bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do people with bipolar disorder have a lack of empathy?
Authors: Mhiri E. , Ben Thabet J. , Feki R. , Gassara I. , Smaoui N. , Zouari L. , Omri S. , Maalej M. , Charfi N. , Maalej M. 
Published: September 2022

IntroductionImpairments of empathy have been observed in patients with various psychiatric Disorders. Yet, little research on empathy concerning mood disorders exists.ObjectivesTo compare empathy levels in euthymic bipolar patients (BP) and healthy controls (HC).MethodsA cross-sectional and comparative study of 78 patients followed for bipolar disorder, during euthymia, at the psychiatric outpatient clinic at CHU Hédi Chaker in Sfax, and 78 age-gender matched HC. We used a socio-demographic and clinical data sheet and the Questionnaire of Cognitive And Affective Empathy (QCAE) to assess empathy with its two dimensions : “Affective empathy” and “Cognitive empathy”.ResultsThe average age was 36.27 years, the sex ratio was 5.5. Bipolar I disorder was diagnosed in 88.5% of patients. The mean age of onset was 27.73 years, and the mean duration of illness was 8.4 years. Total scores of empathy as well as scores of cognitive and affective empathy were higher in HC than in BP. *Total QCAE BP vs HC : 72.49 vs 80.53 *Cognitive empathy BP vs HC : 43.21 vs 94.24 *Affective empathy BP vs HC : 29.36 vs 30.44 A significant difference in QCAE score and cognitive empathy score between BP and HC was found (p<10-3).ConclusionsIn our study, euthymic BP have been less empathetic than HC. Research on the subject are small and few. Thus, more studies are needed to confirm our results on the effect of mood disorders on empathy.DisclosureNo significant relationships.
The Power of Technology Addressing Anxiety for a Better Mental Health
Authors: Minier J.-C. 
Published: September 2022

As the manager of a business incubator, I’m involved in the European project IT4Anxiety. It focuses on the creation and implementation of innovative solutions designed to reduce the anxiety of patients experiencing neurological disorders or PTSD. The IT4Anxiety project is a collaboration between mental health professionals, users and start-ups, but also universities, research centres and higher education establishments. There is growing evidence that technological solutions can expand and complement conventional medical protocols. Such “blended therapies” are central to the approach being developed through several work packages. In the framework of the IT4Anxiety project, I carry out actions to develop interactions between startups and mental health professionals.In this context, my speech will focus on 3 specific points: - Feedback on the process of testing and validation of innovative tools in hospitals, care homes… We developped a framework for testing and validating tools with patients and start-ups in order to guarantee the effective implementation of these innovative solutions, especially from an ethical point of view. Going before the ethics committee is often a new experience for start-up managers who have to answer complex questions - Feedback on co-creation processes, in particular through the organisation of hackathons bringing together start-ups, users and health professionals.The objective of the hackathons is to bring together stakeholders in the co-creation of innovative solutions and their integration thereafter into the mental health care sector - Examples of innovative tools in mental health developed by startups which have joined the IT4Anxiety project. These tools complement conventional medical protocolsDisclosureNo significant relationships.
Recognition of emotional and expressive movements (gestures) and self-esteem of adolescents with affective disorders
Authors: Zvereva M. , Avdyukhina S. 
Published: September 2022

IntroductionSuccessful adolescence depends on ability to correctly understand emotionally expressive gestures, especially symbolic (same meaning for everyone) and expressive (individual understanding). Presence of an internal mismatch in adolescent’s self-esteem between what he shows in society and what he really feels can lead to difficulties in forming an adequate adult self-esteem.ObjectivesAdolescents with affective disorders (F31) -12, normal adolescents - 32. Ages 12-17.MethodsRecognition of emotionally expressive movements: postures&gestures (gestures-test), direct self-esteem by Dembo-Rubinstein test and indirect self-esteem by color attitude test by Etkind.ResultsThe Mann-Whitney test showed significant differences between samples in terms of self-esteem gap - “mind” (U=270,000, p<0.37), “character” (U=279,000, p<0.20), “happiness” (U=288,000, p<0.01 ), gestures-test “symbolic” (U=301,000, p<0.003), “expressive” (U=292,000, p<0.007), “emotions” (U=109,000, p<0.028). Cluster analysis divided each of groups into two distinct clusters. Normal: Cluster1 small self-esteem gap, good gesture recognition, negative pole of emotions prevails. Cluster2 small self-esteem gap, worse gesture recognition, pole of emotions is closer to positive. Affective: Cluster1 large self-esteem gap in “mind”, good gesture recognition. Cluster2 large self-esteem gap in “character”, good gesture recognition and bright negative pole of emotions.ConclusionsGestures recognition in normal group is significantly higher than in affective disorder group. Normal adolescents clusters are distinguished by change in gaps throughout self-esteem and pole of emotional recognition. Affective disorder clusters differ by significant gap in one of self-esteem parameters, as well as in the degree of emotional recognition. Those with the largest “character” gap are more likely to attribute negative emotions to gestures than those with larger “mind” gap.DisclosureNo significant relationships.
Psychological problems in tunisian children during the covid-19 pandemic
Authors: Guermazi A. , Guermazi F. , Zouari A. , Hentati S. , Baati I. , Masmoudi J. 
Published: September 2022

IntroductionThe Covid-19 outbreak and the subsequent lockdown have profoundly impacted families’ daily life. Children may be among the most exposed to the psychosocial consequences of the pandemic.ObjectivesTo assess the psychological well-being of children during the COVID-19 pandemic.MethodsThis was a descriptive study shared on social media during the period from 8 to 20 April 2021, targeting mothers of children aged 2 to 18 years. The first part included socio-demographic data of mothers and children. Then, to assess the behavior and coping skills of children and adolescents, we administered the Strengths and Difficulties Questionnaire (SDQ).ResultsOur study included 65 middle-aged moms = 35.28 years. Among mothers, 1.5% reported having at least one child with a psychiatric, medical or genetic illness. The average age of the children was 8.54 years, the sex ratio was 1.03 and they were in primary school in 52.3%. Moms had talked to their child about COVID in 93.8%, using scientific data in 69.4% of cases. The total average SDQ score was 10.82; and overall mental health was at risk in 15.4% of the children. They had risky emotional symptoms in 9.2%, risky aggressive behaviors in 12.3%, risky hyperactivity-inattention symptoms in 16.9%, relationship behaviors with at-risk pairs in 24.6%, and risky prosocial behavior in 9.2% of cases.ConclusionsResearchers and government officials should be more concerned about the mental health of children who are often neglected as a result of the pandemic due to their comparatively lower mortality than older adults.DisclosureNo significant relationships.
Impact of Cyberbullying on Adolescent Mental Health in the midst of pandemic – Hidden Crisis
Authors: Deol Y. , Lashai M. 
Published: September 2022

IntroductionCyberbullying has become more prevalent with the increased use of social media among younger population. It is more harmful than traditional bullying as it can happen at any time, has a much wider audience, and can invade personal space. YouTube, Instagram and Snapchat are the most popular online platforms among teens. The victims of cyberbullying can present with social anxiety (41%), depression (37%), suicidal thoughts (26%) among many others (self-harm, substance use, etc). In the past year, these numbers have significantly risen due to switch to virtual learning due to the pandemic, hence the risk of exposure to cyberbullying has risen.ObjectivesTo study the impact of cyberbullying on Adolescent Mental healthMethodsA review of articles (2016-2021), was done using PubMed and Google scholar focusing on impact of cyberbullying in children and young adults.ResultsJohn et al group showed that both victims [OR- 2.10 (95% CI 1.73-2.55)] and perpetrators [ OR 1.21 (95% CI 1.02-1.44)] have increased risk of exhibiting suicidal behaviors. Kwan I et al group showed a negative association between cyberbullying and mental health. One study suggested that during the pandemic there has been increased online perpetrators due to increased amount of fear and anger which has projected in the form online aggression.ConclusionsThere is an increase in prevalence of cyberbullying with young population spending more time on internet and social media. Psychoeducation of parents and mental health experts is needed to recognize early warning signs in order to take steps for early intervention.DisclosureNo significant relationships.
Psychotic episode with onset in childhood and adolescence – Factors which may influence the outcome
Authors: Stoica C.-E. , Iotu A. , Nicolau I. , Nistor C. , Grigore I. , Rad F. 
Published: September 2022

IntroductionA psychotic episode might stem from various psychiatric disorders, such as Major Depressive Disorder, Mania, Autism Spectrum Disorder, it might lead to Schizophrenia, or it might be a single event.Objectives

The study aimed to assess the main comorbidities encountered in the onset of psychotic episodes in children and adolescents, who were hospitalized in a pediatric psychiatry department for at least one night. Furthermore, another objective was to establish whether a family history of mental illness or a poor socio-economic status have bigger impact on the evolution of these patients.MethodsTo analyze the objectives, it was used an observational study, based on patients with the onset of a psychotic episode and associated diagnosis according to ICD-10, evaluated in Child and Adolescent Psychiatric Department of “Prof. Dr. Al. Obregia” Hospital, between 2015-2019. Patients with psychotic episodes with onset related to Major Depressive Disorder and Mania or a personal history of Schizophrenia were excluded.ResultsThe most frequent associated comorbidity was Autism Spectrum Disorder. In terms of long-term evolution, patients with comorbidities have poorer outcomes, more relapses and hospitalizations. Family history of mental illness, low socio-economic status, the age of onset were found to be prognostic factors and have an important impact on the outcome.ConclusionsThis study compared patients with psychotic episodes with and without comorbid conditions associated, considering the length of hospitalization period, the evolution and the number of relapses. The presence and the type of comorbidities are important factors of evolution and prognostic for these patients.DisclosureNo significant relationships.
Russian Adaptation of Questionnaire of Mental Health Treatment Stigma among Adolescents: Preliminary Results
Authors: Khromov A. 
Published: September 2022

IntroductionThere is a lack of instruments evaluating self-stigma among adolescents with mental health issues in the Russian language for today. The questionnaire developed by Tally Moses (Moses, 2009) is convenient to fill that lack.ObjectivesThe study aims to compare the main parameters of the original questionnaire to that of the version translated in Russian.MethodsThe original questionnaire was translated into Russian and administered to 40 adolescents (21 males, aged 12 to 17) with mental disorders except for severe cognitive deficits or pervasive developmental disorders. Means and Cronbach’s alpha for each of the four scales were assessed and compared to the author’s questionnaire values.ResultsReliability analysis revealed similar Cronbach’s alpha for 3 of 4 scales (table 1) except the Secrecy scale (1 of 6 questions showed low consistency; its exclusion increased α from 0.63 to 0.74).ScalesCronbach’s αM (SD)Original versionTranslated versionOriginal versionTranslated versiont-testSocietal Devaluation.76.762.3 (0.40)2.3 (0.42).501Personal Rejection.78.700.48 (0.39)0.33 (0.29).002Self-Stigma.81.762.0 (0.74)2.2 (0.68).122Secrecy scale.84.632.5 (0.50)2.5 (0.55).594The means for each scale were compared with original data using a one-sample t-test. Only the Personal Rejection scale was significantly low on average than the original data.ConclusionsPreliminary results showed that Russian adolescent patients perceived the translated questionnaire much the same way as American ones. Thus, our findings provide optimistical perspectives of further adaptation of the questionnaire.DisclosureNo significant relationships.
Psychiatric help for adolescents with autoaggression in Ukraine population
Authors: Zhyvaho K. , Bursa A. 
Published: September 2022

IntroductionDuring several years in Ukraine have been actualized problem with autoaggressive behavior amoung young people. Due to not enough support at ambulatory psychiatric and social systems these patients have hospitalizations. And its duration could be for month and longer. The problem seems like if hospitalization can be ling, will be it affective while there are no community support after it. Even having good results can not give long “remission” because patients come to the same family/social situation.ObjectivesExamine autoaggressive behavior in adolescents and find criteria for hospitalization for this category.MethodsWe took 173 patients with autoaggressive behavior at age 18-25. We formed theory for research that, on our opinion, include information that give chance to find criteria while hospitalization isn’t recommended.ResultsFirst results have shown a high level of comorbidity personality disorders with neurotic and depressive disorders. High levels of self-harm are associated with episodes of sexual and psychological abuse and characterized with trauma. The next parts of the research will show deep indications for in- and out-patient treatment.ConclusionsCriteria for hospitalization adolescents with self-harm are hard to form because of differences of reasons, comorbidities and risk of suicide among adolescents. But not all in-patient treatment gives expected results. Mostly it can work like a traumatic experience on this group. Scientific research can help to make the psychiatric systems friendly to adolescents with complex problems. The authors have not supplied a conflict-of-interest statementDisclosureNo significant relationships.
Care pathway for autistic children and their families in Europe
Authors: Mendez M.A. , San Jose Caceres A. , Oakley B. , Murphy D. , Arango C. , Parellada M. , Canitano R. , Quoidbach V. 
Published: September 2022

IntroductionAutism is a lifelong complex neurodevelopmental condition that affects brain development and behaviour with significant consequences for everyday life (WHO, 2018). Despite its personal, familial and societal impact, there is still a European-wide lack of harmonised guidelines about the support needed from early stages, the most sensitive time to gain positive future outcomes (Berajamo-Martin et al, 2019).ObjectivesThe objectives were: 1. To analyse autistic children care pathway and patient/carer journey in three European countries: Italy, Spain and U.K. 2. To propose policy recommendations on how to improve this pathway.MethodsTo identify major barriers and treatment gaps, we conducted a rapid literature review of the care pathway in Europe and a survey aimed at parents or carers of autistic children ages 0 to 18 living in the three countries. The survey gathered information on screening, diagnosis, accessibility and support received before, during and after diagnosis. Members of the working group met to discuss results and propose policy recommendations.Results1. Current care pathway analysis showed the following treatment gaps: Long waiting time from first concerns until screening visit and confirmed diagnosis. Delayed or no access to intervention once diagnosis has been confirmed. Overall limited information about autism and how to access early detection services. Overall deficient support to families. 2. Please see Box 1 for our proposed policy recommendations.Box 1. Policy recommendationsConclusionsOur findings and recommendations will inform policy harmonisation in Europe to shorten long waiting times, diagnosis process and intervention, and therefore, improve autistic people and their families’ journey experience and quality of life.DisclosureNo significant relationships.
Multimethod Assessment of Mentalizing and its relations with Somatic Symptoms in Adolescents with Primary Headache
Authors: Bizzi F. , Charpentier Mora S. , Tironi M. , Riva A. , Nacinovich R. 
Published: September 2022

Introduction

Difficulties in mentalizing (i.e., the ability to reflect on self and others’ internal mental states, operationalized as reflective functioning [RF]; Fonagy et al., 2012) have been associated with psychological symptoms (Luyten et al., 2020), including somatic symptoms (Bizzi et al., 2019). Therefore, the assessment of its dimensions may be clinically relevant for young patients with somatic symptoms, as with Primary Headache (PH), representing one of the most common somatic complaints in children and adolescents.ObjectivesThis study aimed to assess RF with a multi-method approach, exploring its relation with somatic symptoms.Methods
48 adolescents diagnosed with PH (Mage=14.83, SD=2.81; 67% females) were recruited from an Italian Child Neuropsychiatry Clinic. RF was measured both through the Child and Adolescent Reflective Functioning (CRFS) applied to the Child Attachment Interview transcripts and the self-report Reflective Functioning Questionnaire (RFQ), while the Children’s Somatization Inventory (CSI-24) was used to measure the perceived severity of somatic symptoms.ResultsDifferent relations with somatic symptoms depended on the method used to evaluate RF: no significant correlations were found with the CRFS subscales (General, Other, Self
), while a negative significant correlation was found with the RFQ subscale Certainty about mental states (RFQ_C) (r=-.46, p=.016). All subscales of CRFS were negatively correlated with RFQ_C (p=.05), but not with the other RFQ subscale (Uncertainty about mental states; RFQ_U).ConclusionsThis suggests that two measures may lead to different dimensions of the same construct, thus a multi-method assessment of RF would be advisable in clinical practice.DisclosureNo significant relationships.
Simple Schizophrenia or Neurotic Disorder? Case report
Authors: Suz Maroto P. , Díez Valle B. , Hurtado De Mendoza Vázquez A. , Navas Collado E. 
Published: September 2022

IntroductionThe diagnosis of simple schizophrenia remains an unusual and controversial diagnosis today. The presentation of nonspecific symptoms shared by other nosological entities make differential diagnosis a challenge.ObjectivesThe main objective of this case report is to review the diagnosis of simple schizophrenia and its differential diagnosis.MethodsCase report and literature review. We present the case of a 52-year-old man who was admitted to a medium stay unit for psychosocial rehabilitation with the diagnosis of simple schizophrenia after his debut at 49 years of age with clinical manifestations of progressive self-care abandonment and personality change.ResultsGiven the psychosocial deterioration observed and lack of response to pharmacological and psychotherapeutic treatments, the possible diagnoses of dementia praecox and simple schizophrenia were considered. Several individual and family interviews, neuropsychological and projective tests (HTP test, figure 1-3) were performed in order to define the diagnosis. The results revealed age-appropriate cognitive functioning and the absence of data suggestive of an underlying psychotic disorder. On the other hand, it was observed that the patient was able to establish some social relationships and participate in group activities in the medium stay unit. These findings suggest the influence of factors related to the socio-familial environment and cast doubt on the initial diagnostic hypothesis.ConclusionsThe diagnosis of simple schizophrenia continues to present itself as a complex diagnosis that requires a careful review of the differential diagnosis.DisclosureNo significant relationships.
Psychopathology after epilepsy surgery: a retrospective study
Authors: Adão C. , Rodrigues D.F. , Sequeira A.S. , Silva B. , Velosa A. 
Published: September 2022

IntroductionIn patients submitted to refractory epilepsy surgery, psychiatric comorbidity is high (affecting 1 in every 3 patients), with descriptions of improvement, worsening and emergence of de novo psychopathology.ObjectivesIdentifying the prevalence of psychopathology and associated risk factors in a group of patients submitted to refractory epilepsy surgery.MethodsRetrospective observational study. Non systematic literature review.ResultsWe observed 42 patients, 45.2% female and 54.8% male, with an average age of 46.5 years (SD±11.6). The average age of presentation of epilepsy was 18.8 years (SD±12.7), 97.6% with temporal lobe epilepsy and 2.4% with parietal lobe epilepsy, 50% in each hemisphere. 19% had surgical complications and 40.5% had post-surgical recurrence of crisis. 45.2% presented with pre-surgical psychopathology (33.3% affective disorders, 16.7% anxiety disorders, 2.4% psychotic disorders, 2.4% neurodevelopmental disorders and 2.4% substance use disorders). Post-surgically, 50% improved, 20.8% maintained and 29.2% worsened their psychopathology and 21.4% had de novo psychopathology. We didn’t find associations between the analyzed variables and the worsening or appearance of de novo psychopathology.ConclusionsThe worsening or appearance of de novo psychopathology is a well known phenomenon in patients submitted to refractory epilepsy surgery. In our sample there were cases of improvement, maintenance, worsening and emergence of de novo psychopathology, however we weren’t able to identify the factors associated with these different outcomes. Our study was retrospective and had a small sample, as limitations. Further, better-designed studies are necessary to identify risk factors for psychiatric disorders, allowing their effective prevention and treatment.DisclosureNo significant relationships.