present literature on the use of new technologies in adolescent suicide prevention.MethodsA systematic electronic search was run using the following keywords: Technology OR Technologies OR APP OR Application OR mobile application) AND (Adolescent OR youth OR puberty) AND (Suicid* OR Self-harm OR self-destruction).ResultsWe found 12 studies on the use of telemedicine, 7 on mobile applications, and 3 on language detection. Heterogeneity regarding the study design was found: 3 Randomized Controlled Trial (RCT), 13 are Open-label single group trials, 2 Randomized studies, and 1 Cross-sectional study. Telemedicine was the most adopted tool, especially web-based approaches. Mobile applications mostly focused on screening of depressive symptoms and suicidal ideation, and for clinical monitoring through the use of text messages.ConclusionsDespite telepsychiatry and mobile applications can provide a fast and safe tool, only a few studies demonstrated efficacy in preventing suicide among adolescents through the use of these interventions. Some studies suggested sophisticated algorithms able to recognize people at risk for suicide from language detection on social media posts. To date, only a few data support the use of such interventions in clinical practice and preventive strategies. Further studies are needed to test their efficacy in suicide prevention among adolescents and young adults.
Computer-based detection of depression and dementia in spontaneous speech
Authors: Chlasta K. , Holas P. , Wolk K. 
Published: February 2022

IntroductionThere is a significant relation between old-age depression and subsequent dementia in patients aged 50. This supports the hypothesis of old-age depression being a predictor, and possibly a causal factor, of subsequent dementia. The number of people aged 60 years and over has tripled since 1950, reaching 16% in 2050, leading to new medical challenges. Depression is the most common mental disorder in older adults, affecting 7% of the older population. Dementia is the second most common with about 5% prevalence worldwide, but it is the first leading cause of disease burden.ObjectivesEarly detection and treatment is essential in promoting remission, preventing relapse, and reducing emotional burden. Speech is a well established early indicator of cognitive deficits. Speech processing methods offer great potential to fully automatically screen for prototypic indicators of both dementia and depressive disorders.MethodsWe present two different methods to detect pathological speech with artificial neural networks. We use both deep architectures, as well as more traditional machine learning approaches.ResultsThe models developed using a two-stage deep architecture achieved 59% classification accuracy on the test set from DementiaBank. Our CNN system achieved the best classification accuracy of 63.6% for dementia, but reaching 70% for depressive disorders on the test set from Distress Analysis Interview Corpus.ConclusionsThese methods offer a promising classification accuracy ranging from 63% to 70%, applicable in an innovative speech-based screening system.
Patient motivations for seeking online therapy for binge eating disorder
Authors: Holmberg T. , Jensen E. , Bindzus J. , Lichtenstein M. , Tarp K. 
Published: February 2022

IntroductionBinge Eating Disorder (BED) is characterized by repeatedly losing control over eating behavior and consuming large amounts of food within a short period of time. In later years, a growing body of evidence for effectiveness of internet-based Cognitive Behavioral Therapy (iCBT) as treatment for BED has emerged. Regarding the ability to complete a self-help program on the internet, internal self-regulation can be viewed as important.ObjectivesTo qualitatively explore patient motivations for seeking therapy for BED according to intrinsic and extrinsic motivation as well as patient reasons for seeking online therapy.MethodsThe research design of this study was qualitatively. The participants were 52 adults suffering from mild to moderate BED. Data consisted of written texts entered by the participants into the online therapy program. The texts addressed the participants’ goals for their treatment course and their motives for seeking online therapy. The texts were analyzed by the means of systematic text condensation.ResultsPertaining patient motivations for seeking therapy for BED, five main motivations that reached a saturated level in the sample were discovered: wish for control; avoidance of guilt/shame; desire for tools/insights; weight loss; and psychological stress. Participants ranged from one motivational factor to four, no participant had all the motivational factors. Regarding patient reasons for seeking online therapy, the following themes including sub themes were found: online treatment, treatment at home, and flexible treatment.ConclusionsThe results indicate that online therapy for BED may be able to breach some of the barriers there are towards treatment seeking.
Internet addiction and mental disorders: Clinical effects by self-distancing
Authors: Bersani G. 
Published: February 2022

We face today the huge and very rapid worldwide growth of behavioural issues related to the use of Internet. The definition of Problematic Internet Use (PIU) refers to new behavioural patterns that can potentially affect in variable degree, from mild to extremely severe, both individual and social wellbeing. PIU is strongly increasing in people affected by different forms of mental disorders and personality disorders, often inducing substantial changes in their clinical phenomenology, with consequent emergence of new symptom and course profiles. On the other side, PIU represents itself with growing frequency as a factor with high potential of inducing progressive psychological and behavioural impairment, with possible negative outcome on personal and psychosocial wellbeing and adjustment, also potentially leading to the development of new specific forms of psychopathology. Among PIU patterns, Internet Addiction (IA) plays a central role, due to its wide diffusion and behavioural as well as interpersonal and social consequences. The worldwide COVID 19 epidemics induced limitations in direct social relationships, such as social distancing, appear to lead to changes of patterns of IA, for an increase of time spent in addictive behaviour and a further reduction of research of interpersonal contacts. Obsessive-compulsive and autistic-like behaviour are differently reinforced by the combined effect of compulsory self distancing and general health concern, but also possibly induced in previously not affected subjects. Anxiety and mood reactivity also contributes to maladjustment profiles. Further evidences and new guide-lines are requested to face this novel and multifactorial social and clinical phenomenon.DisclosureNo significant relationships.
Assessment of body dysmorphic disorder in patients with anorexia nervosa and bulimia nervosa. The final data of the study
Authors: Okonishnikova E. , Bryukhin A. , Lineva T. , Belokrylov I. 
Published: February 2022

IntroductionAnorexia nervosa (AN) and bulimia nervosa (BN) occur predominantly females, take one of the first places in the risk of fatal outcome among mental disorders, have a tendency to chronicity, disability with social disadaptation, high suicidal risk. The psychopathological basis of these diseases is dysmorphophobia, characterized intrusive, overvalued or delusional ideas of physical disability. The significant role of dysmorphophobia determines the urgency of the detailed study using psychometric techniques.ObjectivesAssess the degree of satisfaction/dissatisfaction with one’s body and its separate parts in patients with AN and BN.Methods130 female patients with AN and BN at the age of 13-44 years (the average age is 18). The disease duration from 6 months to 24 years. The psychometric method using the validated Questionnaire image of one’s own body (QIOB) and the Scale of satisfaction with one’s body (SSOB).ResultsAccording to QIOB 84,62% in the category expressed dissatisfaction with their appearance, 15,38% in moderate category. According to SSOB, 32,31% of the patients is not satisfied with characteristics that belong to head, 45,38% is not satisfied with characteristics that belong to torso, 56,92% is not satisfied with characteristics that belong to the lower part of body. The number of dissatisfied with all of these body parts equals 38% which indicates the presence of polydismorfofobia.ConclusionsHigh rates of dissatisfaction with one’s appearance, which are consistent with the severe somatic state of patients, affect the dynamics and outcome of the disease. Publication was prepared with support of the “RUDN University Program 5-100”.
Modern approaches to psychopharmacotherapy of anorexia nervosa and bulimia nervosa
Authors: Belokrylov I. , Okonishnikova E. , Lineva T. 
Published: February 2022

IntroductionCurrently, there are no ideal medications for treating anorexia nervosa (AN) and bulimia nervosa (BN). This is due to the variety of symptoms from the mental and somatic spheres.ObjectivesDescribe the modern methods of psychopharmacotherapy AN and BN.MethodsData from available publications on the topic of psychopharmacotherapy AN and BN, and long-term practical experience of research staff the Department of psychiatry and medical psychology RUDN University, Moscow.ResultsTherapy includes antidepressants (AD) - serotonin reuptake inhibitors (SSRIs), antipsychotics and tranquilizers. AD groups of SSRIs reduce most of the symptoms AN and BN - depressive disorders, anxiety, obsessive and compulsive symptoms, episodes of overeating and purifying behavior, suicidal thoughts, and reduce the frequency of relapses. With severe and persistent dysmorphophobia, a high degree of impulsivity, and psychopathic behavior second-generation antipsychotics Quetiapine, Olanzapine, Risperidone and Aripiprazole are used. Benzodiazepine tranquilizers (Lorazepam) are used in small doses and as additional therapy. Data from the European national guidelines for the treatment of AN and BN very different, and the world Federation of societies for biological psychiatry (WFSBP) does not provide specific recommendations at all. There are many reasons for disagreement and lack of specificity regarding drug selection, including the lack of an equally solid evidence base, that reflects the modern state of research on the psychopharmacological treatment of eating disorders.ConclusionsIn General, therapy AN and BN should be comprehensive - psychopharmacotherapy, psychotherapy, diet therapy, social rehabilitation. Treatment should be carried out both in the hospital and on outpatient basis and should be decided individually.Conflict of interestNo significant relationships.
Binge eating disorder, emotional eating and night eating syndrome: A comparative study between subjects with normal weight, overweight and obesity
Authors: Esgalhado G. , Marques S. , Pereira H. 
Published: February 2022

IntroductionObesity has been associated with certain psychiatric disorders, especially in patients seeking treatment. It is known that obesity is not a psychiatric disorder in itself, however, it should be noted that a significant part of the population has some type of clinical eating disorder.ObjectivesThis study aims to assess levels of Binge Eating Disorder, Night Eating Syndrome and Emotional Eating patterns, according to different groups of Body Mass Index categories.MethodsA sample of 220 subjects, aged between 18 and 81 years old, with an average age of 33 years participated in this study. 140 (63.6%) were female and 80 were male (36.4%) The sample was divided into three comparison groups, according to the Body Mass Index (BMI). The following measures were used: Sociodemographic questionnaire, Binge Eating Scale, Night Eating Habits Questionnaire, and the Emotional Eating Scale.ResultsWhen comparing the different BMI groups, it was found that obese subjects were the ones that most reported binge eating behavior. Overweight subjects had higher levels of binge eating when compared to normal-weight participants, but this was not true for Night Eating habits. Subjects with normal weight reported more nocturnal eating behavior, followed by obese individuals.ConclusionsThe prevalence of binge eating disorder seems to be more frequent in obese people, tending to increase according to the level of severity of obesity. Normal-weight subjects reported more nocturnal eating behavior, so they may be more likely to develop this syndrome and, consequently, overweight or obesity.
The WPA programme on implementing alternatives to coercion
Authors: Herrman H. 
Published: February 2022

Abstract BodyThe call for alternatives to coercion in mental health care is growing both within the profession and among people with lived experience of coercion in mental healthcare. There is widespread agreement that coercive practices are over-used. Considerable work is warranted across the mental health sector and in communities and governments to ensure that people living with mental disorders and psychosocial disabilities uniformly have access to high-quality care and support that meet their needs and respect their personhood and human rights. The question of whether coercive interventions can ever be justified as part of mental health treatment, to protect rights holders’ own interests or on other grounds, is highly contested. WPA issued a Position Statement and Call to Action in 2020: Implementing Alternatives to Coercion: A Key Component of Improving Mental Health Care after extensive consultation and review. The purpose is (1) to recognize the substantive role of psychiatry in implementing alternatives to coercion in mental health care and (2) to support action in this regard, essential to improving mental health treatment and care in all countries. The Statement recognises the diversity of views and experiences among mental health professionals, people with lived experience and their families and carers. This initial step is the beginning of a longer-term process, which requires continued engagement with WPA member societies, people with lived experience, families and other partners to encourage and support the implementation of alternatives to coercion in mental health care. https://www.wpanet.org/alternatives-to-coercionDisclosureNo significant relationships.
Monoaminoxidase inhibitors as a cause of serotonin syndrome – a systematic case review based on meta-analytic principles
Authors: Truedson P. , Ott M. , Wikström H. , Maripuu M. , Lindmark K. , Werneke U. 
Published: February 2022

IntroductionSerotonin syndrome (SS) is a toxic state characterized by increased serotonin activity. It has been suggested that severe serotonin syndrome usually involves monoaminoxidase inhibitors (MAOIs).ObjectivesTo quantify in how far severe SS is associated with MAOIs.MethodsSystematic review and quantitative analysis of all SS cases published between 1 January 2004 and 31 December 2014. Severe SS was defined as cases, either requiring intensive care or resulting in death. Cases were included if they met the diagnostic criteria for SS according to at least one of the three diagnostic criteria systems (Hunter, Radomski and Sternbach).ResultsOf the 299 included cases, 118 (39%) met the definition for severe SS. Eight cases had insufficient information to enable severity classification. Of the severe cases, 48 (40%) involved a MAOI. Of these, 67% related to psychiatric MAOIs, such as phenelzine and moclobemide and 33% to a somatic MAOI, such as methylene blue and linezolid. Of the remaining 173 non-severe SS cases, 24 cases (13%) involved a MAOI. In these, 12% related to a psychiatric MAOI and 83% to a somatic MAOI. One case (4%) had a combination of both. The odds ratio for MAOI involvement in severe versus non-severe serotonin syndrome was 4.3 (CI 2.4 – 7.5; p < 0.001).ConclusionsIn the majority of published case reports, drugs other than MAOIs are involved in serotonin syndrome, even in severe cases. MAOIs are, however, more common in severe serotonin syndrome than in non-severe cases.Conflict of interestM. Ott: scientific advisory board member of Astra Zeneca, Sweden. U. Werneke: received funding for educational activities on behalf of Norrbotten Region; Astra Zeneca, Eli Lilly, Janssen, Novartis, Otsuka/Lundbeck, Servier, Shire, Sunovion. Others: None