Psychiatria Danubina最新文献

{"title":"Depression and Anxiety Among COVID-19 Patients Admitted to a \"Red Zone\" Intensive Care Unit: Do the Factors of Self-Awareness of Somatic Health, Anxiety, and Depression Contribute to the Course of Sars-Cov-2 Infection?","authors":"Darya Astafeva, Dmitrii Konstantinov, Timur Syunyakov, Aleksandr Kolsanov, Igor Davydkin, Alexey Pavlichenko, Svetlana Palevskaya, Elena Avdeeva, Larisa Popova, Elena Konstantinova, Tatiana Konnova, Natalya Kuvshinova, Konstantinos N Fountoulakis, Daria Smirnova","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of depressive disorders in the general population increased significantly during the COVID-19 pandemic. The aim of this study is to examine the relationship between history of anxiety and depressive disorders and COVID-19 outcome, hospitalization and severity of anxiety and depression, and whether such relationships are explicable by direct impact of the disease.</p><p><strong>Subjects and methods: </strong>We conducted a questionnaire survey among 98 inpatients in the Department of Infectious Diseases of the Clinics of Samara State Medical University. The self-report questionnaire consisted of 120 items, including socio-demographic characteristics of participants, State-Trait Anxiety Inventory, and the Center for Epidemiologic Studies Depression Scale, with items reflecting subjective feelings about the COVID-19 pandemic. We used one-factor analysis of variance to compare between groups for those indicators that conformed to a normal distribution, and the chi-square test (χ²) or Fisher's exact test to analyze group differences in the distribution of categorical variables was used.</p><p><strong>Results: </strong>The mean (SD) total score on the STAI anxiety scale among hospitalized patients (51 (10.1)) significantly exceeded that of the COMET-G control group (44.9 (11.7) (H=22.8, p<0.001). There was a similar difference in the severity of depression as measured by the CES-D scale (23.4 (12.6) versus 18.0 (11.8), H=15.2 and p<0.001). In contrast to the general population, there were no statistically significant differences in anxiety and depression severity in the matched samples 52 subjects fulfilling the criteria of age, gender, and general perception of health condition.</p><p><strong>Conclusions: </strong>Anxiety and depression scores among ICU (red zone) inpatients significantly exceeded the scores observed in the COMET-G general population group. Our study did not confirm expected relationship between symptoms of anxiety and depression (based on questionnaire response) and the risk of severe course of COVID-19 (e.g. hospitalization) in matched samples, but proved that the factor of self-awareness of health state may be related to the COVID-19 course severity. Future research would benefit from clinical interview of inpatients and follow-up monitoring of affective disorders to specify whether anxiety and particular type of depression (e.g., anxious) are selectively related to the severity of COVID-19 course and risks of affective disorders persistence after somatic recovery. The accumulation of mental disorders with age, and the bidirectional association of mood disorders and infectious diseases should be considered when assessing the risk factors.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sandra Sabattini - A Patron or Role Model for Medical Students? A Study of Medical Student-Patient Relationships.","authors":"Mark Agius, Michaela Agius, Claranne Desira Micallef","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We examine whether Sandra Sabattini, a young Medical Student who was beatified by Pope Francis in 2021 should be seen as a role model for medical students, and potentially seen as their patron saint. We examine the difference between Patron Saint and Role Model. We make the case that, given the importance of the Doctor-Patient Relationship, there is need for Medical Students to have a Role Model. We examine the environment, philosophy, and methodology in which Sandra Sabattini worked and we examine how she related to patients, based on Eyewitness accounts. We identify that Sandra worked in a holistic way and related to patients in a very personal way. Thus we conclude that Sandra Sabattini is indeed a useful role model for medical students, further, we note her ''pro-life'' philosophy.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of SBIRT Tools in Managing Alcohol and Drug Use Disorders.","authors":"Sergey Tsarev, Andrey Sherban, Nikolay Izmalkov, Armen Benian, Arseny Gayduk","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the eligibility and feasibility of the \"Voice Modules in Narcology\" (VMIN) program.</p><p><strong>Material and methods: </strong>We developed a computer program to screen for risky alcohol or drug use, utilizing an interactive voice assistant as a motivational component. Given the low detection of such risks during population health examinations and medical check-ups, this program could allow the primary healthcare sector to expand screening coverage for risky alcohol and drug use without additional medical personnel. VMIN includes an anonymous short questionnaire (CAGE) and a question about drug use, offering a short (3-4 minutes) voice file with motivational information encouraging specialist consultation if risks are detected. The program also assesses the usefulness of the information received and the readiness to consult a narcologist for diagnosing substance use disorders. 51 outpatients under treatment at Samara State Medical University Hospital were included in the pilot project for evaluation the eligibility and feasibility program.</p><p><strong>Results: </strong>11 patients (21.6%) who were identified as at risk of alcohol or drug consumption listened to the voice modules after screening. Among these, 8 (72.7%) respondents provided feedback: 8 (72.7%) respondents found the information useful, 5 (45.5%) expressed willingness to change their behavior to reduce substance or alcohol use, 2 (18.2%) expressed readiness to seek specialized help, and 1 (9.1%) provided contact information for follow-up assessment of substance or alcohol use risk.</p><p><strong>Conclusions: </strong>A significant proportion of patients in multi-profile hospitals' cardiology and gastroenterology units (21.6%) reported risky alcohol consumption; drug use was reported by one man (1.9%). The majority of respondents who listened to the voice modules considered the provided information useful, but only one (1.9%) shared contact information for the follow-up assessment, and 3 (27.3%) did not give feedback. The high proportion of individuals giving positive feedback provides preliminary support for the feasibility of the method.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Addictions and Psychoeducation: What Standardisation Is Possible in Liaison Psychiatry?","authors":"Denis Jacques","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In liaison psychiatry, issues related to multiple substance use disorders are encountered, but systematic assessment and treatment protocols are lacking. The implementation of psychoeducation groups with earlier access could be one solution, but it raises the question of how to systematically approach psychoeducation for multiple substance use disorders.</p><p><strong>Subject and method: </strong>Based on a narrative review of multiple substance use disorders in liaison psychiatry and the proposed treatments, we aimed to identify the possible systematisation of standardised psychoeducation.</p><p><strong>Results: </strong>The triadic model of interoception-impulsivity-addiction emerged as a general approach to addressing addiction issues and could serve as a foundation for the standardisation of psychoeducation.</p><p><strong>Conclusion: </strong>Prospective studies on the impact of systematised brief psychoeducational interventions on multiple substance use disorders in the patient treatment plan are to be developed.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurocognitive Disorders and Cognitive Reserve: a Study on a Psychiatric Rehabilitation Patients Sample.","authors":"Antonella Vacca, Maria Vincenza Minò, Antonella Litta, Roberto Longo, Mario Vetrano, Giovanna Lucisani, Barbara Solomita, Debora Benazzi, Mariangela Perito, Andreana Franza, Francesco Franza","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Research on neurocognitive disorders and cognitive reserve in psychiatric rehabilitation patients is crucial to understanding how cognitive function impacts rehabilitation outcomes. Cognitive reserve refers to the brain's resilience to neuropathological damage, and exploring its role in psychiatric patients can provide insights into their varying responses to treatment and recovery potential. Investigating whether there are differences in cognitive reserve and neurocognitive disorders between offenders and non-offenders within psychiatric rehabilitation can help tailor interventions and improve rehabilitation strategies. This study explores cognitive reserve (CR) and neurocognitive disorders (NCDs) in a sample of psychiatric patients within a Psychiatric Rehabilitation Center, with a particular focus on differences between offenders and non-offenders following the closure of Judicial Psychiatric Hospitals in Italy (March 31, 2015).</p><p><strong>Method: </strong>In our observational study, were recruited a total of 59 patients (20 females and 39 males, mean age = 45.39 years) from various Psychiatric Rehabilitation Communities in Southern Italy. The patients were assessed using the Structured Clinical Interview for DSM-5 (SCID-5 CV) and a battery of tests, including in particular the Cognitive Reserve Index Questionnaire (CRIq), Brief Psychiatric Rating Scale (BPRS), Aberrant Salience Inventory (ASI) and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).</p><p><strong>Results: </strong>Results indicated significant differences between offenders and non-offenders in cognitive reserve, psychopathological symptoms and personal and social functionality.</p><p><strong>Conclusion: </strong>Understanding these distinctions is important for developing specialized therapeutic approaches that address the rehabilitation needs of each group that also include neurocognitive aspects such as cognitive reserve.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Cognitive Deficits in Emotional Dysregulation: a Study on a Simple of Patients from Psychiatric Rehabilitation Communities.","authors":"Maria Vincenza Minò, Antonella Vacca, Antonella Litta, Mario Vetrano, Mariangela Perito, Barbara Solomita, Andreana Franza, Francesco Franza","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Emotional dysregulation is a common feature across various psychiatric disorders, including personality disorders, mood disorders, substance use disorders, and schizophrenia. It manifests through difficulties in emotion modulation, which can lead to impulsive behaviors, exaggerated emotional reactions, and poor management of negative emotions. Cognitive deficits, particularly those related to executive functions such as inhibition, working memory, and cognitive flexibility, play a crucial role in this process, contributing to a higher vulnerability to emotional dysregulation. This paper focuses on the role cognitive deficits may have in emotional dysregulation. The sample will include both psychiatric patients and offenders undergoing therapeutic rehabilitation in community settings.</p><p><strong>Method: </strong>In our observational study, fifty-nine psychiatric inpatients (total mean age: 45.3910.93), distributed by age, gender, and legal provision (offenders and non-offenders) were recruited in several psychiatric rehabilitation centers located in South Italy. We used Aberrant Salience Inventory (ASI), Barrat Impulsiveness Scale Version 11 (BIS-11), Historical-Clinical-Risk Management-20, Version 3 (HCR-20^V3), Brief Psychiatric Research Symptoms (BPRS), Verbal fluency tests (VFT) Estimated IQ Short Intelligence Test (T.I.B.), World Health Organization Disability Assessment Schedule 2.0. (WHODAS 2.0).</p><p><strong>Results: </strong>The results highlighted higher impulsivity levels in offenders associated with higher scores on the cognitive performance scales.</p><p><strong>Conclusion: </strong>Cognitive deficits are a significant contributor to emotional dysregulation in psychiatric patients, particularly in offender psychiatric patients.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HERO'S JOURNEY OF NORMAN SARTORIUS","authors":"M. Jakovljevič","doi":"10.24869/psyd.2024.273","DOIUrl":"https://doi.org/10.24869/psyd.2024.273","url":null,"abstract":"","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141828375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EROTOMANIC DELUSIONS AND TACTILE HALLUCINATIONS IN A LATE ADOLESCENT GIRL WITH SCHIZENCEPHALY","authors":"Zeynep Nur Demirok","doi":"10.24869/psyd.2024.259","DOIUrl":"https://doi.org/10.24869/psyd.2024.259","url":null,"abstract":"","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141829383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HOW CAN SCHEMA THERAPY HELP US UNDERSTAND KIERKEGAARD’S BREAKING UP OF HIS ENGAGEMENT","authors":"Annamaria Molnar","doi":"10.24869/psyd.2024.191","DOIUrl":"https://doi.org/10.24869/psyd.2024.191","url":null,"abstract":"","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OUTLINING THE ABSENCE: FROM INFLAMMATION TO A DISTINCT ENDOPHENOTYPE FOR THE NEGATIVE SYMPTOMS OF SCHIZOPHRENIA","authors":"C. Moga, D. Pavăl, I.V. Micluţia","doi":"10.24869/psyd.2024.161","DOIUrl":"https://doi.org/10.24869/psyd.2024.161","url":null,"abstract":"","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141828856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}