Intelligent machines and mental health in the era of COVID-19
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.015. Online ahead of print.ABSTRACTThe idea of a network of small devices that would be able to connect each other, appeared in the early 80s. In a prophetic article, Mark Weiser,1 described such a connection, that it is now known under the term of Internet of Things (IoT). In a broadest sense, the term IoT encompasses everything connected to the internet, but it is increasingly being used to define objects that "talk" to each other, creating a network from simple sensors to smartphones and wearables connected. During the recent years this network of communicat...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Aristomenis Alevizopoulos Jacob Kritikos Georgios Alevizopoulos Source Type: research

Childhood trauma and suicidality in bipolar disorder: The mediatory role of impulsivity
This study aimed to explore potential mediatory effects of impulsivity in the pathway from CT to suicidality in BD. CT was assessed with the Early Trauma Inventory Self Report-Short Form (ETI-SR-SF), impulsivity with the Barratt Impulsivity Scale-11 (BIS-11) while lifetime suicidality was investigated with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). The effect of childhood trauma on suicidality and impulsivity as well as the effect of impulsivity on suicidality were examined with multiple linear regressions, including gender, age and diagnosis (BD-I, BD-II) as covariates. Structural equation models were built and...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Sofia Dramilaraki Anastasia Antoniou Evgenia Porichi Vassiliki Efstathiou Ioannis Michopoulos Rossetos Gournellis Athanassios Douzenis Panagiotis Ferentinos Source Type: research

Cognitive - behavioral psychotherapy of patients with tinnitus
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.017. Online ahead of print.ABSTRACTIn this work 112 studies were reviewed and 21 of them were considered as more reliable and more credible. It is well known that Cognitive-Behavioural Therapy (CBT) is the most valid approach regarding its effectiveness. There are many variations of CBT used in patients with tinnitus, but the most effective appears to be the Cognitive-Behavioural Acceptance and Commitment Therapy. Also, treatment-variations consist in the use of hearing aids, and psycho-education. The Acceptance and Commitment Therapy is a third-generation psychological ...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Nikitas-Apollon I Panagiotopoulos Christos I Istikoglou Ioannis Liappas Dimitra Kentroti Elisavet Andreou Ioannis Rizavas Demetrios Vlissides Source Type: research

Effects of unemployment on financial hardship and mental health
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.018. Online ahead of print.ABSTRACTThe fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Latsou Mary Geitona Source Type: research

Schizophrenia spectrum disorders and physical exercise
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.019. Online ahead of print.ABSTRACTRecent research data points to the beneficial role of physical exercise in mental health. Long-term physical activity may promote neurogenesis and angiogenesis in people with mental illnesses improving their cognitive functions and overall functionality. In many cases, it is strongly recommended to include physical exercise in the therapeutic planning for people with mental illnesses, including schizophrenia. The purpose of this review is to study current research data on the effect of physical exercise on the symptomatology of the firs...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Kostas Makris Konstantinos Kollias Source Type: research

Crisis intervention for serious mental disorders. The example of the First Department of Psychiatry of Athens University
We describe the crisis management and resolution service for serious mental disorders established by the First Department of Psychiatry of the National and Kapodistrian University of Athens. The service is intended to meet patients' needs for adequate management of acute mental crisis without hospitalization, while implementing modern standards in mental care and considering existing restrictions in mental health resources and public expenditure. Last decade we witness an increase in demand for psychiatric beds in Psychiatric clinics of General Hospitals resulting in a drastic increase of auxiliary beds that becomes a seri...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Maria Margariti Ilias Vlahos Katerina Koureta Paraskevi Chondraki Panagiotis Aristotelidis Dimitra Mpourazana Charalambos Papageorgiou Source Type: research

New patients' access to psychiatric treatment services: Improving the quality indicators of mental health services
We present the results of the use of an organized system for the management of new requests for psychiatric treatment, which is based on the triage and evaluation of priorities. While taking into consideration the administrative distribution of the health services, our system intervenes in the waiting time by evaluating the requests in terms of medical and moral criteria, via gradual prioritization. Principal aim is waiting time reduction as well as the optimal response of our service to the needs of our patients. This perspective study was based on the new requests. The 1839 (100%) requests for first psychiatric evaluatio...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Mpourazana Ilias I Vlachos Panagiotis Aristotelidis Aikaterini Koureta Eleni Lempesi Paraskevi Chondraki Sisi Tsantila Charalampos Papageorgiou Maria Margariti Source Type: research

Therapeutic approaches in psychosomatic medicine from a biopsychosocial perspective
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.022. Online ahead of print.ABSTRACTPsychosomatic medicine is an interdisciplinary field of medicine that focuses on the interaction of biological, psychological, social and behavioral factors in the genesis of a disorder. A key element of the psychosomatic view is the effect of stress on the homeostatic dysregulation and the consequent emergence of symptomatology. The fields of intervention in psychosomatic medicine include health behavior modifications, a general psychosomatic approach, psychotherapy and pharmacotherapy. Assessment strategies include the Diagnostic Crit...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Angeliki Theodorakopoulou Ioannis Tollos Georgios N Christodoulou Source Type: research

Stress and pathophysiological mechanisms for the development of psychosomatic disease
This article deals with the psycho-biological field of Psychosomatic research, namely, the effect of stress on the body. The human organism, in the prospect of evolution, has developed biological mechanisms for maintaining its homeostasis (ομοιόσταση), in its interchange with the stressor stimuli. This process is called allostasis. The response to mild - short-term stress induces activation of the hypothalamic - pituitary - adrenal axis, the sympathetic system and the immune system; a process that proves beneficial to the body. On the contrary, exposure to traumatic or chr...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Ioannis Tollos Angeliki Theodorakopoulou Georgios N Christodoulou Source Type: research

Intelligent machines and mental health in the era of COVID-19
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.015. Online ahead of print.ABSTRACTThe idea of a network of small devices that would be able to connect each other, appeared in the early 80s. In a prophetic article, Mark Weiser,1 described such a connection, that it is now known under the term of Internet of Things (IoT). In a broadest sense, the term IoT encompasses everything connected to the internet, but it is increasingly being used to define objects that "talk" to each other, creating a network from simple sensors to smartphones and wearables connected. During the recent years this network of communicat...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Aristomenis Alevizopoulos Jacob Kritikos Georgios Alevizopoulos Source Type: research

Childhood trauma and suicidality in bipolar disorder: The mediatory role of impulsivity
This study aimed to explore potential mediatory effects of impulsivity in the pathway from CT to suicidality in BD. CT was assessed with the Early Trauma Inventory Self Report-Short Form (ETI-SR-SF), impulsivity with the Barratt Impulsivity Scale-11 (BIS-11) while lifetime suicidality was investigated with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). The effect of childhood trauma on suicidality and impulsivity as well as the effect of impulsivity on suicidality were examined with multiple linear regressions, including gender, age and diagnosis (BD-I, BD-II) as covariates. Structural equation models were built and...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Sofia Dramilaraki Anastasia Antoniou Evgenia Porichi Vassiliki Efstathiou Ioannis Michopoulos Rossetos Gournellis Athanassios Douzenis Panagiotis Ferentinos Source Type: research

Cognitive - behavioral psychotherapy of patients with tinnitus
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.017. Online ahead of print.ABSTRACTIn this work 112 studies were reviewed and 21 of them were considered as more reliable and more credible. It is well known that Cognitive-Behavioural Therapy (CBT) is the most valid approach regarding its effectiveness. There are many variations of CBT used in patients with tinnitus, but the most effective appears to be the Cognitive-Behavioural Acceptance and Commitment Therapy. Also, treatment-variations consist in the use of hearing aids, and psycho-education. The Acceptance and Commitment Therapy is a third-generation psychological ...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Nikitas-Apollon I Panagiotopoulos Christos I Istikoglou Ioannis Liappas Dimitra Kentroti Elisavet Andreou Ioannis Rizavas Demetrios Vlissides Source Type: research

Effects of unemployment on financial hardship and mental health
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.018. Online ahead of print.ABSTRACTThe fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Latsou Mary Geitona Source Type: research

Schizophrenia spectrum disorders and physical exercise
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.019. Online ahead of print.ABSTRACTRecent research data points to the beneficial role of physical exercise in mental health. Long-term physical activity may promote neurogenesis and angiogenesis in people with mental illnesses improving their cognitive functions and overall functionality. In many cases, it is strongly recommended to include physical exercise in the therapeutic planning for people with mental illnesses, including schizophrenia. The purpose of this review is to study current research data on the effect of physical exercise on the symptomatology of the firs...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Kostas Makris Konstantinos Kollias Source Type: research

Crisis intervention for serious mental disorders. The example of the First Department of Psychiatry of Athens University
We describe the crisis management and resolution service for serious mental disorders established by the First Department of Psychiatry of the National and Kapodistrian University of Athens. The service is intended to meet patients' needs for adequate management of acute mental crisis without hospitalization, while implementing modern standards in mental care and considering existing restrictions in mental health resources and public expenditure. Last decade we witness an increase in demand for psychiatric beds in Psychiatric clinics of General Hospitals resulting in a drastic increase of auxiliary beds that becomes a seri...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Maria Margariti Ilias Vlahos Katerina Koureta Paraskevi Chondraki Panagiotis Aristotelidis Dimitra Mpourazana Charalambos Papageorgiou Source Type: research

New patients' access to psychiatric treatment services: Improving the quality indicators of mental health services
We present the results of the use of an organized system for the management of new requests for psychiatric treatment, which is based on the triage and evaluation of priorities. While taking into consideration the administrative distribution of the health services, our system intervenes in the waiting time by evaluating the requests in terms of medical and moral criteria, via gradual prioritization. Principal aim is waiting time reduction as well as the optimal response of our service to the needs of our patients. This perspective study was based on the new requests. The 1839 (100%) requests for first psychiatric evaluatio...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Mpourazana Ilias I Vlachos Panagiotis Aristotelidis Aikaterini Koureta Eleni Lempesi Paraskevi Chondraki Sisi Tsantila Charalampos Papageorgiou Maria Margariti Source Type: research

Therapeutic approaches in psychosomatic medicine from a biopsychosocial perspective
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.022. Online ahead of print.ABSTRACTPsychosomatic medicine is an interdisciplinary field of medicine that focuses on the interaction of biological, psychological, social and behavioral factors in the genesis of a disorder. A key element of the psychosomatic view is the effect of stress on the homeostatic dysregulation and the consequent emergence of symptomatology. The fields of intervention in psychosomatic medicine include health behavior modifications, a general psychosomatic approach, psychotherapy and pharmacotherapy. Assessment strategies include the Diagnostic Crit...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Angeliki Theodorakopoulou Ioannis Tollos Georgios N Christodoulou Source Type: research

Stress and pathophysiological mechanisms for the development of psychosomatic disease
This article deals with the psycho-biological field of Psychosomatic research, namely, the effect of stress on the body. The human organism, in the prospect of evolution, has developed biological mechanisms for maintaining its homeostasis (ομοιόσταση), in its interchange with the stressor stimuli. This process is called allostasis. The response to mild - short-term stress induces activation of the hypothalamic - pituitary - adrenal axis, the sympathetic system and the immune system; a process that proves beneficial to the body. On the contrary, exposure to traumatic or chr...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Ioannis Tollos Angeliki Theodorakopoulou Georgios N Christodoulou Source Type: research

Intelligent machines and mental health in the era of COVID-19
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.015. Online ahead of print.ABSTRACTThe idea of a network of small devices that would be able to connect each other, appeared in the early 80s. In a prophetic article, Mark Weiser,1 described such a connection, that it is now known under the term of Internet of Things (IoT). In a broadest sense, the term IoT encompasses everything connected to the internet, but it is increasingly being used to define objects that "talk" to each other, creating a network from simple sensors to smartphones and wearables connected. During the recent years this network of communicat...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Aristomenis Alevizopoulos Jacob Kritikos Georgios Alevizopoulos Source Type: research

Childhood trauma and suicidality in bipolar disorder: The mediatory role of impulsivity
This study aimed to explore potential mediatory effects of impulsivity in the pathway from CT to suicidality in BD. CT was assessed with the Early Trauma Inventory Self Report-Short Form (ETI-SR-SF), impulsivity with the Barratt Impulsivity Scale-11 (BIS-11) while lifetime suicidality was investigated with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). The effect of childhood trauma on suicidality and impulsivity as well as the effect of impulsivity on suicidality were examined with multiple linear regressions, including gender, age and diagnosis (BD-I, BD-II) as covariates. Structural equation models were built and...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Sofia Dramilaraki Anastasia Antoniou Evgenia Porichi Vassiliki Efstathiou Ioannis Michopoulos Rossetos Gournellis Athanassios Douzenis Panagiotis Ferentinos Source Type: research

Cognitive - behavioral psychotherapy of patients with tinnitus
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.017. Online ahead of print.ABSTRACTIn this work 112 studies were reviewed and 21 of them were considered as more reliable and more credible. It is well known that Cognitive-Behavioural Therapy (CBT) is the most valid approach regarding its effectiveness. There are many variations of CBT used in patients with tinnitus, but the most effective appears to be the Cognitive-Behavioural Acceptance and Commitment Therapy. Also, treatment-variations consist in the use of hearing aids, and psycho-education. The Acceptance and Commitment Therapy is a third-generation psychological ...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Nikitas-Apollon I Panagiotopoulos Christos I Istikoglou Ioannis Liappas Dimitra Kentroti Elisavet Andreou Ioannis Rizavas Demetrios Vlissides Source Type: research

Effects of unemployment on financial hardship and mental health
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.018. Online ahead of print.ABSTRACTThe fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Latsou Mary Geitona Source Type: research

Schizophrenia spectrum disorders and physical exercise
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.019. Online ahead of print.ABSTRACTRecent research data points to the beneficial role of physical exercise in mental health. Long-term physical activity may promote neurogenesis and angiogenesis in people with mental illnesses improving their cognitive functions and overall functionality. In many cases, it is strongly recommended to include physical exercise in the therapeutic planning for people with mental illnesses, including schizophrenia. The purpose of this review is to study current research data on the effect of physical exercise on the symptomatology of the firs...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Kostas Makris Konstantinos Kollias Source Type: research

Crisis intervention for serious mental disorders. The example of the First Department of Psychiatry of Athens University
We describe the crisis management and resolution service for serious mental disorders established by the First Department of Psychiatry of the National and Kapodistrian University of Athens. The service is intended to meet patients' needs for adequate management of acute mental crisis without hospitalization, while implementing modern standards in mental care and considering existing restrictions in mental health resources and public expenditure. Last decade we witness an increase in demand for psychiatric beds in Psychiatric clinics of General Hospitals resulting in a drastic increase of auxiliary beds that becomes a seri...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Maria Margariti Ilias Vlahos Katerina Koureta Paraskevi Chondraki Panagiotis Aristotelidis Dimitra Mpourazana Charalambos Papageorgiou Source Type: research

New patients' access to psychiatric treatment services: Improving the quality indicators of mental health services
We present the results of the use of an organized system for the management of new requests for psychiatric treatment, which is based on the triage and evaluation of priorities. While taking into consideration the administrative distribution of the health services, our system intervenes in the waiting time by evaluating the requests in terms of medical and moral criteria, via gradual prioritization. Principal aim is waiting time reduction as well as the optimal response of our service to the needs of our patients. This perspective study was based on the new requests. The 1839 (100%) requests for first psychiatric evaluatio...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Mpourazana Ilias I Vlachos Panagiotis Aristotelidis Aikaterini Koureta Eleni Lempesi Paraskevi Chondraki Sisi Tsantila Charalampos Papageorgiou Maria Margariti Source Type: research

Therapeutic approaches in psychosomatic medicine from a biopsychosocial perspective
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.022. Online ahead of print.ABSTRACTPsychosomatic medicine is an interdisciplinary field of medicine that focuses on the interaction of biological, psychological, social and behavioral factors in the genesis of a disorder. A key element of the psychosomatic view is the effect of stress on the homeostatic dysregulation and the consequent emergence of symptomatology. The fields of intervention in psychosomatic medicine include health behavior modifications, a general psychosomatic approach, psychotherapy and pharmacotherapy. Assessment strategies include the Diagnostic Crit...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Angeliki Theodorakopoulou Ioannis Tollos Georgios N Christodoulou Source Type: research

Stress and pathophysiological mechanisms for the development of psychosomatic disease
This article deals with the psycho-biological field of Psychosomatic research, namely, the effect of stress on the body. The human organism, in the prospect of evolution, has developed biological mechanisms for maintaining its homeostasis (ομοιόσταση), in its interchange with the stressor stimuli. This process is called allostasis. The response to mild - short-term stress induces activation of the hypothalamic - pituitary - adrenal axis, the sympathetic system and the immune system; a process that proves beneficial to the body. On the contrary, exposure to traumatic or chr...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Ioannis Tollos Angeliki Theodorakopoulou Georgios N Christodoulou Source Type: research

Intelligent machines and mental health in the era of COVID-19
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.015. Online ahead of print.ABSTRACTThe idea of a network of small devices that would be able to connect each other, appeared in the early 80s. In a prophetic article, Mark Weiser,1 described such a connection, that it is now known under the term of Internet of Things (IoT). In a broadest sense, the term IoT encompasses everything connected to the internet, but it is increasingly being used to define objects that "talk" to each other, creating a network from simple sensors to smartphones and wearables connected. During the recent years this network of communicat...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Aristomenis Alevizopoulos Jacob Kritikos Georgios Alevizopoulos Source Type: research

Childhood trauma and suicidality in bipolar disorder: The mediatory role of impulsivity
This study aimed to explore potential mediatory effects of impulsivity in the pathway from CT to suicidality in BD. CT was assessed with the Early Trauma Inventory Self Report-Short Form (ETI-SR-SF), impulsivity with the Barratt Impulsivity Scale-11 (BIS-11) while lifetime suicidality was investigated with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). The effect of childhood trauma on suicidality and impulsivity as well as the effect of impulsivity on suicidality were examined with multiple linear regressions, including gender, age and diagnosis (BD-I, BD-II) as covariates. Structural equation models were built and...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Sofia Dramilaraki Anastasia Antoniou Evgenia Porichi Vassiliki Efstathiou Ioannis Michopoulos Rossetos Gournellis Athanassios Douzenis Panagiotis Ferentinos Source Type: research

Cognitive - behavioral psychotherapy of patients with tinnitus
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.017. Online ahead of print.ABSTRACTIn this work 112 studies were reviewed and 21 of them were considered as more reliable and more credible. It is well known that Cognitive-Behavioural Therapy (CBT) is the most valid approach regarding its effectiveness. There are many variations of CBT used in patients with tinnitus, but the most effective appears to be the Cognitive-Behavioural Acceptance and Commitment Therapy. Also, treatment-variations consist in the use of hearing aids, and psycho-education. The Acceptance and Commitment Therapy is a third-generation psychological ...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Nikitas-Apollon I Panagiotopoulos Christos I Istikoglou Ioannis Liappas Dimitra Kentroti Elisavet Andreou Ioannis Rizavas Demetrios Vlissides Source Type: research

Effects of unemployment on financial hardship and mental health
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.018. Online ahead of print.ABSTRACTThe fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Latsou Mary Geitona Source Type: research

Schizophrenia spectrum disorders and physical exercise
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.019. Online ahead of print.ABSTRACTRecent research data points to the beneficial role of physical exercise in mental health. Long-term physical activity may promote neurogenesis and angiogenesis in people with mental illnesses improving their cognitive functions and overall functionality. In many cases, it is strongly recommended to include physical exercise in the therapeutic planning for people with mental illnesses, including schizophrenia. The purpose of this review is to study current research data on the effect of physical exercise on the symptomatology of the firs...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Kostas Makris Konstantinos Kollias Source Type: research

Crisis intervention for serious mental disorders. The example of the First Department of Psychiatry of Athens University
We describe the crisis management and resolution service for serious mental disorders established by the First Department of Psychiatry of the National and Kapodistrian University of Athens. The service is intended to meet patients' needs for adequate management of acute mental crisis without hospitalization, while implementing modern standards in mental care and considering existing restrictions in mental health resources and public expenditure. Last decade we witness an increase in demand for psychiatric beds in Psychiatric clinics of General Hospitals resulting in a drastic increase of auxiliary beds that becomes a seri...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Maria Margariti Ilias Vlahos Katerina Koureta Paraskevi Chondraki Panagiotis Aristotelidis Dimitra Mpourazana Charalambos Papageorgiou Source Type: research

New patients' access to psychiatric treatment services: Improving the quality indicators of mental health services
We present the results of the use of an organized system for the management of new requests for psychiatric treatment, which is based on the triage and evaluation of priorities. While taking into consideration the administrative distribution of the health services, our system intervenes in the waiting time by evaluating the requests in terms of medical and moral criteria, via gradual prioritization. Principal aim is waiting time reduction as well as the optimal response of our service to the needs of our patients. This perspective study was based on the new requests. The 1839 (100%) requests for first psychiatric evaluatio...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Mpourazana Ilias I Vlachos Panagiotis Aristotelidis Aikaterini Koureta Eleni Lempesi Paraskevi Chondraki Sisi Tsantila Charalampos Papageorgiou Maria Margariti Source Type: research

Therapeutic approaches in psychosomatic medicine from a biopsychosocial perspective
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.022. Online ahead of print.ABSTRACTPsychosomatic medicine is an interdisciplinary field of medicine that focuses on the interaction of biological, psychological, social and behavioral factors in the genesis of a disorder. A key element of the psychosomatic view is the effect of stress on the homeostatic dysregulation and the consequent emergence of symptomatology. The fields of intervention in psychosomatic medicine include health behavior modifications, a general psychosomatic approach, psychotherapy and pharmacotherapy. Assessment strategies include the Diagnostic Crit...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Angeliki Theodorakopoulou Ioannis Tollos Georgios N Christodoulou Source Type: research

Stress and pathophysiological mechanisms for the development of psychosomatic disease
This article deals with the psycho-biological field of Psychosomatic research, namely, the effect of stress on the body. The human organism, in the prospect of evolution, has developed biological mechanisms for maintaining its homeostasis (ομοιόσταση), in its interchange with the stressor stimuli. This process is called allostasis. The response to mild - short-term stress induces activation of the hypothalamic - pituitary - adrenal axis, the sympathetic system and the immune system; a process that proves beneficial to the body. On the contrary, exposure to traumatic or chr...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Ioannis Tollos Angeliki Theodorakopoulou Georgios N Christodoulou Source Type: research

Intelligent machines and mental health in the era of COVID-19
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.015. Online ahead of print.ABSTRACTThe idea of a network of small devices that would be able to connect each other, appeared in the early 80s. In a prophetic article, Mark Weiser,1 described such a connection, that it is now known under the term of Internet of Things (IoT). In a broadest sense, the term IoT encompasses everything connected to the internet, but it is increasingly being used to define objects that "talk" to each other, creating a network from simple sensors to smartphones and wearables connected. During the recent years this network of communicat...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Aristomenis Alevizopoulos Jacob Kritikos Georgios Alevizopoulos Source Type: research

Childhood trauma and suicidality in bipolar disorder: The mediatory role of impulsivity
This study aimed to explore potential mediatory effects of impulsivity in the pathway from CT to suicidality in BD. CT was assessed with the Early Trauma Inventory Self Report-Short Form (ETI-SR-SF), impulsivity with the Barratt Impulsivity Scale-11 (BIS-11) while lifetime suicidality was investigated with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). The effect of childhood trauma on suicidality and impulsivity as well as the effect of impulsivity on suicidality were examined with multiple linear regressions, including gender, age and diagnosis (BD-I, BD-II) as covariates. Structural equation models were built and...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Sofia Dramilaraki Anastasia Antoniou Evgenia Porichi Vassiliki Efstathiou Ioannis Michopoulos Rossetos Gournellis Athanassios Douzenis Panagiotis Ferentinos Source Type: research

Cognitive - behavioral psychotherapy of patients with tinnitus
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.017. Online ahead of print.ABSTRACTIn this work 112 studies were reviewed and 21 of them were considered as more reliable and more credible. It is well known that Cognitive-Behavioural Therapy (CBT) is the most valid approach regarding its effectiveness. There are many variations of CBT used in patients with tinnitus, but the most effective appears to be the Cognitive-Behavioural Acceptance and Commitment Therapy. Also, treatment-variations consist in the use of hearing aids, and psycho-education. The Acceptance and Commitment Therapy is a third-generation psychological ...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Nikitas-Apollon I Panagiotopoulos Christos I Istikoglou Ioannis Liappas Dimitra Kentroti Elisavet Andreou Ioannis Rizavas Demetrios Vlissides Source Type: research

Effects of unemployment on financial hardship and mental health
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.018. Online ahead of print.ABSTRACTThe fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Latsou Mary Geitona Source Type: research

Schizophrenia spectrum disorders and physical exercise
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.019. Online ahead of print.ABSTRACTRecent research data points to the beneficial role of physical exercise in mental health. Long-term physical activity may promote neurogenesis and angiogenesis in people with mental illnesses improving their cognitive functions and overall functionality. In many cases, it is strongly recommended to include physical exercise in the therapeutic planning for people with mental illnesses, including schizophrenia. The purpose of this review is to study current research data on the effect of physical exercise on the symptomatology of the firs...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Kostas Makris Konstantinos Kollias Source Type: research

Crisis intervention for serious mental disorders. The example of the First Department of Psychiatry of Athens University
We describe the crisis management and resolution service for serious mental disorders established by the First Department of Psychiatry of the National and Kapodistrian University of Athens. The service is intended to meet patients' needs for adequate management of acute mental crisis without hospitalization, while implementing modern standards in mental care and considering existing restrictions in mental health resources and public expenditure. Last decade we witness an increase in demand for psychiatric beds in Psychiatric clinics of General Hospitals resulting in a drastic increase of auxiliary beds that becomes a seri...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Maria Margariti Ilias Vlahos Katerina Koureta Paraskevi Chondraki Panagiotis Aristotelidis Dimitra Mpourazana Charalambos Papageorgiou Source Type: research

New patients' access to psychiatric treatment services: Improving the quality indicators of mental health services
We present the results of the use of an organized system for the management of new requests for psychiatric treatment, which is based on the triage and evaluation of priorities. While taking into consideration the administrative distribution of the health services, our system intervenes in the waiting time by evaluating the requests in terms of medical and moral criteria, via gradual prioritization. Principal aim is waiting time reduction as well as the optimal response of our service to the needs of our patients. This perspective study was based on the new requests. The 1839 (100%) requests for first psychiatric evaluatio...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Mpourazana Ilias I Vlachos Panagiotis Aristotelidis Aikaterini Koureta Eleni Lempesi Paraskevi Chondraki Sisi Tsantila Charalampos Papageorgiou Maria Margariti Source Type: research

Therapeutic approaches in psychosomatic medicine from a biopsychosocial perspective
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.022. Online ahead of print.ABSTRACTPsychosomatic medicine is an interdisciplinary field of medicine that focuses on the interaction of biological, psychological, social and behavioral factors in the genesis of a disorder. A key element of the psychosomatic view is the effect of stress on the homeostatic dysregulation and the consequent emergence of symptomatology. The fields of intervention in psychosomatic medicine include health behavior modifications, a general psychosomatic approach, psychotherapy and pharmacotherapy. Assessment strategies include the Diagnostic Crit...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Angeliki Theodorakopoulou Ioannis Tollos Georgios N Christodoulou Source Type: research

Stress and pathophysiological mechanisms for the development of psychosomatic disease
This article deals with the psycho-biological field of Psychosomatic research, namely, the effect of stress on the body. The human organism, in the prospect of evolution, has developed biological mechanisms for maintaining its homeostasis (ομοιόσταση), in its interchange with the stressor stimuli. This process is called allostasis. The response to mild - short-term stress induces activation of the hypothalamic - pituitary - adrenal axis, the sympathetic system and the immune system; a process that proves beneficial to the body. On the contrary, exposure to traumatic or chr...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Ioannis Tollos Angeliki Theodorakopoulou Georgios N Christodoulou Source Type: research

Intelligent machines and mental health in the era of COVID-19
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.015. Online ahead of print.ABSTRACTThe idea of a network of small devices that would be able to connect each other, appeared in the early 80s. In a prophetic article, Mark Weiser,1 described such a connection, that it is now known under the term of Internet of Things (IoT). In a broadest sense, the term IoT encompasses everything connected to the internet, but it is increasingly being used to define objects that "talk" to each other, creating a network from simple sensors to smartphones and wearables connected. During the recent years this network of communicat...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Aristomenis Alevizopoulos Jacob Kritikos Georgios Alevizopoulos Source Type: research

Childhood trauma and suicidality in bipolar disorder: The mediatory role of impulsivity
This study aimed to explore potential mediatory effects of impulsivity in the pathway from CT to suicidality in BD. CT was assessed with the Early Trauma Inventory Self Report-Short Form (ETI-SR-SF), impulsivity with the Barratt Impulsivity Scale-11 (BIS-11) while lifetime suicidality was investigated with the Suicidal Behaviors Questionnaire-Revised (SBQ-R). The effect of childhood trauma on suicidality and impulsivity as well as the effect of impulsivity on suicidality were examined with multiple linear regressions, including gender, age and diagnosis (BD-I, BD-II) as covariates. Structural equation models were built and...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Sofia Dramilaraki Anastasia Antoniou Evgenia Porichi Vassiliki Efstathiou Ioannis Michopoulos Rossetos Gournellis Athanassios Douzenis Panagiotis Ferentinos Source Type: research

Cognitive - behavioral psychotherapy of patients with tinnitus
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.017. Online ahead of print.ABSTRACTIn this work 112 studies were reviewed and 21 of them were considered as more reliable and more credible. It is well known that Cognitive-Behavioural Therapy (CBT) is the most valid approach regarding its effectiveness. There are many variations of CBT used in patients with tinnitus, but the most effective appears to be the Cognitive-Behavioural Acceptance and Commitment Therapy. Also, treatment-variations consist in the use of hearing aids, and psycho-education. The Acceptance and Commitment Therapy is a third-generation psychological ...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Nikitas-Apollon I Panagiotopoulos Christos I Istikoglou Ioannis Liappas Dimitra Kentroti Elisavet Andreou Ioannis Rizavas Demetrios Vlissides Source Type: research

Effects of unemployment on financial hardship and mental health
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.018. Online ahead of print.ABSTRACTThe fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Dimitra Latsou Mary Geitona Source Type: research

Schizophrenia spectrum disorders and physical exercise
Psychiatriki. 2021 May 28. doi: 10.22365/jpsych.2021.019. Online ahead of print.ABSTRACTRecent research data points to the beneficial role of physical exercise in mental health. Long-term physical activity may promote neurogenesis and angiogenesis in people with mental illnesses improving their cognitive functions and overall functionality. In many cases, it is strongly recommended to include physical exercise in the therapeutic planning for people with mental illnesses, including schizophrenia. The purpose of this review is to study current research data on the effect of physical exercise on the symptomatology of the firs...
Source: Psychiatriki - May 30, 2021 Category: Psychiatry Authors: Kostas Makris Konstantinos Kollias Source Type: research