Long-acting injectable antipsychotics (LAI-APs) should be the first choice therapy in the treatment of schizophrenia, however their use in outpatient's psychiatric services remains limited.

Observational study in schizophrenic patients of the northwestern public health service.

To assess demographic and psychopathological features in patients treated with LAI haloperidol (H-LAI) and second-generation LAI antipsychotics (SG-LAI).

We recruited 105 schizophrenic patients upon LAI-APs treatment, and we assessed socio-demographic data, medical comorbidity, substances use, time from admission, treatment length, and per os augmentation therapies. All participants were assessed for global functioning and severity of illness by CGI-SCH and PSP, respectively.

Of all patients, 52% were treated by H-LAI, 48% by SG-LAI. No statistical differences (P > 0.05) were found between the 2 groups for age, gender, other demographic variables, substances use, somatic comorbidities. Both groups were homogeneous for severity of illness (CGI-SCH score = 4.20 in H-LAI vs. 4.38 in SG-LAI) and global functioning (PSP score = 49.1 in H-LAI vs. 54.4 in SG-LAI). Compared with the H-LAI group, SG-LAI-treated patients were characterized by shorter time from admission (>10 yrs) and treatment length (>1 yr), and less frequent anticholinergic drug co-prescription. We counted only 6 LAI-APs treatments started in the last year.

Despite of the literature support, LAI-APs treatment for schizophrenia is still limited in our service. Our data suggest that SG-LAI-APs are used as first choice of LAI-APs treatment, although maintained for short time, while H-LAI are reserved to long-standing patients and are burdened by side effects needing anticholinergic treatment.

The authors have not supplied their declaration of competing interest.

Test anxiety is a multidimensional phenomenon, including concerns about conflicts lead to negative emotional and behavioral responses in academic scores.

Current study examines the influence of educating time management on decreasing exam Anxiety and educational negligence of conditioned university students on Tehran.

The method of doing study is of testing in which statistical society includes conditioned university students of Tehran. Of general statistical society, we have selected 20 persons by in access sampling method. Gathering information instrument in this study is Solomon and Roth bloom's educational negligence questionnaire and sarason test anxiety in which has been in access of studied sample after testing its stability and narration.

After education, the result of t-test dependent and co-variance analysis has shown time management education does have meaningful influence on decreasing test stress and conditioned university students negligence on Tehran universities.

Dropped students compared to other students, provided a significant contingent of students had less time management and procrastination.

The authors have not supplied their declaration of competing interest.

Community mental healthcare in Kosovo is still in its developmental stage and thus pose an ongoing challenge for the health system and population.

The purpose of this study is to describe the processes of preparation, implementation, challenges and future of community mental health service in Kosovo as an economically struggling society with underdeveloped health care system.

Review of the current state of community services provision for mentally ill peoples in Kosovo in the light of the objectives and targets of the WHO comprehensive mental health action plan 2013–2020.

The implementation of a new community mental health service in Kosovo still is characterized by considerable shortages, beside substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent/initialization of international bodies and coordinated commitment of all responsible national stakeholders and authorities. Obstacles remain regarding improvements of service development indicators: financial and human resources; capacity building; stakeholder involvement and service availability. Lack of strategies for promotion and prevention in mental health and lack of information systems, evidences and research for mental health is vital need.

Community mental healthcare in Kosovo despite struggles faced is successfully installed and represents one of Kosovo health system achievements. Comprehensive, integrated and responsive mental health services in community-based settings in line with international and regional human rights instruments is goal to be addressed.

The author has not supplied his/her declaration of competing interest.

The author has not supplied his/her declaration of competing interest.

An audit was done to assess new patient wait times. As part of this project we reviewed possible relationships between wait times and clinic attendance.

To examine available data, for possible explanations of patients’ attendance behaviour at outpatient clinics.

To identify possible correlation between length of waiting time for adult psychiatry appointments and status of attendance.

Service Line: New patient referrals to adult outpatient psychiatry (January–December 2015)

Sample size: 401.

Fig. 1 and Table 1 show wait times compared with clinic attendance outcome. Percentage attendance appeared to gradually fall as wait times increased; while cancellation (%) by the NHS, and DNAs (did not attend) by the patient, appeared to rise over time.

This review has demonstrated a possible correlation between wait time for a clinic appointment and how patients behave. The shorter a patient has to wait; it appears they are more likely to actually attend clinic. If so, this potentially has implications for discussions around possible reorganization of services, to improve engagement and outcomes, by coming up with innovative ways of reducing wait times.

The authors have not supplied their declaration of competing interest.

Adjustment disorders are a common psychiatric disorder in primary care and mental health units, with point prevalence estimates ranging from 0.9% to 2.3%. These disorders have been recently defined as a stress response syndrome in the fifth edition of the DSM, causing emotional and social difficulties and also a large economic burden on society.

The aim of this descriptional study was to analyse the socio-demographic characteristics and treatment of the patients diagnosed with adjustment disorders in the first visit in a mental health unit.

The study sample consisted of 128 patients admitted for a psychiatric consultation in a mental health unit in Alicante (Spain) from their primary care physician, between February and July 2016. Variables of gender, age, current employment status, diagnosis and treatment were measured. Data analysis was conducted using SPSS software.

The data from 31 patients who were diagnosed with adjustment disorders meant a 24% of the sample. The median age was 47 years old in the adjustment disorders group. Among those with adjustment disorders, 61% were women, and 52% of them were unemployed. Almost 60% of them had at least one pychotropic prescription and only 22% were derived to psychology.

Adjustment disorders are considered as an intermediate category between no mental disorder and affective disorders. Most authors recommend to start with a psychotherapeutic intervention. Despite starting with medication has not proved effectiveness in the studies, most of the patients had at least one psychotropic prescription before the psychiatric evaluation.

The authors have not supplied their declaration of competing interest.

The clinic of psychiatry and mental health of São João hospital centre (Oporto, Portugal) has implemented a psychiatric consultation to support college students since 2007. This consultation is open to all of the universities in the metropolitan area of Oporto.

This specific consultation aims to detect and intervene early in the treatment of psychiatric illness and to promote mental health in this specific population.

Retrospective study conducted in the São João hospital centre, Oporto, Portugal. Patients attending university student's specific consultation between January 1st 2011 and March 31st 2016 were included. Data collection included sociodemographic variables, clinical diagnosis (ICD-10, WHO, 1992) and psychological scales (WAIS-III, BSI, HADS, SF-36 and NEO-PI-R). SPSS® software (v. 20.0, 2011) was used for statistical analysis.

In this study, 139 patients were included (66.2% female, medium age 23.1 years old). The majority of patients were medical, engineering or nursing students (respectively 20.9%, 18.0% and 17.9%). The most frequent diagnosis was adjustment disorders, anxiety disorders, mood disorders and personality disorders. 54.6% completed all the psychological scales.

The number of students with mental health issues is increasing. Early detection and treatment of these pathologies may allow improvements on the educational, economic and social levels, as well as in the quality of life.

The authors have not supplied their declaration of competing interest.

The health sector has long been recognized to be a very stressful work environment for teams that can lead to “burnout”. Geriatric institutions are no exception to this observation; this state has deleterious effects on health care as on the quality of care.

Measure the burnout rate among caregivers in geriatric institutions and identify associated factors and coping strategies specific to this population in order to provide the necessary preventive measures.

Subjects and method A cross-sectional study, conducted among caregivers exercising at the shelter for aged subjects of Manouba, Tunisia. We used a pre-survey exploring the socio-demographic data associated with two validated scales: the Maslach Burnout Inventory assessing the level of burnout and the Brief COPE assessing coping strategies.

Thirty-one subjects were recruited. The prevalence of burnout was 45.16%. Respectively 32.26%, 25.80% and 45.16% of the respondents had high scores in dimensions emotional exhaustion, depersonalization and personal accomplishment at work. The analytical study revealed that seniority in work increased the risk of burnout. The coping strategies of caregivers in geriatric institution facing burnout were mainly centered on emotion. The number of years of experience has been associated with burnout in our study.

This work reaffirms that the population of caregivers in geriatric institution is at risk of burnout and allows to identify predictors. The establishment of individual and collective measures is essential for appropriate treatment references (In the body text, a publication should be referred to by a consecutive number between bracket)

The authors have not supplied their declaration of competing interest.

Cancer is a disease that all human beings are afraid of it and anyone, of any age may be affected.

The objectives of this research are relationship between well-being and life expectancy in patients with cancer in Noshahr Shahid Beheshti hospital is the general purpose of this research.

Studying the relationship between happiness, general health and life expectancy of cancer patients.

The method used in this research is descriptive and correlation. Statistical population contains all the patients who were diagnosed with cancer in Shahid Beheshti hospital Noshahr. The panel sampling used as sampling method and the sample size was limited to 50 people.

In order to collect the data, we used Oxford's happiness questionnaire containing 29 multiple-choice phrases, Life expectancy questionnaire by Schneider (1991) and general health questionnaire (GHQ-28). In descriptive review of the collected data the mean, standard deviation and frequency tables were used and in inferentially section in order to determine and compare the obtained scores in these 3 tests, according to the findings, parametric methods were used.

The results show that the correlation between mental health, happiness and life expectancy was significant.

As life expectancy increases accountability; Happiness and mental health in patients with cancer increases by the same amount.

The author has not supplied his/her declaration of competing interest.

Antipsychotic or anxiolytic medicine is widely used in agitated patients in risk of coercion. However this medication is also known to contribute to cardio-vascular disease and reduced life expectancy. Department of Psychiatry in Aabenraa, Denmark participates in a nation-wide Danish project supporting efforts to reduce coercion and restraint. Our hypothesis is that reduction of coercion might lead to unwanted increase in doses of psychotropic medication.

To document the use of psychotropic medication during the project period, in order to learn more about the impact of interventions to reduce coercion and restraint on psychopharmacological treatment.

To compare type and doses of psychotropic prescriptions during the project period with the time before implementation.

Cohort study of patients in risk of agitation and coercion admitted to the wards during first quarter of 2013 and 2016. Eligible patients were diagnosed as having organic mental disorders, substance abuse, psychotic disorders, mania, bipolar affective disease or personality disorders (ICD-10: F0x, F1x, F2x, F30-31, F60). Primary outcome is the exposure to antipsychotic medication measured as defined daily doses, and secondary outcomes are exposure to benzodiazepines, polypharmacy and compliance with guidelines on agitated patients.

Data collection is carried out during autumn of 2016, and the results will be presented at the congress.

Results from this study will contribute to our understanding of the implications of the initiative to reduce restraint and coercion in psychiatry. The results will also sharpen our awareness of possible inexpedient practice.

The authors have not supplied their declaration of competing interest.

The medical and scientific communities are continually reporting that night work can increase the risk of certain disorders and have a negative impact on the overall well-being of employees.

This study wanted to examine the impact of night work on physical and psychological well-being of hospital staff.

We carried out a cross-sectional study about a representative sample of hospital staff. We used validated self-reporting instruments: the Perceived Stress Scale (PSS) and the Subjective Well-being Scale (SWS). Data were analyzed using SPSS-20.

Our study concerned 519 hospital staffs. More than half were male (53%) and 83.1% had worked in the same position for more than two years. More than half of the participants (51. 3%) considered themselves in very good health. Also 41.5% of participants had a well-being index reduced and 26% of personal had high perceived stress. Correlation analysis had shown that more than one guard at week was associated with high levels of perceived stress (P = 0.004) and well-being index reduced (P = 0.000). After adjusting for categories, more than one shift work at week was associated to well-being index reduced with odds ratios of 1.57 (confidence interval 95% [1.07 to 2.30]).

There is a clear correlation between night work, perceived stress and subjective well-being of different categories of hospital staff. Shift work interferences on health and well-being are complex and multifaceted in their origins and time manifestations, dealing with several aspects of personal characteristics, and working and living conditions.

The authors have not supplied their declaration of competing interest.

The major issues in cognitive literature related to memory and aging concentrate on the different methodological issues in research examining the effectiveness of memory training programs in improving memory performance of older adults along with the clinical implications of this kind of research.

The review will address how researchers differ within their collection of participants, the various aspects of memory intervention programs by a systematic review on recent researches.

The present study aims to review the cognitive literature related to memory and aging through a meta-analysis in recent years.

Meta-analysis was conducted of researches on memory training interventions for cognitively normal/healthy older adults published in 1995–2014. Computerized databases (e.g PsychInfo) were searched using combinations of these key words in English: memory, mnemonic, rehabilitation, older adult, aging, elderly and impairment. All participants must be at least 55 years old at the time of training/intervention. Due to the fact and Studies must have used a non-pharmacological approach toward memory or memory problems. Between-study heterogeneity was quantified using χ2 and I2 statistics. All analyses were performed utilizing the CMA2.

Effect sizes with 95% confidence intervals for each study indicated that the overall pre-post training gain was 0.37 SD (95% CI: 0.18, 0.47) and the mean retest effect among control groups was 0.11 SD (95% CI: −0.11, 0.16) and this difference was statistically significant (P < 0.001).

The key challenge of memory training studies is that they often don’t train abilities that generalize to everyday functioning. These results have numerous clinical and practical implications.

The authors have not supplied their declaration of competing interest.

it is difficult to overestimate the role of social, cultural and environmental conditions in evaluation of psychological health in hard intellectual work.

Research of construction staff in far taiga conditions using PHQ и GAD-7.

to investigate the correlation between major depressive disorder, anxiety and somatoform disorders and gender and marital status.

we studied 119 people who live in concentrated social environment and in conditions of hard work and lack of relaxation. In order to study depression, anxiety, and somatoform disorders we used PHQ и GAD-7 rating scale.

we noted that distribution of depression according to gender has statistically significant differences. In the men group the number of depressive individuals is 5 (11.1%; P < 0.01). In the women group the number is 28 (37.8%; P < 0.01). Also it was stated, that marital status does not influence the distribution of depressive symptomatology level (P > 0.05). Distribution of anxiety symptoms significantly differs by gender. In the group of men anxiety observed in 1 patients (2.2%; P < 0.05), whilst in the group of women – in 13 patients (17.6%; P < 0.05). Gender proved to be irrelevant in the occurrence of somatoform disorders (P > 0.05); it is also not dependent on marital status (P > 0.05).

Staff employed into hard working social environment experience a range of negative psychological effects such as depressed mood, fatigue, and insomnia. Lack of leisure and lack of time for walking cause dissatisfaction with life, which contributes to the development of depression, anxiety and somatoform disorders.

The authors have not supplied their declaration of competing interest.

The concept “recovery” takes the position that individuals with severe chronic psychiatric disorders can recover and establish a certain degree of mental stability that can enable an independent and fulfilling life. To sustain recovery different variables and interdependent factors are needed, f.e. psychological resilience and empowerment. Actually, there are few studies focusing on the interdependency of recovery and resilience in patients with severe chronic psychiatric disorders, especially with an emphasis on overall psychiatric diagnosis and a longitudinal section.

The study examines residential patients with severe chronic psychiatric disorders who lived in a long-term care institution for psychiatric rehabilitation (SGB XII) in Lower Saxony and who were able to move out and live by themselves in 2016. Persons with mental retardation and patients who have spent more than 30 years in a long-term care institution will be excluded.

Randomised controlled trial based on a mixed-methods-design and a longitudinal course (5 follow-ups within 24 months after the first interview).

Investigate factors for independent living on different levels (like micro, meso, macro) with focus on recovery and resilience by patients with severe chronic psychiatric disorders.

First results of a pilot study and focus groups will be presented.

Results of investigation should be used in different subject areas like identification of factors enabling independent living and creation of effective therapy interventions for patients with severe chronic psychiatric disorders who have lived in a long-term care institution.

The authors have not supplied their declaration of competing interest.

Though interest grows in improving patient activation in general medical health services, there is little evidence from randomised controlled trials in mental health settings of how to achieve this.

We aimed to evaluate the effects of a brief pre-treatment peer-co-led educational intervention added to mental health treatment. The intervention was developed and carried out in cooperation with user representatives, peer educators and health professionals, and aimed at activating and preparing patients to participate in own treatment.

To assess the 4 months and 12 months effects on patient activation measure-13 (PAM-13) and attendance.

Patients from two community mental health centres were randomised to a control group (CG, n = 26) receiving treatment as usual, or an intervention group (IG, n = 26), consisting of four-hour group pre-treatment educational seminar (peer-support and encouragement to adopt an active role) followed by treatment as usual.

At 4 months follow-up only the IG improved significant on PAM-13. Preliminary results at 12 months on PAM-13 and attendance will be presented.

Brief pre-treatment education improves patient activation at 4 months and could potentially have an effect on attendance at 12 months follow-up.

Pre-treatment education co-led in cooperation with user representatives, peer educators and health professionals is a rational and easy way to activate and engage outpatients in their own health care process.

Clinicaltrials.gov Identifier: NCT01601587

The authors have not supplied their declaration of competing interest.

Integral nursing for an individual with a mental disorder requires care, management and educational skills to improve the quality of life of the patient.

Describes a health education experience in caring for an individual with psychic suffering.

Activities were developed at a psychosocial care center in the city of João Pessoa, Brazil, with students in the third year of nursing school. Three sessions were held on the topic “self-efficacy in the use of psychoactive drugs”. Related factors, such as motivation, self-esteem and support, were chosen by the participants and discussed at each weekly session.

In the discussion groups, the students were able to exercise care based on the exchange of knowledge with the patients who use the service. The ties established in each session enabled the identification of the specific needs of each individual, such as the desire to learn how to improve one's self-esteem, and the active participation of the patients.

The experiences assisted the students in developing the role of the nurse as an educator. The group actions underscored the importance of the skill of health education among nurses.

The authors have not supplied their declaration of competing interest.

People with serious mental illness exhibit higher morbidity and mortality rates of chronic disease than the general population. A significant proportion of premature deaths has been related to modifiable cardiovascular risk factors and may be related to medications taken for mental illness.

Establish a clinic for a cohort of patients with chronic mental illness dedicated to monitoring physical health focusing on modifiable risk factors.

Patients with chronic mental illness taking psychotropic medications long term were invited to attend clinic.

The following areas were examined: History focusing on current mental state, cardiovascular history assessing diet, exercise, personal and family history of cardiovascular disease, Exam including waist circumference, BP, pulse, ECG and calculation of BMI. Laboratory tests including HbA1c, Lipid profile, and other tests as appropriate such as serum lithium. Examination for tardive dyskinesia (Abnormal Involuntary Movement Scale (AIMS)), outcomes, (Health of the Nation outcome scale (HoNos)) and quality of life (WHOQOL-Bref) were performed also performed as additional indicators of global health.

Sample consisting of 47 patients. Mean age 56.1 (SD: 13.6) males 27 (60%). Mean years of illness 23.1(SD:12.2). Mean HoNos 2.7 (SD 2.5). Four cases prolonged QTc, 5 HbA1c > 6% (2 no prior record of elevation); 18 abnormal lipid profiles, (12 no prior record of elevation); 4 blood pressure readings ≥ 140/90, 3 no prior diagnosis of hypertension; 18 BMI > 25.

This is a newly established clinic. Preliminary results have highlighted modifiable risk factors some of which may represent new diagnoses. Close liaison with General Practice is of importance.

The authors have not supplied their declaration of competing interest.

An association between chronic mental illness and significantly reduced quality of life in relation to the general population is speculated in the literature internationally.

To investigate the quality of life of people with chronic mental illness taking psychotropic medication living in the community and attending the Mental Health Services of Sligo town.

Review of data including demographics, diagnoses and World Health Organisation Quality of Life Bref scale (WHOQOL-Bref) scores from consecutive patients attending specialist outpatient clinics dedicated to the care of people with chronic mental illness. Raw scores for each WHOQOL-Bref domain were converted to transforme scores in the range 0–100 for ease of comparison with other validated instruments tools.

Total number of patients: 47. Mean age: 56.1 (SD: 13.6), males: 27 (60%). Mean years of illness: 23.1 (SD: 12.2). Primary psychiatric diagnosis: psychotic disorders 26 (57.8%), mood disorders 16 (35.6%), others 3 (6.6%). WHOQOL-BREF Domain transformed scores: physical health mean: 68.1, SD: 19.92, psychological health mean: 68.2, SD: 19.62, social relationships: 66.2, SD: 21.44, environment: 76.8, SD: 19.5.

Quality of life is a complex multidimensional entity and its assessment relies on subjective reporting and analysis as supported by validated instrument tools. Our results suggest that quality of life is reasonably high among this cohort of patients, contrasting much of the current literature in similar populations. The mean score for social relationships was lower than other domains. This may suggest that a lack of socialisation may be associated with chronic mental illness and identifies a clinical focus for improvement of quality of life.

The author has not supplied his/her declaration of competing interest.

The authors have not supplied their declaration of competing interest.

The authors have not supplied their declaration of competing interest.