The impact of unemployment on mental health examined in a community mental health unit during the recent financial crisis in Greece.
Authors: Konstantakopoulos G, Pikouli K, Ploumpidis D, Bougonikolou E, Kouyanou K, Nystazaki M, Economou M Abstract Financial crisis has significant impact on the mental health of the population, resulting in increasing incidence of mental disorders and suicides. Specific social and financial factors mediate the effects of financial crisis on mental health, such as poverty, financial difficulties and unemployment. During the recent international financial crisis, studies in many countries have shown that the worsening of various mental health indicators was related to financial difficulties and unemployment. In Gre...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

The diathesis-stress model in the emergence of major psychiatric disorders during military service.
Authors: Chasiropoulou C, Siouti N, Mougiakos T, Dimitrakopoulos S Abstract Existing evidence and the diathesis-stress model hypothesis suggest that stress as an environmental factor may trigger the onset of psychiatric disorders, such as psychosis spectrum disorders, mood disorders, anxiety disorders, in people with an underlying vulnerability. The purpose of this study was to determine the period of time during military service at which symptomatology of clinical significance is more often developed, considering that stress of service and adaptation to its requirements is common to all army recruits. A retrospect...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

Association between happiness and psychopathology in an elderly regional rural population in Crete.
Authors: Nikolakakis N, Dragioti E, Paritsis N, Tsamakis K, Christodoulou NG, Rizos EN Abstract Research has shown that socio-demographic profile and psychopathology symptoms are related to levels of happiness in old age. The aims of this cross-sectional study were: 1) to investigate the effect of recent stressful life events and socio-demographic factors on psychopathological symptoms in elderly residents in mountain regions of Crete, Greece and 2) to explore the mechanism which underlies the relationship between socio-demographic factors and psychopathological symptoms, with levels of happiness in old age. To thi...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

The role of acculturation attitudes and social support in anxiety and depression of Indian immigrants in Greece.
Authors: Kateri EV, Tsouvelas G, Karademas EC Abstract In the present study, we examined factors that may impact immigrants' anxiety and depressive symptoms, focusing on the role of acculturation attitudes and social support. The participants of the present study were first generation Indian immigrants residing in Crete, Greece (N=114). Our first hypothesis was that Indian immigrants will choose two acculturation attitudes, namely integration and separation, as these may enable them maintain certain aspects of their culture of origin given their distinct differences from Greeks in religion, cultural values, and phy...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

Effects of anodal transcranial direct current stimulation on cognitive dysfunction in patients with progressive supranuclear palsy.
Authors: Alexoudi A, Patrikelis P, Deftereos S, Fasilis T, Karakalos D, Verentzioti A, Korfias S, Sakas D, Gatzonis S Abstract Progressive supranuclear palsy (PSP) is a tauopathy characterized by motor, neurobehavioral and disabling brainstem deficits. No disease-modifying therapeutic options exist. The therapeutic potential of transcranial direct current stimulation (tDCS) has been highlighted in studies on patients with other neurodegenerative diseases. Therefore, by drawing upon the limited tDCS literature on PSP, we conducted a pilot study in order to evaluate the effect of tDCS over motor and premotor cortex i...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

Empty-nest-related psychosocial stress: Conceptual issues, future directions in economic crisis.
Authors: Bougea A, Despoti A, Vasilopoulos E Abstract Τhe empty-nest syndrome is a transitional stage, when middle-aged parents are in the process of encouraging their children to take up their obligations as adults. The empty-nest syndrome is a psychological condition that affects both parents, who experience feelings of grief, loss, fear, inability, difficulty in adjusting roles, and change of parental relationships, when children leave the parental home. Τhis syndrome has gained special interest in a world where the current economic crisis has not only deepened global poverty but also a crisis of values ...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

Zolpidem related persistent genital arousal disorder: An interesting case.
Authors: Ferenidou F, Mourikis I, Sotiropoulou P, Vaidakis N Abstract The present paper is describing a case of persistent genital arousal disorder that developed to a 55-year-old woman, shortly after the initiation of zolpidem. Persistent genital arousal disorder (PGAD) is a clinical entity that appears with a relatively low frequency in women, and is characterized by persistent or recurrent, unwanted and bothersome feelings of genital arousal, which often do not resolve with orgasm and are not associated with sexual desire (sexual interest, thoughts or fantasies). Women who experience PGAD often have feelings of ...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

What opportunities do European early career psychiatrists have?
Authors: Pagkalos G, Ismayilova J, Kilic O, Gondek TM, Mogren T, Pinto da Costa Μ Abstract In the past century, biological, psychological and social sciences have brought significant progresses to psychiatry, building it is a broad medical specialty, closely linked to somatic medicine, psychology and society. Many psychiatrists early in their career have understood that it is easier to face these challenges in a collaborative way, and therefore there has been in the last decades a growth of local and national associations of psychiatric trainees and early career psychiatrists across Europe. In 2007, the European...
Source: Psychiatriki - April 15, 2020 Category: Psychiatry Tags: Psychiatriki Source Type: research

Gut microbiome and adaptive immunity in schizophrenia.
Authors: Agorastos A, Bozikas VP Abstract Over the past few years, immunopathogenesis has emerged as one of the most compelling aetiopathological models of schizophrenia (SCZ), suggesting a chronic, immune-based, low-grade inflammatory background of this devastating disorder.1,2 Mounting evidence points towards a prominent role of the adaptive immune system in SCZ, suggesting alterations in defense mechanisms, such as altered T-cell function and a shift towards B-cell immunity.3 Immune cells have the ability to infiltrate the brain and mediate a neuroimmune cross-talk through activation of microglia, production of ...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Differential effects of earthquakes on patients with bipolar disorder versus schizophrenia: Findings from Crete, Greece, 2008-2010.
Authors: Anagnostopoulos GC, Basta M, Vgontzas AN, Rigas AG, Vassiliadis VG, Baloyannis SJ, Koutsomitros TS Abstract Electromagnetic radiation influences in many ways humans and animals, while earthquakes are known to be related with electromagnetic phenomena. We recently showed that large earthquakes reduced admissions of psychiatric patients, whereas small earthquakes were associated with increased number of admissions. Our aim was to examine the effect of seismic-related electromagnetic activity on two chronic and severe psychiatric disorders varying in terms of etiology and treatment, i.e. bipolar disorder and ...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Factor analysis and normative scores of Alcohol Use Disorders Identification Test (AUDIT) in a representative sample of the general population of Greece.
Authors: Bellos S, Mavridis D, Mavreas V, Skapinakis P Abstract The most widely used screening instrument for alcohol use disorders (AUD) is the Alcohol Use Disorders Identification Test (AUDIT) which, although initially developed for use in primary care, is increasingly used in general population studies. Previous studies that have assessed the screening properties and the factorial structure of AUDIT were mostly based on clinical samples and did not take into consideration the possible differences in AUDIT factorial properties between subgroups according to age, sex and mental health status. Aim of the current st...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Bullying victimization: Associated contextual factors in a Greek sample of children and adolescents.
The objectives of this school-based, cross-sectional study were to report the prevalence of the perception of being bullied in a sample of Greek children and adolescents from 6 to 17 years of age and to investigate the relations among the subjective impression of bullying victimization and several sociodemographic and socioeconomic factors. We hypothesized that influences external to individual children and adolescents play a decisive role to their perception of being victimized. Bullying victimization was measured through a simple "yes/no" question, which confirmed or rejected respectively the fact that the chil...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Film clips smoking behavior and nicotine craving: The interrelationship between stress, smoking cues and craving.
Authors: Kasdovasilis P, Alikari V, Zyga S, Guppy A, Theofilou P Abstract Αn abundance of research has demonstrated that substance addicted individuals, when they are exposed to a substance related stimulus, show a positive correlation between physiological measurements, such as an increase in heart rate and sweating, and behavioral reactions, that include craving and substance use or consumption. Films depicting smoking behavior are regarded as cues to induce smoking behavior. The current study aimed to investigate the effects of smoking behavior portrayed in movies on actual craving experienced by smokers w...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Validation of the Youth Efficacy/Empowerment Scale - Mental Health Finnish version.
Authors: Sakellari E, Athanasopoulou C, Kokkonen P, Sourander A, Leino-Kilpi H Abstract Αdolescents face mental health problems and still their mental health needs are often neglected. Empowerment provides adolescents with the skills to impact their own lives and communities in general. The aim of the study is to examine the validity and reliability of the Finnish version of the Youth Efficacy/Empowerment Scale - Mental Health (YES-MH). Data was collected through an online questionnaire from pupils aged 12-17 years in Western Finland, comprised of the following instruments; the YES-MH, the Goodman's the Stren...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Is psychosis a dysmyelination-related information-processing disorder?
Authors: Giotakos O Abstract Numerous lines of evidence implicate myelin and oligodendrocyte function as critical processes affecting neuronal connectivity, which is a central abnormality in schizophrenia. Neurodevelopmental models related to dysmyelination have suggested its relation with different schizophrenia-like symptoms. Post-mortem studies in patients with schizophrenia have reported 14-22% reduction in the density and the quantity of oligodendrocytes. Several myelin-related candidate genes have been linked oligodendrocyte and myelin dysfunction with neurocircuitry abnormalities in schizophrenia. A number o...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Aggravating factors and assessment tools for Posttraumatic Stress Disorder in children after hospitalization.
Authors: Triantafyllou C, Matziou V Abstract Posttraumatic stress disorder (PTSD) is a mental disorder caused by several distressing events that are related with psychotrauma. It is very frequent in childhood and untreated traumatic stress symptoms in children and adolescents often result in debilitating consequences on development with increased risks for a variety of physical and mental disorders. Ιt has been found that PTSD symptoms are reduced as soon as therapeutic interventions have been applied. The aim of the present review was to summarize the available literature regarding aggravating factors associa...
Source: Psychiatriki - November 8, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[The impact of the recent financial crisis on the users' profile of a community mental health unit].
Authors: Pikouli Κ, Konstantakopoulos G, Kalampaka Spilioti P, Fytrolaki E, Ploumpidis D, Economou M Abstract During previous financial crises as well as the recent global financial crisis, a strong impact of the crisis on the population mental health in many countries has been observed. Similarly, in Greece, a series of epidemiological studies pointed out the consequences of the economic crisis on the population mental health. However, there is limited data available, both in Greece and worldwide, regarding the impact of the economic crisis from the perspective of mental health services. The goal of the pres...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Psychosocial rehabilitation and severe mental illness: Factors that influence patients' attendance in a support group].
Authors: Kalogerakis Z, Petroutsou A, Chatzakis A, Ploumpidis D, Papageorgiou C, Economou M Abstract Psychosocial rehabilitation for people with chronic-severe mental illness mainly aims to social integration by restoring independent functioning in the community, improving quality of life, and addressing risk factors that lead to social disability. Support groups (SG) are usually part of this multilevel mental health process. Given that non-adherence to treatment is a common phenomenon in people with chronic- severe mental illness, the aim of the current study was to identify which factors influence members' attend...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Clinical presentation and requests for support of people with HIV/AIDS seeking counselling and psychotherapy in Greece].
Authors: Peltekis A, Koulentianou M Abstract Despite the large progress during the last decades in the medical treatment of HIV/AIDS infection, people living with HIV nevertheless face multiple adversities at various levels of their lives. Mental disorders, in particular, are the most common comorbidities in HIV infection with negative consequences in adherence to antiretroviral medication, disease progress and overall quality of life. HIVrelated stigma, still quite intense in Greece, is one of the most debilitating factors concerning people's living with HIV mental health. The present study looked at the clinical ...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Lipids and mental disorders: Evidence, uncertainties and perspectives].
Authors: Theodoropoulou S, Gialouris AG Abstract Brain is an organ with the highest lipid concentration in the body. Cellular membrane lipids can affect both the positioning and the functioning of membrane proteins, thus regulating several cell actions. Changes in the lipid composition of cell membrane can modulate the microenvironment and consequently the function of its proteins, e.g. neurotransmission. Some of the first studies on the subject have shown a negative correlation between serum cholesterol levels and depression, suicidality and behavioral disorders. Several studies -but not all- have found decreased ...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[The effect of physical activity on dementia].
In conclusion, recent research shows physical activity to be a promising intervention for the prevention and non-pharmacological treatment of dementia in that it contributes to the improvement of patients' quality of life. However, results vary according to the particularly characteristics of the exercise under review, such as type, intensity, frequency, and duration. It is therefore important to gain both awareness and understanding of the specific factors that give physical activity its therapeutic potential leading to the development of exercise programs designed specially to treat dementia. PMID: 31425142 [PubMed -...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Empathy in psychiatry and psychotherapy].
Authors: Esagian G, Esagian-Pouftsis S, Kaprinis SG Abstract Empathy is the epicenter of the theoretical and clinical interest of many different scientific domains, constituting a common term in different fields as these of psychology, psychiatry, clinical psychopathology, neuroscience, psychotherapy and psychoanalysis. Studying the phenomenon of empathy requires distinguishing the empathy as a method of observation of psychological phenomena from the empathy as a component of the therapy of psychopathological phenomena. In this case, beyond the empathic understanding, the optimum responsiveness of the therapist is...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[The contribution of the relationship between therapist-patient and the context of the professional relationship].
Authors: Kallergis G Abstract The therapeutic relationship is the common place of all medical specialties in therapeutic practice. It is a professional relationship and consists of two components: the work component and the interpersonal component. The focus of the studies aims to show the contribution of the dynamics of the therapist - patient interpersonal relationship as a therapeutic factor in achieving the therapeutic outcome. The issue of doctor-patient relationship has been studied since antiquity, in particular by Socrates and beyond. Hippocrates promotes and systematizes medical philosophy, bioethics and m...
Source: Psychiatriki - August 21, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Insight across mental disorders: A multifaceted metacognitive phenomenon.
Authors: Konstantakopoulos G Abstract There is now general agreement that lack of insight is not merely a fundamental aspect of delusions and hallucinations, or just a symptom of psychotic disorders but rather a multi-dimensional construct. Several different components of insight have been proposed and empirically examined during the last three decades, such as the ability to recognize that one has a mental illness, the capacity to relabel unusual mental events as pathological, the specific attribution of one's symptoms to having a mental illness, awareness of illness' consequences, and compliance with treatment.1 ...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Understanding of Faux Pas in patients with schizophrenia.
Authors: Giannakou M, Kosmidis MH, Nazlidou EI, Liolios D, Parlapani E, Bozikas VP Abstract Theory of Mind (ToM) refers to our ability to attribute mental states such as beliefs, intentions and desires to other, allowing us to explain, manipulate and predict others' behavior. ToM abilities of patients with schizophrenia were repeatedly found to be deficient. Our purpose in undertaking the present study was to explore ToM deficits in patients with schizophrenia, using a task of an affective aspect of ToM abilities, namely, "Faux Pas" Test (FPT). The FPT requires a "cognitive" ToM ability (i.e., k...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Evidence of advanced parental age linked to sporadic schizophrenia.
Authors: Kollias C, Dimitrakopoulos S, Xenaki LA, Stefanis N, Papageorgiou C Abstract Νovel emergence of schizophrenia (SCZ) in its sporadic type has been linked, among many candidate epigenetic factors, with advanced paternal age (PA) and advanced maternal age (MA). The most common hypothesis to the paternal age effect is the increased "de novo mutations" during spermatogenesis, while the maternal age hypothesis, though controversial, is at most based on studies that support higher frequency of perinatal complications. Our sample consisted of 462 subjects with DSM-IV-TR SCZ spectrum disorders from the...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Severity of domestic abuse and its relationship with distress tolerance and medication adherence in women with mental illness in South India.
This study took place on an outpatient basis in the department of psychiatry at a tertiary care centre in South India. One hundred women with a mental illness currently in remission for at least two months -living in the community with family members after an episode of mental illness- were consecutively recruited by purposive sampling method after obtaining an informed consent. Due to issues related to reliability, patients with a diagnosis of mental retardation or dementia or psychotic symptoms were not included. All participants were initially assessed using socio-demographic and clinical forms. The severity of abuse wa...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Assessing anxiety symptoms in children: Agreement between parents and children.
Authors: Zikopoulou O, Kakaniari K, Simos G Abstract Assessment of anxiety disorders in children is a difficult process and requires the use of multiple resources of information. Such resources may come from children, parents, and educators and they also require the use of multiple types of diagnostic tools, like structured and semi-structured clinical interviews, as well as self-report questionnaires. Previous research shows that anxiety symptoms ratings of different informants are to some degree correlated (low to moderate agreement) but nonetheless also often show clear discrepancies. Important variables may aff...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

A diathesis-stress model conceptualization of depressive symptomatology.
Authors: Kalamatianos A, Canellopoulos L Abstract Depression currently constitutes the most common mental illness observed in mental health services. In addition to its classical, psychiatric and phenomenological approach, a developmental, psychodynamic one has also been formed according to which there are two predisposing depressive types of vulnerability, the anaclitic and the introjective. These refer to the capacity of establishing reciprocal and mutually satisfying interpersonal relationships and to the formation of an integrated, mature and differentiated positive sense of identity, respectively. They are tri...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Drugs for mental illnesses in ancient greek medicine.
Authors: Laios K, Lytsikas-Sarlis P, Manes K, Kontaxaki MI, Karamanou M, Androutsos G Abstract Drugs with psychedelic, hypnotic, narcotic, analgesic, suppressive, euphoric and stimulating effects were used in various ways during the ancient times. We can classify drug use in ancient times into two main categories. On the one hand, ancient physicians prescribed drugs based on their pharmaceutical-therapeutic actions. On the other hand, people not pertaining to medicine and not relating to its accurate implementation often abused drugs to achieve an euphoric state of mind, either for personal gratification or as an i...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Depression and financial capacity assessment in Parkinson's disease with dementia: Overlooking an important factor?
Authors: Giannouli V, Tsolaki M Abstract Depression affects cognitive abilities, such as thinking, concentration and making decisions in both young adults and elders. However, financial capacity (which consists of multiple cognitive domains and specific skills) and depression in Parkinson's disease with dementia (PDD) are little investigated. Sixty participants divided into four groups (PDD with and without depressive symptoms, non-demented elders with and without depression) were examined with the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS-15) and the Legal Capacity for Property Law ...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Electroconvulsive therapy: 80 years of use in psychiatry].
Authors: Kaliora SC, Zervas IM, Papadimitriou GN Abstract Electroconvulsive therapy (ECT) is the oldest among the early biological treatments introduced in psychiatry, and the only one still in use. In this paper we attempt a brief presentation of ECT usage over the last 80 years, since it was originally introduced. It is a safe, well-tolerated, and highly effective treatment option for major psychiatric disorders, such as mood disorders and schizophrenia, especially when there is an acute exacerbation of psychotic symptoms or if catatonic symptoms are prominent. ECT has also been used successfully for the treatmen...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Clinical guidelines for the management of schizophrenia: Pharmacological and psychological interventions (III)].
Authors: Hadjulis M, Margariti M, Lazaridou M, Angelidis GF, Fotopoulos V, Markaki L, Koulouri F Abstract In 2014 a Working Group was set up by the Greek Ministry of Health, with the objective of formulating Clinical Guidelines for the management of schizophrenia which include recommendations for the pharmacological and the psychosocial treatment of schizophrenia. This Working Group utilized the NICE Guideline (National Institute of Clinical Excellence 2014) for the management of Psychosis & Schizophrenia as the main guide in the development of the Greek guidelines, and in addition the American Psychiatric Asso...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Persistence of psychosis in the population: Τhe cost and the price for humanity].
[Persistence of psychosis in the population: Τhe cost and the price for humanity]. Psychiatriki. 2018 Oct-Dec;29(4):316-326 Authors: Giotakos O Abstract Schizophrenia is a chronic and highly impairing condition that affects around 1% of the human population. Evolutionary theories lend support for the idea of a continuum approach to the diagnosis of psychosis. Subclinical psychotic-like experiences are relatively common in children and adolescents, occurring in about 17% of youths. The prevalence rate of psychotic symptoms in the general population is up to 8%, which is about ten times higher than t...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Patients coming back after interruption of care in a community mental health center: Associations with care provision and psychopathological features].
Authors: Ploumpidis D, Chrysovergi F, Konstantakopoulos G, Loukadakis M, Kalogerakis Z, Economou M Abstract A large number of people with mental health problems do not receive any treatment and in a large number of patients under care the treatment is interrupted. Non-compliance to treatment, observed in many different settings, is a major challenge in providing mental health care. The aim of the present study was to assess the demographic, social and psychological characteristics of the patients coming back for help to community psychiatric services and to shed some light to the reasons of interrupting and coming ...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Kynurenine pathway in bipolar disorder].
Authors: Konstantinou G, Papageorgiou CC, Angelopoulos E Abstract Bipolar disorder (BD) is a chronic psychiatric illness which, among other things, is characterized by cerebral dysfunctions, cognitive disorders and sleep disturbances. The neurobiological basis of these processes remains unclear. In recent years, studies have focused on the role of immune-inflammatory mechanisms induced by the tryptophan metabolism pathway (TRP) and the kynurenine pathway (KYN). Emerging data correlates TRP and KYN metabolites with BD's pathophysiology and course. The purpose of this review is to search the available data on the inv...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Artistic expression and Psychiatry in Greece: Prominence highlights (1950-2011)].
Authors: Rossiou E, Orologas A Abstract The art of the confined began to be studied by psychiatrists in the late 19th century for diagnostic purposes, while the first studies of aesthetic interest were found in the first decades of the 20th century, when psychiatrists as the Swiss W. Morgenthaler and the Austrian H. Prinzhorn published studies on mentally ill artworks, having mainly aesthetic approach. The artworks of the mentally ill belong to the field of Art found in the international literature by the term of Art Brut. The term "Brut" was introduced in 1945 by J. Dubuffet to describe the production of...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Research and psychoanalysis: A controversial and complex relationship].
Authors: Navridi A, Anagnostopoulos D Abstract The connection between empirical research and clinical practice in the psychoanalytic area, as an approach where the psychoanalytic procedure and its results get objectified, continues to be controversial. Even if it is not so frequent, the significance of giving emphasis to the psychoanalytic areas in research, is evident through the literature review, as the benefits are supported to be many and substantial. To begin with, the empirical research is necessary in order for the psychoanalytic clinical theory to be strengthened in a wider scientifically accepted way and ...
Source: Psychiatriki - March 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Hypothalamus-pituitary-adrenal (HPA) axis parameters and neurocognitive evaluation in patients with bipolar disorder.
Authors: Τournikioti K, Dikeos D, Αlevizaki M, Michopoulos Ι, Ferentinos P, Porichi Ε, Soldatos CR, Douzenis Α Abstract Bipolar disorder is associated with neurocognitive impairment but the etiology of such impairment remains largely unknown. The present study aimed at investigating the performance of bipolar patients in various neuropsychological tasks within the framework of HPA axis hyperactivity model and also the impact of disease characteristics on neuropsychological functioning. Cognitive performance of 60 bipolar-I patients and 30 healthy controls was evaluated by using tasks fr...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Quality of life and depression in chronic sexually transmitted infections in UK and Greece: The use of WHOQOL-HIV/STI BREF.
Authors: Ginieri-Coccossis M, Triantafillou E, Papanikolaou N, Baker R, Antoniou C, Skevington SM, Christodoulou GN Abstract This is a comparative study aiming to investigate quality of life (QoL) and depression in individuals diagnosed either with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), or genital warts (GW) and genital herpes (GH), in two healthcare settings, in the United Kingdom (UK) or in Greece (Gr). Using a matched-pairs design, two equalized patient samples with sexually transmitted infections (STI) were recruited: from UK (n=43) and from Greece (n=43). QoL was assessed ...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Validation of the greek version of the Young Schema Questionnaire-Short Form 3: Internal consistency reliability and validity.
Authors: Malogiannis IA, Aggeli A, Garoni D, Tzavara C, Michopoulos I, Pehlivanidis A, Kalantzi-Azizi A, Papadimitriou GN Abstract Schema therapy (ST) is an integrative therapy, which combines elements of cognitive behavior therapy, attachment theory, object relations theory and emotional-focused models. Schema therapy is an effective treatment for patients with personality disorders and other chronic psychological disorders. Early Maladaptive Schemas (EMSs) are a main concept in schema theory referring to self-defeating, core themes or patterns. They develop as a result of traumatic or toxic childhood experiences ...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Mental health and psychosocial factors in young refugees, immigrants and Greeks: A retrospective study.
We examined differences in psychiatric diagnoses and factors influencing their health status between four groups: (i) 90 files of children whose families referred to the Department of Child and Adolescent Psychiatry (DeCAP), University of Athens, during 2005-2009, (ii) 216 files of children whose families seek for help during 2010-2014. Immigrants who referred to the DeCAP during the first period were mainly economic immigrants, whereas immigrants of the second period were mainly refugees from countries in conflict. These data were matched with age and sex with 151 files of natives who referred to the DeCAP during the afor...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Measuring authoritarianism in a Greek health care setting.
Authors: Arvaniti A, Livaditis M, Kalamara E, Vorvolakos T, Serdari A, Samakouri M Abstract Few studies have investigated the level of authoritarianism in the area of health. Staff with authoritarian personality may put in danger the quality of health services, especially towards stigmatized groups, such as the mentally ill and HIV positive people or the minority ethnic communities. Authoritarianism Scale (AS) by P. Heaven, is an instrument focusing on the multi-faced nature of authoritarianism and authoritarian behaviors. The aim of this study is to assess the psychometric properties of the Greek Authoritarianism ...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

The DSM-ICD diagnostic approach as an essential bridge between the patient and the "big data".
The DSM-ICD diagnostic approach as an essential bridge between the patient and the "big data". Psychiatriki. 2018 Jul-Sep;29(3):249-256 Authors: Mitropoulos GB Abstract The use of diagnostic manuals in psychiatry is generally necessitated by the lack of tests that would corroborate psychiatric diagnosis. Criticism towards the today prevailing DSM-ICD diagnosis traditionally regards among others such problems as hyponarrativity, biologism, "death of phenomenology", and a questionably valid over-fragmentation of diagnosis. Lately, and especially after the appearance of the 5th edition...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Psychoanalytic psychotherapy in times of social crisis: The impact on therapeutic relationship.
Discussion on defining therapy factors develops along two lines: one focusing on the interpretation and another focusing on the relationship. Changes in the socio-economic circumstances, cultural particularities, dismissal of institutions, constant negation, lack of boundaries, confusion of roles, various family secrets revealed due to "collapses," major conflicts, violence and aggression filling the individual as part of both the internal and the external reality - all are known risk factors causing the individual to experience trauma either due the nature of the received stimuli/threats or due to the loss of th...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Is impulsivity in part a lithium deficiency state?
Authors: Giotakos O Abstract Lithium mechanisms of action are related to the function of many enzymes, hormones, vitamins, and growth factors. In humans, lithium treatment has been associated with humoral and structural evidence of neuroprotection, such as increased expression of antiapoptotic genes, inhibition of cellular oxidative stress, synthesis of brain-derived neurotrophic factor, cortical thickening, increased grey matter density, and hippocampal enlargement. Lithium, in pharmacological doses, has been used successfully in treating bipolar disorders, and has been shown to decrease suicidality and violent cr...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

Adolescents' mental health during the financial crisis in Greece: The first epidemiological data.
Authors: Paleologou MP, Anagnostopoulos DC, Lazaratou H, Economou M, Peppou LE, Malliori M Abstract Greek financial crisis has incurred adverse effects on the mental health of the population; however existing research is constrained in the adult population. Therefore, the present study aims to shed light on the mental health state of adolescents during the recession. In this context 2,150 adolescents were recruited from a random and representative sample of public and private schools in the greater Athens area. Mental health problems were assessed with the selfreport Strengths and Difficulties Questionnaire while a...
Source: Psychiatriki - January 5, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research

[A proposal for the implementation of Early Intervention in Psychosis (EIP) services in Greece: If not now, when?]
Authors: Stefanis NC, Mavreas V, Νimatoudis Ι, Gourzis F, Sarakouri Μ, Vgontzas A, Douzenis A, EIP Working group Abstract The disorders of the psychosis spectrum, with the most severe being schizophrenia, are prevalent and have a great impact on the patients' quality of life. The purpose of this article is to highlight the need for a novel national strategic approach to the management of psychotic disorders in accordance with the international principles of early intervention. Even though outpatient treatment is considered adequate, there is an urgent need to adopt an early and more comprehensive and eff...
Source: Psychiatriki - August 17, 2018 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Clinical guidelines for the management of schizophrenia ( ΙΙ): Community service-level interventions and the role of Primary Care].
[Clinical guidelines for the management of schizophrenia (ΙΙ): Community service-level interventions and the role of Primary Care]. Psychiatriki. 2018 Apr-Jun;29(2):118-129 Authors: Margariti M, Hadjulis M, Lazaridou M, Angelidis GF, Fotopoulos V, Markaki L, Koulouri F Abstract Schizophrenia is one of the most disabling disorders globally, with a significant impact on the professional, social and personal functioning of those affected. Mortality rates are estimated to be 2-2.5 times greater than in the general population attributable to not only suicide but also physical illnesses, such as ca...
Source: Psychiatriki - August 17, 2018 Category: Psychiatry Tags: Psychiatriki Source Type: research

[Psychosomatic disorders in ancient Greek medicine].
Authors: Laios K, Kontaxaki MI, Markatos K, Lagiou E, Karamanou M, Androutsos G Abstract The concept of psychosomatic disorders, as defined by modern medicine, was difficult to be perceived by the ancient Greek physicians. Two main reasons contributed to this. One was that physicians in Greek antiquity had formed the idea that the mental illnesses that were recognized at that time, namely mania, melancholy, frenzy, caros, lethargy, apoplexy, but even epilepsy, was the result of a disturbance of the essential elements of the body, the balance of them contributed to the preservation of health. Thus, depending on the ...
Source: Psychiatriki - August 17, 2018 Category: Psychiatry Tags: Psychiatriki Source Type: research