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1669th Conference
PSYCHIATRY 2018
28th World Congress on
PSYCHIATRY, PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Poster Presentations
Page 61Anna Scandinaro, J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Assessing pediatric mental health in the family medicine setting, with a focus on irritability - A
qualitative study
Anna Scandinaro
Penn State College of Medicine, USA
P rimary care practitioners are often called upon to differentiate normal from abnormal irritability, but little education is
provided to prepare them to do so. Assessing the mental health of a child is a challenging task. This study used appreciative
inquiry to answer the question, “How do family medicine practitioners assess and treat irritability in school aged children?”
To gain an initial perspective on how practitioners in Family Medicine (FM), Pediatrics (PED), and Psychiatry (PSY) evaluate
and treat school-aged children, 17 volunteers participated in in-depth interviews. The participants in primary care expressed
frustration over the lack of time and specialized knowledge they had to accurately assess children, even though they were
often the first clinician consulted when problems arose. There were clear and sometimes contradictory differences between
how practitioners with a general vs. specialized practice assessed mental health status in the clinic setting. In addition, input
on treatment approaches revealed that medication prescription was more common in primary care and therapy preferred by
the PSY participants. School referrals were common pathways to the FM and PED clinic, where practitioners often focused on
assessing functional status to assess normal vs. abnormal irritability. Based on the initial assessment, FM and PED participants
often referred the child to more specialized treatment, particularly when complex medication prescription was involved. They
were also significantly less confident of their ability to evaluate mental health status, while child and adolescent psychiatry
participants were supportive of having more initial triage and possible treatment occur at the primary care level.
Biography
Anna Scandinaro is a third year Medical student at Penn State College of Medicine.
ascandinaro@pennstatehealth.psu.edu
Notes:
Journal of Psychiatry | Volume: 21
Page 62Soumen Acharya, J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
How Nitric oxide plays an important role in changing aggressive behavior in patients with
pulmonary artery hypertension after correction of congenital heart surgery in ICU
Soumen Acharya
National Institute of Public Cooperation and Child Development, India
Objective: To evaluate the association between the use of nitric oxide in the pulmonary arterial hypertension (PAH) and the
level of aggression in children with acyanotic congenital heart diseases and especially to evaluate the development rates of
aggressive behaviors in ICU setting in patients with borderline PAH after correction of congenital heart surgery.
Methods: The study was performed with data of 327 patients with acyanotic congenital heart diseases and underwent open
heart surgery between January1984-February1995. The design of the study was retrospective and observational. All the patients
in this case were given nitric oxide in a controlled manner. The patients were observed before surgery to have aggressive
behavior. All patients were evaluated with observational methods. They were classified according to the mean pulmonary
artery pressure and level of the surgery. Chi-square, ANOVA tests were used for statistical analysis.
Results: The patients were analyzed before coming to ICU before the surgery by observational method. The patients were
observed in the field of nitric oxide was detected in 94.8% of patients with PAH and 17.2% of no PAH patients after giving them
nitric oxide A negative association was detected between mean pulmonary arterial pressure and body weight for age and z
scores of weight (pAlexandrino-Silva Clovis et al., J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Correlates of clinically significant depressive symptoms in a community-dwelling elderly population:
Results from the prevention and treatment of depression in elderly study, Brazil
Alexandrino-Silva Clovis1, Ribeiz, Salma1, Frigerio, Maria Beatriz2, Bassolli, Lucas3, Alves Tânia1, Bottino Cássio1 and Busatto Geraldo1
1
University of São Paulo, Brazil
2
NGO Envelhecer Sorrindo, Brazil
3
Clinics Hospital of the University of São Paulo Medical School, Brazil
Objective: To examine the prevalence of clinically significant depressive symptoms (CES-D≥13) and their correlates in an
elderly population-based study in São Paulo, Brazil.
Methods: A random sample of 2,673 subjects aged 60 years or more were interviewed, and 2,501 individuals were eligible for
the analysis of the frequency of depressive symptoms. The results were presented as absolute and relative frequencies. The odds
ratio and 95% confidence intervals values were obtained using univariate logistic regression.
Results: We observed a prevalence of clinically significant depressive symptoms in 42.98% of the sample (95% CI=41.05-44.93).
The main correlates of clinically significant depressive symptoms were: being female (OR 2.087, CI 1.76-2.47); belonging to the
oldest age group (≥80 years) [OR 1.333, CI 1.01-1.74]; being divorced/single (OR 1.607, CI 1.3-1.97) or widowed (OR 1.465,
CI=1.21-1.77); and family history of depression (OR 1.82, CI 1.42-2.32). Stroke was the clinical comorbidity that presented
the highest odds (OR 2.554, CI 1.9-3.43) for the development of clinically significant depressive symptoms, although other
cerebrovascular diseases were also associated with the development of depression. Clinically significant anxiety symptoms
(GAI≥13) increased the odds of clinically significant depressive symptoms by almost twenty-fold (OR 19.544, CI 14.75-25.9).
Dissatisfaction with the appearance of teeth also associated with clinically significant depressive symptoms (OR 2.147, CI
1.78-2.58). Interestingly, current alcohol consumption was associated with a lower chance of presenting clinically significant
depressive symptoms (OR 0.745, CI 0.63-0.87), and this association was maintained for subjects who consumed more than 2
drinks per day (OR 0.484, CI 0.33 -0.7) or more than five drinks per occasion (OR 0.491, CI 0.31-0.77). The elderly who did not
practice physical activity were more likely to present clinically significant depressive symptoms (OR 1.663, CI 1.36-2.03), and
the higher the weekly frequency of hours practiced, the lower was the chance of presenting depressive symptoms (2-5 hours/
week: OR 0.591, CI 0.44-0.79; 6-7 hours/week: OR 0.51, CI 0.31-0.83; and 8 hours or more/week: OR 0.411, CI 0.24-0.7).
Conclusions: Sociodemographic characteristics, family history of depression and cerebrovascular diseases were associated with
greater odds of presenting clinically significant depressive symptoms. The inverse relationship between alcohol consumption
and the presentation of depressive symptoms needs to be better investigated. Physical activity seems to play an important role
in preventing depression in the elderly.
Biography
Alexandrino-Silva Clovis Junior is Graduate in Medicine at the Faculty of Medicine of Fundação do ABC, São Paulo, Brazil (2003), and underwent Medical Res-
idency in Psychiatry at the same institution. He got his Doctorate degree from the Department of Psychiatry at the Faculty of Medicine of the University of São
Paulo (2012). Currently, he is a Post-doctoral Research Fellow at the Old Age Research Group (PROTER) from the Department of Psychiatry at the Faculty of
Medicine of the University of São Paulo. He was also Coordinator of the Psychiatric Emergencies Service of the Santo André Hospital Center, Research Doctor
and Collaborator of the Disciplines of Psychiatry and Medical Psychology at the Faculty of Medicine of Fundação do ABC and Medical Researcher at the Faculty
of Medicine of the University of São Paulo. He holds a specialist title in Psychiatry and professional competence certificate in psychogeriatric obtained from the
Brazilian Association of Psychiatry.
Notes: alexandrinojr@yahoo.com.br
Journal of Psychiatry | Volume: 21
Page 64Mili Kakadia, J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Tobacco chewing practices, awareness and expenditure: A cross-sectional study in an urban slum
of Bhavnagar city
Mili Kakadia1, 2
1
Bhavnagar Government Medical College, India
2
Sir T- General Hospital, India
T obacco consumption has been an addiction in India since time immemorial. Bhavnagar is a city with tobacco chewing
rates higher than most cities in India. Considering the enormous health complications associated with tobacco use, it is of
utmost importance to understand the factors leading to its use and to plan strategies to reduce its intake. Report of this study
reviews the tobacco chewing practice in different age groups, reason of starting, any awareness about its health related adverse
consequences, any attempt of quitting, total monthly expenditure on tobacco etc. A cross-sectional study was conducted in
Vadva, an urban slum settlement in Bhavnagar city (Gujarat, India). The area represents the low socio-economic group and
inhabits diverse ethnicities. The information was collected on a pre-tested semi-structured questionnaire determining the
frequency of use, knowledge and attitude regarding chewing tobacco. Among the population studied, out of 150 respondents,
108 respondents (72%) were chewing tobacco in some form. Tobacco use in urban slums of Bhavnagar city is almost thrice
than the rest of India (25.9%) but higher among lower social economic group. The fact that women are also chewing tobacco
is a matter of concern. More than three-fourth of the tobacco chewers started chewing due to peer pressure. More than 95%
of the tobacco chewers were aware of the harmful effects due to tobacco chewing. About three-fourth of the tobacco chewers
continue to chew tobacco as they are now addicted to it. More than 43% of the tobacco chewers agreed that this habit of theirs
puts an economic burden on them pulling them below poverty line. Tobacco control therefore should be a top priority amongst
the substance abuses in Bhavnagar
Biography
Mili Kakadia has been a student of Government Medical College, Bhavnagar, India from August 2011 and graduated in MBBS (Bachelor of Medicine; Bachelor of
Surgery) in March 2017. She is now preparing for USMLE step 2 to pursue residency in USA.
mili.kakadia@yahoo.com
Notes:
Journal of Psychiatry | Volume: 21
Page 65Meng Zi Jie Aaron, J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Olfactory reference syndrome- A case report
Meng Zi Jie Aaron
Ministry of Health Holdings, Singapore
Background: Olfactory reference syndrome (ORS) is an interesting psychiatric condition which is characterised by a
preoccupation that one emits body odour, which is not perceived by others. While anecdotally described as a discrete
condition, its phenomenological overlap between anxiety and psychotic disorders poses a challenge in diagnostic classification.
We present a case of a 19 year old Chinese Male who was referred through his gastroenterologist for having a fixed persistent
belief of having an offensive body odour, which seemingly worsened after his mother had passed away. He was found to have
significant anxiety and coped with safety behaviours which had become maladaptive with time. His excessive worries were also
associated with psychotic symptoms of referential delusions and olfactory hallucinations related to flatulence. As in our case,
the clinical picture of ORS may cross both anxiety and psychotic symptoms and warrants further review in the latest diagnostic
classification manual.
Biography
Meng Zi Jie Aaron is a graduate of Yong Loo Lin School of Medicine from the National University of Singapore. He is currently a Senior Resident of the local Psychi-
atry Residency Programme and is in his final year of training at Ng Teng Fong General Hospital. He has undergone rotations in most fields of Psychiatry, including
Adult General Psychiatry, Child and Adolescent Psychiatry, Psychogeriatric, Addiction Medicine, Consultation and Liason Psychiatry and Forensic Psychiatry.
aaron.meng@mohh.com.sg
Notes:
Journal of Psychiatry | Volume: 21
Page 66Ali Mahmood Khan, J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
The effectiveness of Selective Serotonin Reuptake Inhibitors (SSRI) for treatment of Obsessive
Compulsive Disorder (OCD) in adolescents and children: A systematic review and meta-analysis
Ali Mahmood Khan1 and Vijaya Padma Kotapati2
1
Kings County Hospital Center, USA
2
Manhattan Psychiatric Center, USA
O bsessive-compulsive disorder (OCD) is a common behavioral disorder among adolescents and children. The selective
serotonin reuptake inhibitors (SSRI) are the first pharmacological choice for this condition due to mild adverse effect
profile. This systematic review was performed to evaluate the efficacy of SSRI for OCD in adolescents and children. Search terms
were entered into PubMed, PsycINFO, Scopus, CINAHL and Google Scholar. The included studies were randomized, placebo-
controlled trials of SSRIs conducted in populations of children and adolescents younger than 18 years. Change from baseline
CY-BOCS, end-treatment CY-BOCS with respective SD and response and remission rates were collected for continuous and
dichotomous outcome assessment, respectively. Cochrane RevMan software was used for meta-analyses, providing Forest
plots where applicable. SSRIs were superior to placebo with a small effect size. There was no additional benefit of combination
treatment over CBT alone, but CBT added substantial benefit to SSRI monotherapy. Fluoxetine and Sertraline appear to be
superior to Fluvoxamine. The results of current systematic review and meta-analysis support the existing NICE guidelines
for choosing CBT as the first line of treatment and substituting it with SSRI depending on patient preference. Adding CBT to
current SSRI treatment is effective for non-responders and partial responders, but adding SSRI to ongoing CBT does not prove
beneficial. The SSRIs have different effectiveness and their relative efficacy remains to be investigated.
Biography
Ali Mahmood Khan has completed his Medical School from Ziauddin University in Pakistan. After completing his degree, he came to USA and cleared all his USMLE
exams, along with working as an extern at different prestigious hospitals in New York. In 2018, he matched for residency in Psychiatry at University of Texas (Rio
Grande Valley). He has over 14 months of clinical experience in Psychiatry and has managed to publish 17 articles in this field. Currently, he continues to work as
a Research Intern at Kings County Hospital Center.
Vijaya Padma Kotapati has completed her Medical School from Meenakshi Medical College in India. After completing her degree she cleared her USMLE with
flying colors. She has a keen interest in research and wants to pursue Psychiatry residency and will be applying in the upcoming March. Currently, she is working
at Manhattan Psychiatric Center as a Research Intern.
ali_mahmood_khan@hotmail.com
padmakotapati89@gmail.com
Notes:
Journal of Psychiatry | Volume: 21
Page 67Despoina Drivakou et al., J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
The correlation between 25(OH) D Vitamin D levels and anxiety; A cohort study in elderly people
in North Greece
Despoina Drivakou1,2, Evangelia Zaromytidou3, Stavroula Konstantinidou1, Konstantinos Kalesis1, Athanasios Notopoulos1 and Kalliopi Kotsa1
1
AHEPA University hospital- Aristotle University of Thessaloniki, Greece
2
Psychologist, private practice, Greece
3
Hippokration General Hospital, Greece
Objective: The aim of this study was to investigate the relation of 25(OH) D levels with anxiety and depression symptoms in
elderly individuals. Depression and anxiety are common in elderly individuals. Vitamin D insufficiency/deficiency is common
in the elderly. However, a limited number of studies has analysed the association between vitamin D levels and anxiety/
depression prevalence in elderly population.
Methods: Data were collected from 130 elderly individuals (N=130, 60-98 years) attending the Κ.Α.P.I of East Prefecture of
Thessaloniki, from October 2015 to November 2017. Blood samples were collected during the winter periods and vitamin
D levels were measured. The psychological state of the participants was assessed with the STAI, which comprises two scales:
S-Anxiety and T-Anxiety. Furthermore, symptoms of depression were assessed with the CES-D scale, a useful tool for detection
of this clinical entity independent of the psychological wellness. The indicated value index for the presence of depression in
Greek population is greater than 9.03. The statistical data processing was carried out using the SPSS.
Results: Data from 130 individuals were analysed. They were classified as vitamin D sufficient (25(OH) D >30 ng/ml),
insufficient (25(OH) D: 21-29 ng/ml), deficient (25(OH) D < 20 ng/ml) and severely deficient (25(OH) DMalgorzata Dragan et al., J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Adapting the Difficulties in Emotional Regulation Scale (DERS) for the Albanian population
Malgorzata Dragan and Esheref Haxhiu
University of Warsaw, Poland
Background & Aim: The Difficulties in Emotional Regulation Scale (DERS) is a 36-item self-report scale, designed to assess
multiple aspects of emotional dysregulation. These aspects include: an acceptance of emotional responses, difficulties engaging
in goals-directed behavior, impulse control difficulties, lack of emotional awareness, limited access to emotion regulation
strategies, and the lack of emotional clarity. The DERS is a new and promising scale, and the previous findings suggest that it
has good psychometric properties. The purpose of the present study is to make the Albanian population adapt the DERS scale.
Methods: Two independent professional translators have translated the scale from the English version into Albanian, and then
the back translation was done from another third translator. After completing the translation process, a sample of 340 high
school students (n=340), age 18-19, fulfilled the questionnaire twice in a two-week period.
Results: The results reveal that the Albanian version of DERS has good psychometric properties. The internal consistency of
the scale in both study phases was shown to be high (α ≥0.85), as well the test-retest reliability (r=0.85).
Conclusions: The Albanian version of DERS is a reliable scale for measuring the difficulties in emotional regulation for the
respective population.
Biography
Małgorzata Dragan is an Associate Professor of Department of Clinical Child and Family Psychology at Faculty of Psychology, University of Warsaw. She is also
Cognitive-Behavioral Therapist and a Board Member of European Society for Traumatic Stress Studies.
malgorzata.dragan@psych.uw.edu.pl
Notes:
Journal of Psychiatry | Volume: 21
Page 691669th Conference
PSYCHIATRY 2018
28th World Congress on
PSYCHIATRY, PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
e-Poster
Page 71Sartaj S Brar, J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Unique somatic delusions in a schizoaffective patient
Sartaj S Brar
Kaweah Delta Health Care District, USA
Background & Motivation: This is a case of a male pretrial inmate in his 30’s admitted into a psychiatric hospital due to self-
harm and poor self-care. He had sustained severe injuries in an attempt to remove large portions of his scalp. In fixed somatic
delusions such as these, patients tend to fail to respond to a range of antidepressant and antipsychotic medications. This case
report presents an instance in which a schizoaffective patient with a fixed somatic delusion was unresponsive to conventional
treatment. Also discussed are warning signs for malingering and barriers to treatment in this particular patient population.
Methods: I had interviewed this patient throughout his hospital stay and reviewed the patient’s records, including prior
admissions, to attain enough information to put together a plausible set of explanations and differential diagnoses.
Results: The patient believed that someone had put super glue under the skin of his scalp while he was sleeping in his jail cell,
and that the only way to remove it was by picking at it until it was gone. His explanations as to who had altered his scalp seemed
to vary significantly; at different points, he stated that it had been done by movie stars from Hollywood, fellow inmates in jail,
and a distant relative of a friend. Throughout his hospitalization, he had severe excoriation of his scalp, with bright red flesh
being clearly visible to the naked eye.
Discussion: Review of the literature suggests numerous reasons for why people may present with somatic delusions. One
hypothesis is that it serves as a defense mechanism to cope with trauma and other stressors. In the case of this patient, prior
to his admission he had numerous financial and environmental stressors, such as being unemployed and divorced, as well as a
history of physical and emotional trauma.
Conclusions: Somatic delusions are still poorly understood, and a wider range of research is still needed to explain the
pathophysiology behind delusional symptoms and their association to other psychiatric disorders. Extensive research is also
needed to understand how to better treat fixed somatic delusions, as the current treatment protocol seems to be ineffective in
patients such as this one.
Biography
Sartaj S Brar has completed his premedical program at Kasturba Medical College International Center in Manipal, India. After this program, he finished his two
years of Basic Science courses at American University of Antigua. Currently, he is a third year Medical student doing clinical rotations at various hospitals around
the USA. He has been lucky enough to have been able to see many interesting patient cases while doing these rotations. Throughout his personal life, he has
seen others struggle with their physical and mental ailments. Along with working with patients during his rotations further fosters his unrelenting desire to serve the
populace and continue his plans to practice as a doctor. He is looking forward to learning and providing the best professional medical care as a medical student,
and eventually as a licensed Physician.
sartajsi@auamed.net
Notes:
Journal of Psychiatry | Volume: 21
Page 721669th Conference
PSYCHIATRY 2018
28th World Congress on
PSYCHIATRY, PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Accepted Abstracts
Page 73J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Why do young women abandon their newborns and psychotherapeutic strategies to prevent this
phenomenon
Aigul Nashkenova
National Medical University, Kazakhstan
S even mothers in the age of 17 to 26 (mean age 21) were consulted due to the abandonment of newborn infants. Six women had
adjustment disorder; the motive for rejecting children of most women (6 people) was subjective experience of shame, fear of parents
and society due to lack of legal relations with partners. All mothers shared a certain personality profile marked by dependency, weak
self esteem, immaturity, absence of affective support, psychological isolation and poor communication with partners and parents.
Lack of early pregnancy detection and poor social support contribute to this negative phenomenon. During the consultations of
the psychotherapist, 2 women had changed their decision and took their newborn children. Proceeding from the above, addresses
possible prevention strategies, necessity in providing competent, compassionate care to pregnant women. The psychotherapist have
to help women to accept their pregnancy, to reduce the severity of anxiety-depressive reactions due to disruption of communication
(with a partner), to reduce the severity of negative emotions of shame, fear, disgrace in connection with an illegitimate unwanted
pregnancy. After giving birth, the mother should be allowed to see her child and give him breastfeeding while she is in the hospital.
Partners and parents should be invited to conduct joint psychotherapy. The therapist should work towards establishing emotional
ties and a satisfactory relationship between the pregnant woman and her partners, parents. Long-term psychotherapy can help the
personal growth of women, which is necessary to take responsibility for their fate, including the fate of the future newborn.
aigul555@inbox.ru
Journal of Psychiatry | Volume: 21
Page 74J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Feasibility and acceptability of medical skin camouflage for recovery of women with self-harm scarring in
prison
Kerry Gutridge
University of Manchester, UK
Background: Self-harm is a huge problem in UK prisons. Women comprise just 5% of the prison population, but are responsible for
the majority of prison self-harm. Dealing with the effects of disfigurement from self-harm scarring has largely gone unaddressed; a
paucity of literature exists on recovery and psychological effects on individuals.
Purpose: To test the feasibility of using medical skin camouflage (MSC) products in a prison environment; collecting outcome
measures at baseline and six weeks; following women up at three months.
Methods: A pilot RCT; 20 women used MSC for six weeks, 20 were on the waitlist control. All women completed weekly self-
harm diaries and several outcomes measures, including assessment of depression, hopelessness, suicidal ideation and self-esteem.
Incidence of self-harm was assessed at baseline and post-intervention using prison records and weekly diaries. Qualitative interviews
were conducted with all participants and will be transcribed and analysed using thematic content analysis. Quantitative analyses will
be descriptive; including standard deviations and confidence intervals to inform sample size estimates for a future RCT. Follow-up
was piloted at three months.
Expected results: We anticipate that women using MSC are likely to benefit from improved self-esteem, wellbeing and social
relationships.
Current stage of study: 37/40 women have completed the study. Qualitative interviews are being conducted; data analysis will begin
imminently.
Discussion: This is the first trial of MSC in a prison. The pilot will provide preliminary data on whether MSC may be a beneficial
recovery-focused intervention for women who self-harm in prison.
kerry.gutridge@manchester.ac.uk
Notes:
Journal of Psychiatry | Volume: 21
Page 75J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Internet gaming disorder: A systematic literature review of neuroimaging studies
Cassandra Boduch
Texas A&M Health Science Center- College of Medicine, USA
I nternet gaming disorder (IGD) is a new disorder currently positioned in the appendix of the Diagnostic and Statistical Manual of
Mental Disorders, Fifth Edition (DSM-V). Research over the past decade has strongly suggested that excessive Internet Gaming
can lead to the development of a behavioral addiction. As such, IGD (DSM-V) is a serious threat to mental health with multiple
negative psychosocial consequences. Clinical studies have illustrated this disorder through neuroimaging studies, distinguishing
particular brain regions involved in the development and maintenance of addiction. The aim of this systematic review was to assess
current knowledge of neuroimaging techniques to better comprehend this emerging mental health problem. A literature search
was conducted utilizing the following search databases: Academic Search Premier, MEDLINE, PubMed, PsychINFO, ScienceDirect,
and Google Scholar to identify all available research evidence on neuroimaging of IGD (DSM-V). Preferred Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed during design, search, and reporting stages of this
review. These studies provide compelling evidence for the similarities between different types of addictions, particularly substance-
related addictions and internet gaming addiction on a molecular, neuronal, behavioral, and psychosocial level. The paper shows that
by understanding the neuronal correlates associated with the development of IGD (DSM-V), the importance and severity of this
condition will be highlighted, giving credence to the disorder and promote future research into other behavioral addictive disorders.
cboduch@medicine.tamhsc.edu
Notes:
Journal of Psychiatry | Volume: 21
Page 76J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Variations in PTSD characteristics among trauma-exposed urban black and non-black youth
Kevin Narine, Noah Suzuki, Rebecca Yeh and Anu Asnaani
University of Pennsylvania, USA
Background: Trauma exposure is a common occurrence among urban children and adolescents. To date, few studies have examined
comparative data on the prevalence and effects of trauma-related distress among trauma-exposed Black youth. The purpose of this
study was to investigate the association between trauma exposure attributes such as index trauma type and post-traumatic stress
disorder (PTSD) symptom clusters, and sociodemographic characteristics such as race and gender using the Child PTSD Symptom
Scale for DSM-5 (CPSS-5).
Method: The study included 64 children and adolescents (29.7% White, 45.3% Black, 14.1% Hispanic/Latino, and 9.4% biracial)
between the ages of 8-18 years who had experienced a DSM-5 Criterion A trauma. The participants completed the interviewer version
of the CPSS-five in community sites and clinics, as part of a larger psychometric study of the CPSS-5.
Analysis: A Chi-square test with post hoc comparisons was used to determine whether gender and racial minority status were related
to type of trauma. PTSD cluster symptom scores were subjected to a one way analysis of variance (ANOVA) with race or gender
status, and a two way analysis of variance (ANOVA) for the interaction effects of gender and racial status.
Results: Black youth less frequently endorsed index traumas involving serious injury or death than non-black youth (4.2% vs. 26.5%,
χ2=12.135, pJ Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Variables affecting post-inpatient psychiatric admission outcomes
Mathew Nguyen
Meridian Behavioral Healthcare, USA
C ompliance with appointments and treatment has been a long-standing issue in medicine, and it is especially important for
patients immediately discharged from inpatient psychiatric hospital stays. Rates of post-inpatient follow-ups vary from 30%-80%
depending on the study, and missing the first post-inpatient follow-up appointment can raise likely re-admission rates from 10% to
25%. We examine multiple variables which may affect whether psychiatric patients comply with their post-inpatient apppointments
and analyze whether bridge appointments affect compliance. We also analyze whether certain variables (e.g insurance status, homeless,
etc.) have any predictive value in post-inpatient follow-up compliance.
mathewlnguyen@gmail.com
Notes:
Journal of Psychiatry | Volume: 21
Page 78J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Patients' and health care providers' perception of and attitudes towards the use of music as therapy in
psychiatric hospitals
Mayar Elnakeeb1, Heba Hammad2 and Mervat Elgueneidy1
1
University of Alexandria, Egypt
2
University of Damanhour, Egypt
Introduction: Music is a widely utilized form of complementary therapy. Despite the available literature supporting its positive effect
on patients, yet its use in psychiatric clinical settings is still limited. Positive perception and greater understanding of music as therapy
may lead to increase use of music, and more opportunities for direct patient care. Little literature indicates that if health care providers
are interested in Music as Therapy, this will help in the provision of sound medical advice to their patients.
Aim: This study aimed to explore patients' and health care providers' perception and attitudes towards the use of music as therapy in
psychiatric hospitals.
Design: The study followed a descriptive research design. Setting: It was conducted at El-Maamoura Hospital for psychiatric medicine.
Methods: Four tools were used for data collection. The attitude towards the use of music as therapy survey, the psychiatric health
care provider's perception of music as therapy structured interview schedule, patient`s perception of music as therapy structured
interview schedule, and a socio-demographic and clinical data sheet were used.
Results: 75.1% of the studied health care providers had high knowledge about music as therapy and 81.8% of them had positive
perception of music as therapy and of its effectiveness and 70.7% of the studied health care providers had positive attitude towards
music as therapy. Additionally, 70.8 % of the studied patients perceived that they could use music as therapy and 66.2% of the studied
patients had positive attitude toward music as therapy.
Conclusion: Health care providers have knowledge about music as therapy, they perceive it as helpful in improving patients' condition
and they possess positive attitudes towards music as therapy. So the researcher recommended that nurses should assume a more
positive role in the implementation of music as therapy. Integrating music as therapy into the nursing and medical curriculum is
necessary and psycho-educational programs to develop patients' awareness about music as therapy are needed.
mayar.e.elnakeeb@gmail.com
Notes:
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Page 79J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Depression among patients attending antiretroviral treatment program in public health facilities in Bahir
Dar city, Ethiopia
Minale Tareke
Bahir Dar University, Ethiopia
Background: The magnitude of depression is not well investigated among people living with HIV/AIDS. Thus, this research aimed to
assess the magnitude of depression and its influencing factors among people living with HIV/AIDS attending government institutions
in Bahir Dar City, North West, Ethiopia.
Methods: Institution based-cross-sectional study was done among randomly selected 415 people living with HIV/AIDS attending
antiretroviral therapy program in Bahir Dar city, Ethiopia. Socio-demographic data and medical histories for all respondents were
collected using interviewer-administered structured questionnaire. We assessed the odds of association of patient characteristics with
depression was assessed using multiple logistic regressions. The relative effect estimates of the respective factors were presented with
odds ratio accompanied by their 95% uncertainty intervals.
Results: From 407 people living with HIV/AIDS interviewed, 198 (48.6%) of them had depression. Social support, HIV clinical
staging, total daily pill burden, treatment regimen and adherence to highly active antiretroviral therapy were significantly associated
with depression.
Conclusion: The magnitude of depression among people living with HIV/AIDS was found to be high. Early mental health screening
should be done for people living with HIV/AIDS.
minale23@gmail.com
Notes:
Journal of Psychiatry | Volume: 21
Page 80J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Zolpidem-induced acute altered mental status: A report of two cases
Mohammad Babaeian1, Abdolhamid Parsa1, Maryam Babaeian2 and Maryam Nakhjavani3
1
Shahid Beheshti University of Medical Sciences, Iran
2
Isfahan University of Medical Sciences, Iran
3
Shahid Beheshti University of Medical Sciences, Iran
Z olpidem is one of the commonly prescribed sedative-hypnotics for the treatment of insomnia. Due to its effectiveness and side
effect profile which was thought to be milder and less problematic compared to other available sedative-hypnotics, zolpidem
gained a huge popularity across the world. However, the growing body of evidence and reports on the adverse effects of zolpidem,
and also its potential for misuse which has made it one of the commonly abused prescribed drugs, show that this medicine should
be prescribed more cautiously. Several cases of coma induced by high dose of zolpidem have been reported thus far. Throughout the
current manuscript, two cases of zolpidem use (10 and 200 mg) are reported. These two cases developed altered mental status during
intoxication without any other detectable acute ill-sorted consequences
babaeianm@gmail.com2
Notes:
Journal of Psychiatry | Volume: 21
Page 81J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Internet addiction disorder among adults and adolescents: Exploring correlates with obsessive use of social
media, selfitis and narcissism
Priyanka Anjan Rao
University of Delhi, India
T here has been a tremendous change in social and individual behavior with the advancement in technology. Technology has
introduces a virtual social world which has alter the individual behavior and its expression in social context. India is one of
the biggest markets for Face-book. As well as providing a larger context to influence social behavior in both positive and negative
aspect. Selfie is a concept popularized by many leaders and celebrities through media. Researches show that there has been increased
obsession with social networking sites, taking selfie and narcissistic trait of personality. The purpose of this study is to understand
the role of technology on the mental health of adolescents and adult altering their thought, emotion and action. Pattern of internet
Addiction disorder will be studied on 1000 adults and adolescents. The study explores the relation among Narcissism, Selfitis and
excessive use of social media. Appropriate scales were used to measure the variable of study. Result shows that high use of social
media, and Selfitis are significantly related with narcissism. IAD causes neurological complications, Psychological Disturbances and
Social Problems whereas such researches are not conducted in Indian population recognizing these obsessive usages as problematic.
Identification of the problem is major goal of study. Recommendations are made to the educators, counselors, and Psychologist for
the early identification of behavioral symptoms.
priyabhu16@gmail.com
Notes:
Journal of Psychiatry | Volume: 21
Page 82J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Addiction and personality; is there any connection?
Rupesh Chaudhary
Dayanand Medical College and Hospital, India
Introduction: Personality traits as predisposition factors to addiction or the appetite for drugs. Mc Carthy and Costa (1991)
states those five characters: neuroticism, extroversion, openness to experience, conscientiousness and agreeableness are important
determinants for addiction.
Aim: To understand personality characteristics of the substance abusers and its role, whether these characters contributes for the
addictive nature.
Materials & Methods: Total 35 patients each of alcohol and opioid dependence presenting to DMC&H outdoor and indoor facilities
and 35 normal subjects, ranging from age group 18-60 years were taken in the study after their consent and who fulfilled the criteria
of substance dependence according to ICD-10. Personality evaluation done using 16PF Questionnaire developed by Cattell. The
collected data was analyzed using two sample t-test for unequal variances using excel and conclusions were withdrawn.
Result: Alcoholics are more imaginative, more confident, wrapped up in inner urgencies as well as careless of practical matter as
opioid addicts. They are tenser, frustrated, suspicious and self-opinionated than opioid addicts while opioid addicts are more group
dependent, sentimental and poor decision makers. Normal subjects differ significantly differ from both alcoholics and opioid addicts.
These personality traits reflect that they have significant role in addictive behavior which is being supported by the literature.
Conclusion: The results of this research can be a new direction towards researchers and psychologist who work in addiction clinics
to pay more attention to personality factors so that appropriate strategies in counseling and psychotherapy can be made
rupeshchaudhry123@yahoo.co.in
Notes:
Journal of Psychiatry | Volume: 21
Page 83J Psychiatry 2018, Volume: 21
DOI: 10.4172/2378-5756-C1-036
28th World Congress on
PSYCHIATRY,
PSYCHOLOGICAL SYNDROMES & THERAPEUTICS
May 21-22, 2018 | New York, USA
Association of parents’ and child’s post-traumatic stress disorder (PTSD) symptoms among Nepalese
children exposed to the 2015 earthquake
Shneha Acharya
Prince of Songkla University, Thailand
Objectives: Emotional, functional and psychological balance of the parents towards their children during the time of disaster is
related to children’s psychopathological symptomatology. This study aims to identify the association between types of parental PTSD
symptoms and children’s PTSD symptoms affected by 2015 earthquake in Nepal.
Methods: A community-based cross-sectional study was carried out in Kathmandu district fifteen months after the 2015 earthquake.
Multi-stage cluster sampling was used to collect 800 earthquake affected children of age 7-16 years and their parents. Face-to-face
interview with structured Children PTSD Symptoms Scale (CPSS), Impact Event Scale (IES) and Family Assessment Device (FAD)
was done. Logistic regression was done to identify the association between parental and children PTSD symptoms.
Results: Of all 800 children, 28.9% had both parents without any symptoms of PTSD, 36.6% had mother, 3.6% had father with PTSD
symptoms whereas 12.2% had single parent without PTSD symptoms. Children having both parents with PTSD symptoms were 6.72
[95% CI 4.21,10.75] times, children having mother with PTSD symptoms were 2.56 times [95% CI 1.16, 5.64] and those with father
having PTSD symptoms were 3.85 times [95% CI 2.65, 5.58] more likely to have severe PTSD symptoms, compared to those without
any parental PTSD.
Conclusion: Consideration and assessment of maternal, paternal and both parents PTSD symptoms is quiet important while making
intervention for children stress reactions or PTSD symptoms. Role of father in children’s stress reaction cannot be ignored.
aarfasneha@gmail.com
Notes:
Journal of Psychiatry | Volume: 21
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