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4.4% of the global burden of diseases are due to alcohol consumption. Ethanol addiction is caused by multiple factors like personal and environmental vulnerability.
To analyze the provenience, the educational level, the most frequent personality trades and the genetic load for psychiatric disorders in a sample of subjects with ethanol addiction.
To demonstrate that a specific profile for a person with high risk for ethanol addiction exists.
A sample of 46 subjects, admitted between November 2013 and January 2014 in Timisoara's Psychiatric Clinic with Ethanol Addiction was analyzed. We evaluated the following: provenience, personality trades, genetic load for psychiatric disorders and occupational status. Personality trades were evaluated using the Personality Assessment Schedule – ICD-10 version.
Most of the subjects were males (86.95%), unemployed (39.13%), have finished high school (47.82%) and had one of the parents with chronic consumption of ethanol. The sample was equally distributed between urban and rural. The most frequent personality trades were: the need to be liked and accepted, sensitivity to critique and rejection; intrapsychic tension and anxiety; the sense of inferiority, submission, excessive docility and a lack of assuming responsibility.
The profile of a person predisposed for alcohol addiction is: an unemployed male, without a higher education, with a chronic ethanol consumer father, and with certain personality trades like the need to be liked and accepted, sensitivity to critique and rejection; intrapsychic tension and anxiety; the sense of inferiority, submission, excessive docility and a lack of assuming responsibility.
Research studies are increasingly interested in the factors that can contribute to a good outcome in psychosis, in order to develop effective interventions and preventive programs.
This study aims to analyze different aspects of the first-episode psychosis of subjects with a long-term favorable evolution.
Material and method
The study included 40 subjects with a first-episode psychosis with an evolution of at least 10 years. They were chosen from the Case Register of Psychoses of the Psychiatric Clinic in Timisoara, based on demographic, clinical and social characteristics. All the subjects were re-assessed in 2014. 20 subjects have had a favorable evolution (no clinical relapses, a stable or better social and professional functioning after the episode). These cases were compared with 20 cases with similar clinical and demographic characteristics at onset, but with a less favorable outcome (frequent relapses, poor social and professional functioning).
Subjects with better outcome had less genetic heritage of mental disorders, significant social support, were more compliant to treatment and were more active professionally before and after the first episode of psychosis.
There are some characteristics of the persons having a first-episode psychosis which can guide the clinician regarding the prognosis.
Although psychoactive substance use disorders (PSUD) belong to the domain of mental health, their management varies greatly among European countries. Furthermore, both the role of psychiatrists and trainees in the treatment of PSUD is not the same for each European country.
Among the context of the European Federation of Psychiatric Trainees (EFPT), the PSUD Working Group has developed a survey that has been spread out between the 15th of august 2015 and 15th of October 2016, at the aim of gathering information about the training in PSUD in Europe, both from Child and Adolescent, and General Adult Psychiatric (CAP and GAP) trainees.
The survey investigated, at European level, the organisation of the PSUD training, trainees satisfaction, attitudes towards people who use psychoactive substances, management of pharmacologic and involvement in common clinical situations.
A 70-items questionnaire regarding the aforementioned objectives was developed, and shared trough an online data-collecting system among European CAP and GAP trainees, with 40 trainees per country filling the survey in at least 25 countries. One national coordinator per country facilitated the delivering of the survey.
A total of 1250 surveys were filled from more than 25 European countries.
Data from the survey will be promptly analysed.
The survey will be the first to explore European psychiatric trainees attitudes and practices about PSUD. Findings from this independent survey may serve in understanding the needs of trainees in the field of substance misuse psychiatry.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
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