European Psychiatry最新文献

{"title":"Domestic violence in Tunisia: which forms of physical violence?","authors":"R. Jbir, L. Aribi, I. Chaari, F. Guermazi, A. Samet, N. Bouattour, N. Messedi, J. Aloulou","doi":"10.1192/j.eurpsy.2024.1681","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1681","url":null,"abstract":"<span>Introduction</span><p>Domestic violence is a universal phenomenon that destroys the fabric of society and threatens the lives, health and prosperity of all.</p><p>It can take different forms, including physical abuse. This is one of the most serious form of violence, as it can range from a simple shove to homicide.</p><span>Objectives</span><p>To determine the prevalence and describe the various forms of physical violence perpetrated by husbands against their wives.</p><span>Methods</span><p>We contacted women who consulted at the psychiatric emergency of ‘Hedi Chaker hospital’,Sfax examined in the context of medical expertise on the period between May 2021 until January 2022.</p><p>A questionnaire regarding the violence was asked to responders. It included a section for collecting socio-demographic and clinical data on the woman, and a section for assessing the various forms of domestic violence.</p><span>Results</span><p>122 women were surveyed. The average age of victims was 35.66 years with extremes of 18 and 64 years. 78.7% (n=96) of ladies were of urban origin. The majority of them (44,3%) had secondary level education.</p><p>The half of the population (51.6%) had an average socio-economic level and 43.4% (n=53) lived in rented houses.</p><p>All the women of our population were married: it was the first marriage in (89.3%) and the majority (86.1%) had children.</p><p>Almost all women (95.1%; n=116) were victims of physical violence.</p><p>Different types of physical violence were reported with decreasing prevalence: slap (65,6%), punch (58,2%), strangle (46,7%), kicking (38,1%), stabbing threat (28,7%), kidnapping (4,9%), and gun threat (3,3%).</p><p>Should be noted that some women experience different forms of violence simultaneously.</p><span>Conclusions</span><p>Our study showed a high prevalence of physical violence with different shapes.</p><p>These figures must be taken into account by the authorities given the gravity of physical and psychological consequences of this form of violence.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"10 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of dreams in Charaka Samhita – an Ayurveda text and their content analysis of prodromal dreams in various conditions","authors":"A. K. Iyer, W. Upadhyaya","doi":"10.1192/j.eurpsy.2024.1728","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1728","url":null,"abstract":"<span>Introduction</span><p>Research into dreams, have shown the association between increased frequency of distressing dreams, specific content themes (analysed using the Hall Van de Castle system) and greater incidence of progression of neurological conditions and dementia. The history of predicting illnesses by the content of dreams, in the western world is popularly traced backed to the ancient Greek medicine. This stimulates the curiosity if any such practices existed in the ancient medical practises of the eastern world. Ayurveda is one such traditional system of medicine, that is native to the Indian subcontinent. Charaka Samhita is one of the oldest texts on Ayurveda consisting of 8 sections and 120 chapters totally. This text was selected for the purpose of this review, with the line of enquiry such as what does Ayurveda say about dreams associated with illnesses? What are the contents of such dreams? Furthermore, the dream content analysis was done using the Hall Van de Castle system, which is probably the first time being done on an Ayurveda text content.</p><span>Objectives</span><p>1) To explore if, Charaka Samhita mentions, describes dreams in relation to illnesses, stages of illnesses and their prognosis. 2) To analyse content of the dreams seen in prodromal stage of illnesses.</p><span>Methods</span><p>1-The Charaka Samhita text was scanned chapter by chapter, to answer the questions- a) What are the types of dreams? b) Are any associated with illnesses? c)Are any dreams mentioned in the prodromal stage of illnesses? d)What do they imply? e)What are their contents? 2- The contents of prodromal dreams were analysed against the categories of Hall Van de Castle system.</p><span>Results</span><p>As per Charaka Samhita, the types of dreams are, i) those based on what was seen ii) heard iii) reflected upon iv) desired v) imagined vi) those of prophetic type and vii) those caused by illnesses. Specific dreams in the prodromal stage, predict manifestation of specific illnesses (mild or fatal). In the diverse dream contents (18 themes mentioned) ranging from things animals to gods and demons, except the elements of the past, rest of the general categories occur, at least once. The categories characters, objects, activities and social interactions were more common than the rest.</p><span>Conclusions</span><p>Thus akin to the ancient Greek medicine, Ayurveda too had the practice of predicting illnesses based on the dream contents.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"25 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Stress Disorder among Tunisian Population in the Palestine-Israel War","authors":"N. Messedi, M. Sehli, A. samet, I. Chaari, F. charfeddine, L. Aribi, J. Aloulou","doi":"10.1192/j.eurpsy.2024.1720","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1720","url":null,"abstract":"<span>Introduction</span><p>The Gaza-Israel conflict has far-reaching consequences that extend beyond the immediate geographic confines of the conflict zone.This war certainly has repercussions on people who follow it via the media.</p><span>Objectives</span><p>To study the prevalence of acute stress disorder among Tunisian people and determinate the factors associated to it.</p><span>Methods</span><p>It was a cross-sectional, descriptive and analytical study, conducted among Tunisians. Data were collected during October and November 2023, through an anonymous online questionnaire, spread throughout social media (Facebook/Instagram), using the Google Forms® platform.</p><p>We used the the National stressful Events survey acute Stress Disorder Short scale (NSESSS) to assess the severity symptoms of acute stress disorder .</p><p>The National Stressful Events Survey Acute Stress Disorder Short Scale (NSESSS) is a 7-item patient assessment measures that assesses the severity symptoms of acute stress disorder in individuals age 18 and older following an extremely stressful event or experience.</p><span>Results</span><p>A total of 1091 participants completed the questionnaire. The participants had a mean age of 32.7 ± 9.8 years. More females (77.7%) than males (22.3%) participated in the study with a sex ratio (F/M) = 3.5. They were divorced in 2.1% .A history of psychiatric follow-up was found in 19,5% of case.</p><p>Results demonstrated that 100% of the respondents closely monitored the war, primarily relying on social media (98.6%) as their primary source of information.</p><p>According to the NSESSS ,83.4% of the participants had an acute stress disorder. The breakdown of acute stress disorder severity indicated that 29.7% experienced mild symptoms, 27.5% moderate, 21.6% severe, and 4.6% extreme symptoms.</p><p>The factors associated with high score of NSESSS were: female sex ( p=0.000), the divorced people (p=0.001)and previous history of psychiatric follow-up (p=0.000)</p><span>Conclusions</span><p>These findings indicate a substantial impact of the Palestine-Israel conflict on the mental well-being of the Tunisian population, as evidenced by high rates of acute stress disorder.</p><p>Understanding the heightened prevalence of acute stress disorder among different demographic groups following such international conflicts is crucial for developing tailored interventions to support the mental health and well-being of affected individuals.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"9 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between childhood trauma and adulthood anxiety and depression among Tunisian university students","authors":"M. Turki, W. Hammemi, S. Ellouze, M. Barkallah, I. Mannoubi, N. Halouani, J. Aloulou","doi":"10.1192/j.eurpsy.2024.1719","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1719","url":null,"abstract":"<span>Introduction</span><p>Traumatic childhood has increasingly high incidence rates and can be predictive of negative health outcomes. There is a large consensus indicating that childhood trauma is significantly involved in the development of mood disturbances in adulthood.</p><span>Objectives</span><p>The aim of this study was to examine the relationship between retrospectively recalled childhood trauma and adulthood anxiety and depression in a sample of undergraduate university students.</p><span>Methods</span><p>A cross-sectional study was conducted among a sample of 365 university students randomly selected from 8 universities in Sfax (Tunisia). Information about childhood maltreatment, depressive and anxiety symptoms were gathered through the Childhood Trauma Questionnaire-Short Form (CTQ-SF), and the Hospital Anxiety and Depression Scale (HADS) respectively. To test the hypothesis, examining the relationship between anxiety, depression, and childhood trauma, we used Spearman’s correlation test. Multivariate logistic regression models were used as well.</p><span>Results</span><p>The mean age of our participants was 20.3 years. More females (68.2%) than males participated in the study. Our findings showed that the five childhood trauma subtypes (emotional abuse and neglect, physical abuse and neglect, sexual abuse) were significantly correlated with anxiety and depression symptoms severity (p&lt;0.01). Emotional abuse was the strongest risk factor for adulthood anxiety symptoms (OR=6.002, 95% CI= [3.238; 11.125]) while emotional neglect was the strongest risk factor for depressive symptoms in adulthood (OR=6.214, 95% CI= [3.428; 11.267]). Multivariate analysis revealed that, in subjects with childhood trauma, scores of anxiety symptoms were positively and highly associated with the severity of emotional abuse (adjusted B=1.438, 95% CI= [1.951; 9.092], p=0.000). Depression symptoms severity were as well positively correlated with severity of emotional abuse (adjusted B=0.848, 95% CI= [1.043; 5.224], p=0.039), and severity of emotional neglect (adjusted B=1.044, 95% CI= [1.263; 6.389], p=0.012).</p><span>Conclusions</span><p>This study highlighted the relevance of childhood trauma as a factor contributing to anxiety and depression in adulthood. Thus, early psychological support of victims of childhood trauma can reduce the rate of anxiety and depression among these subjects.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"33 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating effect of the hypnotically altered state of consciousness on decision-making in a situation modeling real-life","authors":"Z. A. Kovács, S. László, A. Albert, Z. Janka, I. Szendi","doi":"10.1192/j.eurpsy.2024.1713","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1713","url":null,"abstract":"<span>Introduction</span><p>Numerous studies have shown a link between hypnotic susceptibility, the hypnotically altered state of consciousness, and the intensity of experienced emotions (De Pascalis et al., 1987; De Pascalis, Marucci, &amp; Penna, 1989; Bryant &amp; McConkey, 1989; Crowson, Conroy, &amp; Chester, 1991; Crawford, Kapelis, &amp; Harrison, 1995). One of the most suitable experimental psychological methods for modeling real-life decisional conditions is the Iowa Gambling Task (IGT) (Bechara, Tranel, &amp; Damasio, 2000). Hypnosis has the potential to provide several benefits in decision-making, although there is limited scientific research on the subject.</p><span>Objectives</span><p>The main goal of this study was to determine if a hypnotically altered state of consciousness could affect decision efficacy in a real-life modeling situation.</p><span>Methods</span><p>Forty-eight healthy students (including 28 females and 20 males) from the University of Szeged participated in both the delayed punishment and delayed reward versions of the Iowa Gambling Task under alert and hypnotic states.</p><span>Results</span><p>During the mid-phase of the tasks while in hypnosis, notably higher performance levels were recorded compared to the alert state. In a simulated real-life scenario, the delayed reward had a more pronounced effect on decision-making efficiency than the delayed punishment. It became evident that the efficient decision-making strategy evolved more rapidly under hypnosis than in an alert state.</p><span>Conclusions</span><p>The hypnotic state of consciousness in an experimental decision situation modeling real life may accelerate the development of somatic markers, leading to earlier correct decision-making.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"158 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low back pain and psychological distress according to the job tenure among electricians","authors":"I. Sellami, A. Feki, A. Abbes, M. Hajjaji, S. Baklouti, M. L. Masmoudi, K. Jmal Hammami","doi":"10.1192/j.eurpsy.2024.1710","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1710","url":null,"abstract":"<span>Introduction</span><p>Low back pain (LBP) is common among electricians caused by work conditions. Even when symptoms are short-term and not medically serious, LBP can be associated with psychological distress.</p><span>Objectives</span><p>This study aimed to assess the link between LBP and psychological distress according to the job tenure among electricians.</p><span>Methods</span><p>The study was conducted in a group from a Tunisian Electricity society. Data were gathered between January-June 2022 using a self-administered questionnaire including socio-professional characteristics, the Nordic musculoskeletal questionnaire during the last 12 months and Kessler Psychological Distress Scale (K6). Our population was divided into two groups according to job tenure. The first group (G1) consisted of electricians with less than ten years of job tenure and the second (G2) consisted of electricians with more than ten years of seniority.</p><span>Results</span><p>G1 consisted of 10 participants with a mean age of 30.6 ± 6.7 years and with average job tenure of 3.3 ± 1.1 years. G2 consisted of 64 participants with a mean age of 40.7 ± 10.3 years and average job tenure of 17.4 ± 10.9 years. According to the Nordic musculoskeletal questionnaire, LBP during the last 12 months was present in the first and the second group in 30.8% and 14.3% of participants, respectively.</p><p>The proportion of respondents with high levels of psychological distress (K6 score of 13 or greater) in the first and the second groups was 10 % and 9.4% of participants, respectively. The presence of low back pain during the last 12 months was significantly associated with a high score of K6 in the second group (p &lt; 0.05).</p><span>Conclusions</span><p>From the results of this study, we conclude that LBP was associated with psychological distress when the job tenure is high. Therefore, the prevention of LBP should go through programmes to build ergonomically safe working conditions to enhance the mental health of electricians.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"11 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective discomfort and lack of volitional drive with neuroleptic pharmacotherapy - a phenomenological case study","authors":"L. Korošec Hudnik, I. Kosmačin","doi":"10.1192/j.eurpsy.2024.1729","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1729","url":null,"abstract":"<span>Introduction</span><p>In comparison to extrapyramidal and metabolic side effects, the subjective aspects of neuroleptic treatment have been less extensively researched. Nevertheless, they are equally significant given their potential to influence adherence and functional outcome. Historically, terms such as “neuroleptic dysphoria,” “neuroleptic-induced psychic indifference,” and “neuroleptic-induced deficit syndrome” were used to characterize a range of unpleasant mood states on the one hand and a documented and observable motivational deficit on the other. The latter aligns with the findings from preclinical neuroscientific studies and animal models highlighting the significant involvement of mesolimbic dopamine in motivational processes. Despite an abundance of anecdotal data these adverse effects are often undetectable in large-scale clinical studies that utilize standardized assessment measures.</p><span>Objectives</span><p>To present adverse subjective changes in arousal, mood and volitional drive resulting from neuroleptic intake from a patient’s perspective.</p><span>Methods</span><p>The subject is a patient, with no reported negative symptoms or lasting functional impairment described, who underwent a gradual 6-month discontinuation of risperidone in an outpatient setting following a complete recovery after a single psychotic episode. A semi-structured interview modelled after The Clinical Assessment Interview for Negative Symptoms (CAINS) was conducted. We aimed to elicit descriptions of the subjective experience while ensuring our approach remained non-suggestive.</p><span>Results</span><p>In addition to describing potential akathisia and lethargy at higher doses, the subject reported a significant lack of motivation and a notably reduced willingness to exert effort towards achieving specific goals or engaging in activities that he still found rewarding or pleasurable. Furthermore, he consistently noted gradual improvements across various psycho-social aspects following the discontinuation of the medication. These adverse and unpleasant experiences were presented as the primary reason for wanting to discontinue pharmacological treatment.</p><span>Conclusions</span><p>Certain adverse effects of antipsychotic medications can only be elucidated by the clinician through the examination of the patient’s subjective experiences. Medication induced dysphoria and volitional deficits have the potential to profoundly impact treatment adherence, leading to unrecommended discontinuation of neuroleptics, and can cause important functional impairment.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"68 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myasthenia Gravis presenting as a Dissociative Disorder: a case report of a differential diagnosis","authors":"A. P. Laizāne, A. Blekte, A. Bērziņa","doi":"10.1192/j.eurpsy.2024.1698","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1698","url":null,"abstract":"&lt;span&gt;Introduction&lt;/span&gt;&lt;p&gt;Conversion disorder is characterised by symptoms that can impact sensory or motor function. The average incidence of conversion disorder is between 4 -12 per 100,000 per year. Conversion disorder has a wide variety of somatic and neurological differential diagnoses.&lt;/p&gt;&lt;span&gt;Objectives&lt;/span&gt;&lt;p&gt;A 22-year-old woman was admitted to the hospital due to COVID-19 pneumonia. During the hospitalisation period, she developed progressive weakness, due to which she couldn’t move, eat or take care of herself. In terms of history, she is healthy, married and gave birth to her first child almost 9 months ago. Two days postpartum, the patient experienced an inability to connect with the child and provide care, as well as a decline in her mood. The husband reports episodes in which the patient had difficulties holding the child while being able to perform house chores, which required more physical strength. Two years prior to hospitalization, during stressful situations she experienced similar episodes and difficulty swallowing. While hospitalized, extensive testing was done, including an acetylcholine receptor antibody test, which was negative at first. Because of of the initially negative testing results a psychiatrist was called. On the first visit, the patient remained in a supine position and reported a lack of strength in both arms and legs, occasionally experiencing difficulty raising her head, however managed to stand up from the bed, walk independently for 5–6 meters, turn around, and, as soon as she reached the bed, descend into it. The staff reported her inability to walk earlier in the day. On the second visit, she notes that she feels tired but now can feed and take care of herself; however, some weakness persists in the proximal muscle groups. In between visits she received treatment with corticosteroids because of the COVID infection. After repeating the acetylcholine receptor antibody test, there was a positive result, and a diagnosis was established.&lt;/p&gt;&lt;span&gt;Methods&lt;/span&gt;&lt;p&gt;This case report demonstrates how a somatic disorder can mimic a psychiatric one because of the overlapping symptoms and initial negative test results. While receiving symptomatic therapy with glucocorticoids due to the COVID infection, the patient’s condition improved; she began to eat and walk on her own.&lt;/p&gt;&lt;span&gt;Results&lt;/span&gt;&lt;p&gt;From the psychiatric aspect, it was associated with separation from the child— a relieving of the stress factor, due to which dissociative symptoms decreased.&lt;/p&gt;&lt;span&gt;Conclusions&lt;/span&gt;&lt;p&gt;Before considering a diagnosis of a dissociative disorder, a patient should be examined by other specialists according to their symptoms. A thorough neurologic and physical examination, as well as diagnostic tests, should be performed to exclude a physical pathology. Myasthenia gravis has a comorbidity with a number of psychiatric conditions and can also be very similar to a dissociative disorder, especially due to stress aggravati","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"33 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurodevelopmental lags and type of delivery in a Colombian infant population","authors":"M. Jimenez-Martinez, B. M. Bernal-Gómez, S. Avila-Jimenez","doi":"10.1192/j.eurpsy.2024.1735","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1735","url":null,"abstract":"<span>Introduction</span><p>The Choice giving birth by cesarean section when it is not biologically necessary implies a greater risk to the health of the mother and child Toral <span>et al. Eletrônica Estácio Saúde 2018; 95</span>(1) 27-30,refers the psychological relevance to identify perinatal effects of a good medical practice at birth. In this respect Poojari <span>et al.</span> Early Hum Dev 2019;115 93-98, state that a cesarean section as a surgical risk, causes decrease fetal oxygenation and an impairment release of stress-related hormones in the maternal-fetal binomial that does not favor neural connections at birth</p><span>Objectives</span><p>Identify the neurodevelopmental lags in infant on children under 24 months of age born by cesarean section and vaginal delivery,</p><span>Methods</span><p>A cross-sectional descriptive correlational; Sample consisted of 100 children of a term gestation, 70 with spontaneous vaginal birth and 30 whose birth was by cesarean section, aged between one and twenty-four months; using the Abbreviated Development Scale, an instrument created and validated for the Colombian population (Cronbach’s alpha, 0.94). All parents signed the informed consent.</p><span>Results</span><p>All test scales were applied (gross and fine motor, language and social personal), the results showed that children born by cesarean section had better development in areas of fine motor and language, while children born by vaginal delivery had better development of gross motor. See (graphic 1).</p><p><span>Graphic 1: Areas of development according to the type of delivery.</span></p><p><span>References</span></p><span>Conclusions</span><p>The influence of contextual variables such as age and educational level of the mother on language and social areas was also found</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"1 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitude and Perceptions of Healthcare workers regarding ionizing radiation","authors":"A. Haddar, I. Sellami, M. A. Ghrab, M. Hajjaji, K. Jmal Hammami, M. L. Masmoudi","doi":"10.1192/j.eurpsy.2024.1709","DOIUrl":"https://doi.org/10.1192/j.eurpsy.2024.1709","url":null,"abstract":"<span>Introduction</span><p>In operating rooms, the routine use of radiological procedures is commonplace. However, this essential tool brings about significant concerns for healthcare workers due to the associated radiological risks. Understanding healthcare workers’ attitudes and perceptions about ionizing radiation is crucial for addressing these concerns.</p><span>Objectives</span><p>This study aims to assess the perceptions and concerns of healthcare workers regarding radiation risks and their practices in the operating room.</p><span>Methods</span><p>A cross-sectional study was conducted in February and March 2023 among the operating room staff of Habib Bourguiba University Hospital in Sfax, Tunisia. We used a self-administered questionnaire that included socio-professional data. Self-assessment of exposure risk and protection level against ionizing radiation was evaluated on a scale from 0 to 10, and attitudes were assessed using a 5-item Likert scale.</p><span>Results</span><p>Our study population consisted of 92 healthcare workers, with 54.3% being male. When asking operating room workers about the availability, accessibility, and quality of lead aprons, the median scores were 3 (IQR [0;6.5]), 2 (IQR [0;5]), and 2 (IQR [0;5]), respectively. The median self-assessment score for exposure risk was 8 (IQR [5.5; 10]), while the median self-assessment score for protection against ionizing radiation was 1 (IQR [0;3]). Sixty percent of the population had limited knowledge of the harmful effects of ionizing radiation, with a median self-assessment knowledge score of 1.5 (IQR [0;3]). Sixty-two percent reported concerns regarding radiological risks. In terms of practices, 44.5% of the staff maintained a distance from the radiation source during intraoperative radiography, and 21.7% used the apron for protection. Dosimeters were not used by any of the participants. Concerns level was associated with self-assessment of exposure risk (p = 0.027).</p><span>Conclusions</span><p>In conclusion, awareness of the risks generates anxiety and concern among staff; however, it alone is insufficient to alter our practices. This underscores the imperative for a proactive approach in implementing robust safety measures and comprehensive training programs.</p><span>Disclosure of Interest</span><p>None Declared</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"158 1","pages":""},"PeriodicalIF":7.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}