bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID-19 and psychological support by phone: Demands assisted at a call center service of a brazilian university
Authors: Floriano L. , Pinto E. , Bordin D. 
Published: February 2022

IntroductionThroughout the COVID-19 Pandemic, it was recommended to implement mental health care services mediated by Information and Communication Technologies to alleviate the suffering caused by the social distance.ObjectivesTo characterize the demands and the possibilities of psychological support at the Call Center of a Brazilian public university, which aims clarifying doubts about COVID-19 and to forward suspected cases of contamination.MethodsCross-sectional, quantitative study with secondary data. The data came from 60 Psychological Support attendance records, carried out over 24 weeks. The data were analyzed descriptively and by the paired test and McNemar.ResultsThe majority of consultations were for people aged among 51 and 60 years (21.7%). The main demands were social (40.0%), related to feelings (40.0%) and self-reported diagnosis (18.3%), with each service mostly split into two (31.7%) or three (31.7%) conducts. There was a significant increase in the average number of reports of symptoms of psychological distress experienced during the pandemic (p <0.001), including changes in sleep patterns (p <0.001) and appetite (p = 0.002), physical symptoms (p = 0.001), physical and emotional discomfort (p <0.001) and crying / depressive mood attacks (p = 0.002). As conducts, there was a predominance of psychoeducation (78.3%) and strategies for managing suffering (68.3%) at the expense of referrals to specialized in-person services (21.7%).ConclusionsThere were several demands of the evaluated Psychological Support service, which presents an important and promising strategy for meeting the demands of psychological distress in the midst of Pandemic, especially for the adult and elderly public.
The behavior of tunisians during the lockdown of COVID-19
Authors: Jomli R. , Sahbani A. , Jemli H. 
Published: February 2022

IntroductionThe general confinement in Tunisia in the covid-19 pandemic is a new event for the Tunisian society with economic, social and psychological repercussions.ObjectivesTo evaluate the behavior of Tunisians during the general confinement of 2020.Methodsdescriptive and analytical study through a questionnaire sent online under the model of “google forms”.ResultsOur sample is composed of 500 people, mostly women, with an average age of about 40 years, an average to good economic level, and a secondary and higher education level. In the Tunisian family, the most discussed topic during the lockdown is the covid-19 and its evolution in the world and the country. The most avoided subject is the behavior of neighbors. The Tunisian’s main sources of information on covid-19 are television and social networks. The behavior most adopted to avoid contamination is hand washing. Only 2/3 of the group applied the measures announced by the government. A quarter of our sample spent more than 5 hours in front of the computer screen or smartphone. During confinement the most important behaviors are smoking, eating, doing nothing and playing cards. Only 10% of our sample have plans for next year.ConclusionsFor our sample, covid-19 has greatly transformed the behavior in daily life which has become dominated by anxiety and fear of contamination.
Acceptability of COVID-19 vaccine by paramedics
Authors: Kefi H. El , Kefi K. , Krir W. , Brahim C. Bencheikh , Baatout A. , Bouzouita I. , Slema H. , Oumaya A. 
Published: February 2022

IntroductionThe year 2020 was marked by the COVID-19 pandemic that killed more than one million people. Scientists around the world are looking for an effective vaccine against this virus.ObjectivesThe objective of our study was to assess the acceptability of the COVID-19 vaccine by paramedics.MethodsDescriptive and cross-sectional study including paramedics (nurses, orderlies) from the military hospital of Tunis. Data collection was carried out by a clinical psychologist. We studied the associations between the different characteristics of our population and the decision to accept or refuse vaccination against COVID-19.ResultsA total of 161 paramedics agreed to answer our questionnaire. The average age was 37.73 years. The average number of years worked was 14.95 years. There were 85 women (52.8%) and 76 men (47.2%). The rapid discovery of the vaccine was hoped for by 94.4%. Vaccination was considered a means of collective protection by 84.5%. However, only 52.8% agreed to be vaccinated by the COVID-19 vaccine. The main factors significantly associated with refusal of the COVID-19 vaccine were previous refusal of influenza vaccination (p = 0.006).ConclusionsApprehension about vaccination does not appear to be sparing the future COVID-19 vaccine. To achieve vaccination coverage that would protect health care workers, several awareness and communication activities must be carried out.
The impact of COVID-19 on psychoactive products consumers
Authors: Bouighoulidne S. Ait , Elgot A. , Laamiri F.Z. 
Published: February 2022

IntroductionThe emergence of COVID-19 changed the lifestyle of individuals through the appearance of lockdown. This period seems to have potential effect on some health determinants related to behaviors such as drug addiction.ObjectivesCompare the prevalence and behavior of drug consumers before and during the lockdown.MethodsA cross-sectional study was carried out on 1001 Moroccan addict between April and July 2020, using two international questionnaires: The global drug survey “Special Edition on COVID-19” and the survey on impact of COVID-19 on patients and families.Resultsbefore lockdown, tobacco use (80.2%), alcohol (70.9%), cannabis (46.3%). During lockdown: tobacco consumption remains unchanged (80.7%), alcohol and cannabis consumption reduced significantly, respectively (39.6%) and (40.8%). Results show also the weaning of hallucinogens and solvents. 76.3% decreased their use, the raisons behind these changes were: 39.8% worried about health issues, 26.6% have less opportunities to consume, 23.7% think that the current life style make it difficult to use, 23.4% think they have less ability to obtain drugs.ConclusionsThe lockdown seems to be an opportunity for addicts to reduce drugs consumption. However, setting up support services with targeted interventions is the best chance to decrease psychological stress and avoid the consequences of this reduction.
Family well-being as an important protective factor in the treatment of stress and emotional burnout among medical professionals during the COVID-19 pandemic in Russia
Authors: Koniukhovskaia J. , Pervichko E. , Mitina O. , Stepanova O. , Dorokhov E. 
Published: February 2022

IntroductionThe COVID-19 pandemic and the need to fight it disrupt the balance between work and rest for health workers that can lead to a decrease in stress tolerance and emotional burnout appearance. The lifestyle and well-being of personal and family life can be both a “depletion” and a “resource” factor for health professionals when working under stressful conditions.ObjectivesTo study the presence/absence and severity of burnout symptoms in medical professionals in the COVID-19 pandemic context; to investigate the interaction between burnout severity and overall stress levels, family well-being, and the presence of children.MethodsThe author’s socio-demographic questionnaire, Stress Perception Questionnaire (Linville, 1987), modified Pandemic Perception Questionnaire (Broadbent et al.,2006), Maslach Burnout Inventory (Maslach et al.^1996), State-Trait Anxiety Inventory (Spielberger et al., 1983) were used. The study was conducted online from April 27 to October 26. It involved 249 medical workers, including 58 men and 191 women.ResultsHealth workers who have children show greater confidence in their professional competence(41.28±6.3vs39±7;p=0.007) and (at the trend level) have a lower level of exhaustion(34.53 ±9.2vs36.71±10.8;p=0.09) than their colleagues without children. Although health workers in both groups have approximately the same scores for perceived stress, however, those with children put less effort to counteract stress(9.31±2.5vs10.19±2.9;p=0.012). They describe the pandemic as less dangerous compared to colleagues who do not have children(15.4±5.7vs16.7±5.1;p=0.042).ConclusionsPerhaps the very possibility of switching attention from a vitally dangerous topic to more positive aspects of life allows medical staff who have children to feel less exhausted and maintain faith in their own strength.
Mental health in pandemic times - a review
Authors: Jeremias D. , Moura A. , Rodrigues D. , Laginhas C. , Isaac J. , Albuquerque R. 
Published: February 2022

IntroductionAny outbreak of pandemic dimension will most likely produce a serious amount of distress and prejudice to anyone, in particular when it comes to mental health. The pandemic impact in primary care and in the psychiatric emergency department are some of the topics discussed in this review.ObjectivesIt aims to review, evaluate and reflect over the impact of a deadly coronavirus pandemic on mental health, as well as presenting possible long-term challenges and potential ways to approach it.MethodsA non-systematic literary review was performed on the Pubmed, PsycInfo and Cochrane databases using the key words “covid-19”, “psychiatry”, “self-isolation” and “telepsychiatry”.ResultsGlobally and, as expected, there has been a general increase in need for psychiatric assessment and treatment due to the COVID-19 pandemic.ConclusionsThe role of psychiatry has faced quite some challenges in such a short period of time: the rise of telepsychiatry; the management of patients with both a psychiatric disorder and an infection with the new coronavirus and the need to provide an adequate psychiatric assistance in the emergency room has become the new normal.
Psychosocial consequences of the COVID-19 social isolation in the italian general population: Preliminary results
Authors: Ciaramella A. , Rossi M. , Jarego M. , Ferreira-Valente A. 
Published: February 2022

IntroductionAlthough some philosophers recognize in the loneliness an evolutionary existential process, a 2019 declaration of World Health Organization underlines the major health problem in the worldwide is the perception of state of loneliness. The feeling of loneliness linked to the social isolation (SI) or a lack of social opportunity activate a stressful condition associated to an increase of social dependence. This ‘learned social helplessness’ can be dangerous so that it is associated with an increased prevalence of suicides (Cacioppo and Cacioppo, 2018; Bzdok and Dunbar, 2020). Considering the impact of loneliness on the mental health we can assume that the COVID-19 forced SI affects the state of health and psychosocial well-being.ObjectivesTo evaluate the psychosocial impact of the SI in Italy.MethodsAn ad hoc survey have been sent from May to June 2020.ResultsThese results refer to the Italian survey of a multicenter investigation with partnership of Spain and Portugal universities. The investigation is in progress being a longitudinal study. Of the total 292 subjects investigated (age xM: 34; sD14.13), 118 (40,41%) had been in SI. Subjects forced into SI report more interference in the life satisfaction (p=0.003) though no more anxiety, depression and hostility we found in the SI group.ConclusionsDuring the phase 2 of Italian COVID-19 diffusion, we found an impact on the life satisfaction more than psychopathology. We can assume that the impact of mental health it may occur as the reduction in life satisfaction associated with forced SI continues.
Emergency state in COVID-19 pandemic: Hungarian patients’ experiences
Authors: Pogany L. , Horváth A. , Rozsavolgyi E. , Slezák A. , Lazary J. 
Published: February 2022

IntroductionThe COVID-19 pandemic made neccessary the declaration of emergency state in Hungary from 11 March 2020 to 18 June 2020. During this period hospitals were reserved for emergency use, ambulatory care was limited and replaced by telemedicine.ObjectivesWe assessed the opinions of patients of two ambulatory psychiatric care units in Budapest regarding the emergency state.MethodsWe enrolled 438 outpatients in the survey (305 women and 133 men, mean age:51.9±16.2 years).Our questionnaire comprised 10 items on emotions and mental state and a 12 item „Problem evaluation scale”(included ’Fear’, ’Isolation’ and ’Health status’ subscales).General linear model (GLM), pairwise comparison and Tukey’s post hoc test were performed.ResultsUp to 34% of patients considered that their condition worsened during this period, but 12% of them thought that this was not related to emergency state. Twice as many participants (12.8%) were concerned about their financial situation than about their health status (6.1%). Worsening health status, higher fear and more common adaptation difficulties were reported by patients < 50 years, than by subjects> 50 years (p=0.001; p=0.045; p=0.003). Isolation caused higher distress among women than in men (p=0.003). The abundance of information caused higher distress in patients with anxiety disorder than with psychotic disorders (p=0.024).Patients with affective disorders perceived higher vulnerability compared to subjects with psychotic disorders (p=0.004).ConclusionsAdaptation difficulties were reported by the half of the sample.Depletion of psychological resources can be expected during the next stage of the pandemic.
Personalized ECT: Much ado about nothing?
Authors: Sienaert P. 
Published: February 2022

The discussion about whether or not to focus our attention on the ‘average’ ECT-treatment technique that suits the majority of our patients or tailor the treatment to the needs of individual patients is ongoing. The question is, however, whether the available evidence permits us to to offer treatment ‘à la tête du client’. The start of a treatment course can be personalized by choosing electrodeplacement (EP) (e.g. bilateral in case of a severe or life-threatening condition, when fast improvement prevails over cognitive impact), parameter selection (e.g. a shorter pulse-width in order to avoid cognitive side-effects), and a dosing strategy. A fixed-dose will lead to overdosing in some patients (causing side-effects) and under-dosing in others (delaying/decreasing response) (1) Adjusting an ongoing treatment-technique can be based on response, side-effects or on the quality of the elicited seizure (EEG). In case of inadequate response, the clinician can decide to switch EP or to increase dose. There is no consensus as to the number of sessions after which technique should be changed. In case of intolerable side-effects, parameter selection and/or EP can be adjusted. The evidence that is available to guide these steps is limited. There is some evidence for a relation between several EEG-characteristics and outcome. Thus, in the event of an inadequate seizure, changing the anesthetic regimen, optimizing ventilation, lengthening the anesthetic-ECT time-interval or increasing the stimulus dose, can be of help. 1. Sackeim et al. Treatment of the modal patient: does one size fit nearly all? J ECT 2001;17:219-222.DisclosureNo significant relationships.
The impact of protective face masks and coverings on patient-health provider communication
Authors: Ganhao I. , Trigo M. , Paixao A. 
Published: February 2022

IntroductionAmid the COVID-19 pandemic the trend points to universal use of protective face masks. The impact posed on verbal and non-verbal communication by masks is yet another challenge to be addressed in clinical care.ObjectivesTo reflect on the consequences of face mask and covering use on communication in the clinical setting, including mental health settings.MethodsPubmed and Google Scholar literature search using terms face mask / face covering and communication / emotion.ResultsThere is a lack of literature on the impact of protective face masks and coverings on communication in clinical settings. Face masks and coverings may have a significant impact on patient-healthcare professional relationship due to disruption of verbal (poorer quality of speech transmission) and non-verbal communication (emotional expression and recognition) with consequences on: 1) clarity of communication with potential for misunderstanding clinical information, advice and prescriptions posing safety issues, 2) emotion perception, expression and reciprocity, 4) perception of healthcare professionals’ empathy and therefore, 3) patient satisfaction, 4) quality of care, and 5) clinical outcomes. Difficulties in communication between the patients´family or other carers and healthcare providers and between healthcare professionals are likewise challenged. People with hearing impairment, children and people with mental illness may be especially vulnerable to these difficulties in communication.ConclusionsProtective face masks and coverings are undoubtedly important in preventing spread of COVID-19, nonetheless mental healthcare professionals should take into account their significant impact on verbal and non-verbal communication in clinical care. Alternative strategies to enhance communication and rapport may be warranted.
Depression among pregnant women with husbands abroad: Case control study in hostile region of AZAD jammu and kashmir
Authors: Zubair U. , Ali S. 
Published: February 2022

IntroductionGoing abroad for employment is one of the common social problems which have been faced by the young males of developing countries. This included both highly qualified individuals as well as the labor class.ObjectivesTo determine the difference in the presence of depressive symptoms among pregnant women with husbands living abroad and those with husbands living with them in Azad Jammu and KashmirMethodsThe sample population comprised of pregnant women reporting for ante natal checkup at Amna hospital Rawalakot. Cases constituted the pregnant women with husbands living abroad while controls were the pregnant women with husbands living with them.PHQ-9 was used to record the presence and severity of depressive symptoms. Age, gestation, parity, rural or urban origin, education, level of family income, daily contact hours on telephone or what’s app, previous pregnancy loss or complications, number of years abroad and visits to home per year were associated with depressive symptoms.ResultsMean age of the study participants was 29.73±5.395 years. 66 (66%) had significant depression in the case group while 14 (14%) had in the control group (p-value<0.001). Education and rural background had significant difference among the case and control group. Less number of visits per year of husband was strongly linked with presence of depressive symptoms among the cases.ConclusionsThis study showed a high frequency of depressive symptoms among pregnant women with husbands abroad as compared to those with husbands living with them. Special attention should be paid to the women whose husband had lesser number of visits to the country
When healing becomes a burden: The feedback of tunisian psychiatrists
Authors: Faouel N. , Mohamed B. Ben , Bejar M. , Ayoub R. , Zaafrane F. , Gaha L. 
Published: February 2022

IntroductionPsychiatry is a fascinating medical specialty. Many reasons may motivate early career doctors to choose this field. However, this experience could have a different impact on their quality of life and social functioning.Objectiveswe aimed to assess the impact of psychiatry as a medical career, on the psychiatrist’s quality of life, and to evaluate their feedback on their experience and how it effects their life.MethodsThis is a cross-sectional descriptive study of 68 psychiatrists. An E-questionnaire has been sent via a psychiatrist’s closed groups on social media. We collected sociodemographic data, we also used the stress perceived scale, and we explored the quality of life using the SF-12 questionnaire.ResultsThe participants were mostly females with a mean age of 32 years (range25-65). Only 10% of psychiatrists had psychiatric history mostly depression. Concerning substance use, 15% were smokers, 17% used alcohol, 10% smoked occasionally cannabis and 23 % used different psychotropic drugs. 73% our sample were interested in psychiatry during their studies. 60% of our population considered the role of psychiatrists ambiguous among other colleagues. A very high perceived stress was noted in 90 % of our sample. Physical health status was in the average of standard deviation wether mental health status was below average among psychiatrists. The most frustrating situation mentioned was the absence of intermediate structures to receive psychotic patients.ConclusionsTunisians psychiatrists are facing many obstacles during the practice of their job, that would transform their passion into demotivation and a desire to leave the country.
Local and exhaustive study of transmission of detected psychopathological dimensions in family groups in the “albanova” area
Authors: Serritella C. , Russo A. , Rossi G. , Paolino M. , Baldascino M. , Vecchio H. Del , Cimmino M. , Salvati T. 
Published: February 2022

IntroductionIt is not known with certainty how different phenotypes are transmitted in groups of families divided into three generations.ObjectivesHaving meticulously searched for terms of psychopathogic lexicon that best translated the sterile categorical diagnosis, we obtained three dimensional groups for all six families in the three generations.MethodsWe calculated the frequencies and percentages of the three dimensional groups for the three generations of families based on sex.ResultsThe chi-square TEST attests a p-value = 0.049, statistically significant for the dimensional group “A”. (Tab. 3)ConclusionsThe genetics, and above all the epigenetics, of the phenotypes are periodically transmitted in group “A” and group “C” in the female and male sex. (Graphs 2.1.1 and 2.3.1) Different phenotypes indicate that the complexity of the interactions of the regulatory mechanisms of genes with the environment is extremely significant for the group with the most severe psychiatric pathology.
Acute family marital psychosis
Authors: Falfel D. , Homri W. , Ghrissi F. , Stambouli M. , Bechir M. Ben , Mouelhi L. , Bram N. , Romdhane I. Ben , Labbane R. 
Published: February 2022

IntroductionAcute marital psychosis is an acute psychotic episode occurring in a particular context which is marriage. In fact, marriage represents an event with a very important emotional load especially in the Arab-Muslim culture. This event can, in some people, induce a relapse of certain psychiatric disorders, particularly psychotic ones. We propose in this work to report two clinical observations concerning two brothers who both presented, a few years apart, an acute nuptial psychosis with two different evolutions.ObjectivesStuding the characteristics of nuptial psychotic episode in a one family and the different evolution of each one.MethodsReporting two clinical cases of two brothers who represented both acute psychotic episode in a nuptial context with different evolution.ResultsThe two patients are brothers with common psychiatric background which is their mother treated for chronic psychotic disorder. They were hospitalized in our psychiatric service for acute psychotic episode occuring in a nuptial context with chronic evolution for the first one and a partial recovery for the second one.ConclusionsMarriage represents an event with a very important emotional load especially in the Arab-Muslim culture. In thiscontext, acute psychotic episode can occur with different evolution for patients predisposed. Studing socio-cultral circumstances related to psychotic episode can help mental health professional to improve the quality of health care service.