Assistant Professor, Rothman Center for Neuropsychiatry, University of South Florida St. Petersburg, Florida, UNITED STATES 2

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1 LECTURES OVERCOMING ADDICTION: PRACTICAL APPLICATIONS OF RECENT ADVANCES IN NEUROSCIENCE, PSYCHOLOGY AND COMPLEMENTARY MEDICINE Constance Scharff, PhD Constance Scharff, PhD, Senior Addiction Research Fellow and Director of Addiction Research, Cliffside Malibu. Malibu, California, USA. Aims: Addiction has one of the poorest recovery rates of any mental health issue. Recovery rates in -step programs are suggested to be approximately in 0. Death rates caused by accidental drug overdoses are skyrocketing at epidemic rates. This presentation will show how a variety of scientific, psychological and integrative medical techniques are being successfully applied to improve outcomes in an addiction treatment center. Methods: This presentation will provide a detailed look at the neuropsychological principles and complementary therapies that have allowed the Cliffside Malibu treatment model to have seven times the success rate as standard treatment. Results: At Cliffside Malibu, our treatment protocol is providing a recovery rate of near 70% one year post treatment, seven times the expected results. Discussion: Applied neuroscience combined with integrative therapies are creating breakthroughs in addiction treatment. Moving beyond genetic concepts of disease, which have provided little therapeutic value, researchers have discovered that addiction is at its core a neuropsychological event. Behavior changes brain function and brain function further modifies behavior both toward and away from addiction. Even the most hopeless addicts can in essence have their brains rewired through the development of new neural pathways, creating a complete and comfortable recovery. THEORETICAL AND PRACTICAL CONSIDERATIONS FOR ACADEMIC ANXIETIES: AN INTEGRATED MODEL Jerrell C. Cassady, Monica L. Heller, Holmes Finch Professor of Psychology, Ball State University Department of Educational Psychology Doctoral Candidate, Ball State University Department of Educational Psychology Professor of Statistics, Ball State University Department of Educational Psychology Considerable research has been undertaken on the topics of various forms of academic anxiety (e.g., test anxiety, math anxiety) and related constructs such as perfectionism. The literature has been replete both theoretical and statistical manipulations to identify profiles, clusters, or factors of these constructs. While all these programs of research have demonstrated significant merit in their own right, there is a risk of fragmentation in the field. The purpose of this presentation is to outline an integrated model of academic anxiety that supports functional applications in identifying and intervening with learners experiencing stressors in academic settings. Included in this presentation will be an update on measurement considerations related to both test anxiety and general academic anxiety, a discussion of the overlaps among constructs such as anxiety and perfectionism, and the roles of perceived barriers and employed coping strategies in mitigating academic stressors. The results of our analyses for over,00 undergraduate learners demonstrate three specific trends: (a) academic anxiety as a hierarchical construct, (b) differential interpretations of anxiety measures by high and low-anxious learners, and (c) an integrated model for academic anxiety that incorporates established models of cognitive interference, cognitive appraisal, and transactional processing for both identification and intervention. HABIT REVERSAL TRAINING FOR TREATMENT OF HAIR PULLING IN YOUTH Omar Rahman, Ph.D., Adam Lewin, Ph.D. Assistant Professor, Rothman Center for Neuropsychiatry, University of South Florida, St. Petersburg, Florida, UNITED STATES Introduction: Trichotillomania (TTM) is a chronic and often disabling illness with a lifetime prevalence up to.5%. TTM is associated with significant social, occupational, and familial impairment, and can also cause medical complications. Habit reversal training (HRT) is efficacious for treating TTM in adults. However, few studies have examined the efficacy of HRT in children. This study evaluated the treatment efficacy of HRT compared to treatment as usual (TAU) for children aged 7 to 7 years with TTM. Method: Thirty patients were randomized to either HRT or treatment-as-usual (TAU). Measures that assessed TTM symptoms, anxiety, emotion regulation, and distress tolerance were administered by a blinded, independent evaluator to all. HRT consisted of 8 weeks of weekly habit reversal training by a trained clinician. Patients in the TAU condition were allowed to continue current treatment or seek any other treatment, as long as it did not include HRT. All patients were assessed again after the end of 8 weeks. Results: Results showed that patients receiving HRT were significantly more improved than those in the TAU condition. Discussion: Habit reversal training can be an effective treatment for TTM in youth. Limitations are discussed. Further avenues for research include investigation of predictors of treatment response, alternate forms of treatment for non-responders, and development of treatment strategies based on type of hair pulling. EVIDENCE-BASED TREATMENT OF OBSESSIVE COMPULSIVE DISORDER Omar Rahman, Ph.D., Eric Storch, Ph.D. Assistant Professor, Rothman Center for Neuropsychiatry, University of South Florida St. Petersburg, Florida, UNITED STATES Professor, Rothman Center for Neuropsychiatry, University of South Florida St. Petersburg, Florida, UNITED STATES Introduction: Obsessive Compulsive Disorder (OCD) affects approximately -% of children. Its effects are often chronic and without treatment most experience a fairly stable, unremitting course or a worsening of symptoms and impairment. Given this, an effective treatment strategy for OCD in children needs to be identified and implemented, both for an individual patient and on a programmatic scale. Method: We review recent studies related to OCD treatment with cognitive behavioral therapy (CBT) and medication. These include our randomized, double blind study (in press) comparing CBT alone to CBT with sertraline, studies comparing CBT formats (e.g., intensive vs. weekly), and our recent research on treatment of OCD in special populations, such as those with disruptive behaviors or cognitive deficits. Results: Results include the following: ) Intensive (daily) and weekly CBT are comparable in terms of efficacy; ) For many children, CBT alone is as effective as CBT with sertraline; ) With adaptation, CBT can be an effective treatment even when there are additional challenges or comorbid issues. Discussion: OCD can be treated effectively using CBT and medication that are disseminated in a variety of formats and strategies. Implications of recent findings include identifying treatment strategies for individual patients, developing overall treatment approaches, and treating hard-totreat patients. UNDER THE SHADOW OF RECESSION. A NARRATIVE EXPLORATION OF YOUNG GREEK GRADUATES EXPERIENCE OF RECESSION Sophia Kariotaki Phd, Counselling Psychologist, University of Manchester Abstact: Since the recession has hit Greece, individuals have not only experienced financial loss but they have seen their whole life overhauled by the crisis. The purpose of this study is to explore how young Greeks who have recently graduated, or who are about to graduate, perceive their lives and futures at this time of severe economic crisis. More particularly, I tried to focus on their feelings (such as worries and hopes) about how the recession has impacted their lives and their feelings regarding their futures. Research has shown that during periods of recession, young individuals are affected the most and for that reason I chose this population as the target group of my research. Coming from the perspective of developmental and life-span theories that in order to achieve healthy psychological development, individuals need to go through particular tasks during their life span; I was particularly interested to see how the recession has psychologically affected young individuals who, even though they have recently ended two of the main markers that identify their transition to adulthood (education and gaining a professional qualification) due to the recession they were unable to move to the stages which are employment and financial in-dependence. I wanted to listen to these individuals stories and see how they perceive their lives and futures and what their feelings are during the period of recession. In a narrative framework, following an unstructured interview and asking four participants one main question, What are your thoughts and feelings about your life and your future during the period of recession?, the participants were allowed to express their stories and what they considered as important, creating in that way unique narratives that represented their own processes. The main themes that were identified from the stories are: Their career choice and their hopes for employment prospects, Broken dreams and collecting the pieces, Impact of recession on the individual, Impact of recession on other aspects of their life and Participants feelings about their future. Presenting and exploring the participants stories I attempted to gain a better understanding and awareness of how the recession has impacted them psychologically, investigating their psychological needs finding ways to support them. The realisation of the significant losses that were described by the participants drove the researcher to turn to bereavement counselling theory trying to identify ways to psychologically support individuals who experience similar losses and clinical interventions were suggested. Keywords: (recession, psychological impact, young graduates, non-death related grief). ROLE STRESSORS AND BURNOUT AMONG PUBLIC SECTOR PARAMEDICAL PROFESSIONALS OF KHYBER PUKHTUNKHWA Dr. SHARIFULLAH JAN Assistant Professor, Peshawar Khyber Pukhtoonkhwa PAKISTAN Abstract sections: Introduction and Aims/Methods/Results/Discussion; The objective of the present study was to examine the impacts of organizational role stressors on personal and organizational outcomes among public sector paramedics of North-West Frontier Province (now Khyber Puhktoonkhwa). The other objective was to investigate the moderating role of social support in relation between role stressors and outcomes. Furthermore, the study was designed to explore the most prevailing role stressors with reference to gender and organization types among paramedics. The research was conducted in two phases called study-i and study-ii, each with independent sample. Study-I was conducted to translate and adapt the instruments to be used in the main stud (study-ii). The translated versions of instruments were administered to a sample of 0 paramedics. The effectiveness of items within the instruments was addressed and scales exhibited fair to good interval consistency reliability. For main study (study-) data were collected from 00 paramedics (58 women and men) from 0 districts of said province. Results were supportive of some study propositions. Role ambiguity, role Conflict and resource inadequacy had significance main effects on the outcome Variables. Specifically Role ambiguity, Role Conflict was found significantly effecting the Emotional Exhaustion and Depersonalization dimension of burnout (personal outcome) and resource inadequacy had significant negative impact on Job Satisfaction (Organizational outcome). Hierarchical multiple regressions analysis were carried out to examine the moderating role of Social Support in the relationship between organizational role stressors and its outcomes supported some of the hypotheses interactions. The impact of supervisory and administrative source of social support were effective in buffering the negative impacts of role stressors on personal outcomes, whereas, the Colleagues support was significantly effective in mitigating the negative impacts both on personal as well as organizational outcomes. The results also revealed that Inter-role distance and Resource Inadequacy were the st and nd most prevailing Organizational Role Stressors among both men and women paramedics as well as for all the four types of organizations in the province. Implications of these results were discussed. SOCIAL CARE IN THE CONTEXT OF MANAGEMENT AND OPERATION OF SOCIAL PROTECTION SYSTEM Ευθύμιος Βαλκάνος, Γεώργιος Μάρδας, Θεόδωρος - Βασίλειος Μάρδας Επίκουρος Καθηγητής Πανεπιστημίου Μακεδονίας Λέκτορας Κοινωνικής Πολιτικής, Πανεπιστήμιο Μακεδονίας Επιστήμονας Κοινωνικής Πολιτικής ABSTRACT Social care (or social welfare) is the protection provided to individuals or groups of people with prevention and rehabilitation projects, which aims on the one hand to create conditions for equal

2 participation in economic and social life and on the other hand to ensure a decent level of living. The welfare state is an idealized model, where systems of social policy reflect the level of socioeconomic policy, the level of socio-economic development and the diversity of a defined society in which these systems are born, evolve and die. Social state is considered that particular state which takes care (looks ahead) through the legislation and / or the administrative way, of the protection of social rights, based on the principles and norms of social policy. The substantial exertion of the two individual rights (freedom and equality) presupposes the existence of the Social State of Justice (S.S.J.). Consequently, S.S.J. focuses on the political equality of those being administrated, through the pursuit of social equality or the reduction of social inequality. Eventually, Social Policy concerns the optimal choice between conflicting policy goals and objectives, as well as in the way of their configuration. The Social crisis in the welfare state, which appeared at the end of the twentieth century and continues nowadays (0), is characterized by some deterministic variables (quantitative or of classification), which eventually shape the philosophy and the attitudes of the welfare state in Greece and in the European Union. Undoubtedly, the future and the prospects of social policy focus on two pillars: a) the growing unemployment and b) the aging of the population, related to the viability of the existing insurance bodies. However, is the fall of the relevant operating indicator concerning the social care system irreversible? Key-words: Social care (or social welfare), welfare state, social state, Social State of Justice (S.S.J.), social policy TREATMENT OF CHEMICAL ADDICTION BY SUBLIMINAL THERAPY: A CASE REPORT Yager Edwin Ph.D. Psychologist and Clinical Professor, Psychiatry Dept. UCSD School of Medicine, San Diego, California, USA Abstract: Conventional, current treatment of chemical addiction adequately addresses the physiological aspects of the addiction; however, it does not adequately address the psychological component. The adjunctive use of Subliminal Therapy to treat the psychological underpinnings of addictions has proven remarkably effective in resolving both chemical and social addictions, including marked reduction in physical withdrawal symptoms. This case presentation is that of heroin addiction and includes an overview of Subliminal Therapy, in addition to proposing a theory of the etiology of addiction as being psychogenic, at least in many instances. The importance of the interaction between Sound - Body and Environment for children with Autism Spectrum Conditions Relational and Expressive Activity and its technology Grazia Ragone PlayGrowth Ltd., Brighton, UK REActivity (Relational and Expressive Activity) is an approach to ASDs children that combines psychodynamic music therapy and psychomotor exercises with innovative technologies specifically created in order to enhance motor and social skills. The system can collect quantitative and qualitative data useful for the assessment and development. REActivity produces an interactive environment, responsive to the gestures of the child who expresses himself by movement causing evidences of sound in real time. This process make possible the recognition of himself, making music through his movements, as first step towards the self confidence. REActivity has developed a warm, easy-going environment as a revival of the uterine womb where children, maturing attitudes awareness of their person, the basic preparation of the social womb. Under the guide of a professional, the child is helped to retrace stages of psychomotor development. In the environment, the threefold relationship between body movement, sound and mood is exploited in peculiar settings, aimed at strengthening the child s perception improving his/her skills. The goal of this study is to introduce a new metric, that analyzes, by measuring positional parameters and their variation over time, the child s changes on relational, motor and expressive skills while he is having fun interacting with REA. Cold Pies, Warm Beer, and Misspent Youth : Acculturation Strategies Mediate Ethnic Self- Identification and Marginalization in First and Second-Generation Migrant Youth from South-East Asia Anita Tan School of Psychology and Exercise Science (Murdoch University) Dr. Gregg Harbaugh Abstract: The literature on migrants and social adjustment in Australia has been limited, with theories on acculturation surpassing empirical knowledge. Additionally, most research in this arena has centered on biosocial correlates of adult migrant activity; few Australian-based studies have investigated empirically the impact of acculturation strategies on familial and structural marginalization among migrant youth. Using the underpinning constructs of biculturalism across multiple domains, this thesis examines how ethnic self-identification and self-esteem are mediated by the adoption of bicultural (culturally integrated) or culturally separated strategies of adjustment, and how this in turn may relate to negative adjustment outcomes such as alienating migrant youth from their families (familial marginalization) and from salient social/governance structures (structural marginalization) in their lives. This proposed relationship is articulated in a hypothesized 6-factor model relating the constructs of: Self-Esteem, Ethnic Identity, Cultural Integration, Cultural Separation, Familial Marginalization, and Structural Marginalization. The robustness of the relationship between these constructs is then further tested using a scale of selfreported antisocial behaviour. The proposed mediation model is tested across 0 first and second-generation youth migrants from South-East Asia using structural equation modeling (SEM) and multiple-group analyses. The measurement model was evaluated using a series of confirmatory factor analyses to assess the factor structure of each of the 6 latent constructs examined for both first- and second-generation migrant youth samples: Congeneric (-factor) models were tested separately for each construct, and configural and measurement equivalence across generations was assessed. The full structural model was then estimated and tested for factorial equivalence and multi-group invariance across generation and cohorts using both aggregate and individual item scores. Results from this arm of the study indicate that the hypothesized multi-group model for familial and structural marginalization is well fitting across generation and migrants, and that significant differences exist in the relationship between independent, mediating and outcome variables when comparing generation and cohorts. Results from the second arm of the study exploring the prediction of antisocial behaviour from the proposed model of cultural and social adjustment indicate that selfesteem, familial marginalization, and structural marginalization added significantly to the prediction of antisocial behaviour for the generation cohort, while only structural marginalization significantly predicted antisocial behaviour for the generation cohort. In terms of descriptive data, this study also reports frequency and correlational statistics obtained from preliminary meanstesting procedures. This study contributes to work in the field of migrant adjustment by adopting a multidimensional approach to defining and examining the constructs of ethnic identity and acculturation, and by exploring how these constructs interact to predict experiences of marginalization and antisocial behaviour in South-East Asian youth. More globally, this has implications for how cultural identity and socialization practices may be shaped in a range of settings to which young migrants may become exposed (e.g. schools, refugee detention centers, offender rehabilitation programs) to ameliorate the risk of marginalization and criminalization. Are Migraine Headaches Psychogenic?: A Case Report of Treatment by Subliminal Therapy Yager Edwin Ph.D. Psychologist and Clinical Professor, Psychiatry Dept. UCSD School of Medicine, San Diego, California, USA Abstract: The physical mechanism of migraine headaches, as well as tension headaches, is that of the action of smooth muscle creating cranial pressure. In theory, smooth muscles are controlled via the autonomic nervous system in response to subconscious mental stimulus. The stimulus can be the consequence of prior experience and can serve subconscious, psychological purpose, such as getting attention or avoiding a situation. When that conditioned influence from the past has been identified and resolved, the headache ceases to exist. A case of successful treatment of migraine headache of years duration is presented, together with an overview of Subliminal Therapy, including discussion of its success rates in treating other psychogenic disorders. INTEGRATING GREEK HISTORY INTO THE TEACHING OF ETHICS AT THE GRADUATE LEVEL E.L. Liljedahl Psy.D., Program Director/Department Chair, M.A. Forensic Psychology Non-Licensure Program. Chicago, The Chicago School of Professional Psychology, USA This oral presentation aims to provide the participants strategies to enhance their student s knowledge of ethics and the philosophy of moralism within their field of study. Socrates, the Father of Modern Western Ethics, will be discussed within the context of the history of his time and how his teachings significantly affected the development of moralistic thinking and ethical decision-making. Modern ethical decision making models will be presented along with the reasoning for using a chosen model when making decisions about ethical dilemmas. Specific case studies in forensic psychology and neuropsychology will be presented. Participants will have the opportunity to trace the footsteps of Socrates, Aristotle and Plato through this presentation and will learn how history and experience impact cultural development and the further proliferation of moral and ethical thinking and decision-making. Treating Chronic Pain with Subliminal Therapy Yager Edwin Ph.D. Psychologist and Clinical Professor, Psychiatry Dept. UCSD School of Medicine, San Diego, California, USA Abstract: In many cases of chronic pain the pain is exacerbated by psychological factors, and in many cases the pain is psychogenic. In these situations, chronic pain is effectively treatable by psychodynamic treatment. The unusually high effectiveness of Subliminal Therapy, a psychodynamic approach to treatment, has been demonstrated in clinical trials conducted under the auspices of the Subliminal Therapy Institute, Inc. The theory that chronic pain can psychogenic is supported by these trials. Subliminal Therapy is an innovative and easily learned psychodynamic technique incorporating hypnotic phenomena. Reduction, and often the complete elimination of chronic pain, is accomplished by rationally engaging the patient s extra-conscious mental abilities to identify and resolve the psychogenic cause, or the psychological factors that are exacerbating the pain. The theory and assumptions of Subliminal Therapy are presented by lecture, video-recorded sessions and validated by subjective experiences of the participants. The subjective experience is voluntary and is conducted to introduce the participants at a personal level to the protocol of the therapy. The application of Subliminal Therapy is demonstrated during the workshop by treating one or more cases of chronic pain, using volunteer patients. RECONSTRUCTING AND SECURING CONTINUATION OF MEANING EXPERIENCE IN DISCONTINOUS SOCIAL ENVIRONMENTS: BRIDGES OF ACTION AND TRANSACTION Parmenidou A.V. BA (Ηοns) in Psychology, MMedSci in Psychiatry, University of Sheffield, UK, Member of the British Psychological Society and the European Family Therapy Association, GREECE Introduction: Brave Heart and DeBruyn (995) refer to cultural trauma as the product of a legacy of chronic trauma and unresolved grief across generations originating from stunning loss of lives, lands and vital aspects of native cultures resulting from contact with dominant cultures. Although cultural trauma shares some etiological similarity with post-traumatic stress disorder, it is clearly distinct, as cultural trauma stems from damage inflicted to a group s rather than an individual s psychological defensive system. Objectives: This lecture will attempt a. to draw some attention to the social and cultural aspects of the construction of psychological knowledge to the way it is practiced today with its emphasis on clinical effectiveness by showing the common link between the damage inflicted on indigenous cultures and the state of health and psychological well being suffered by these people and, b. outline how the resources of values-based practice have been applied in the development of training materials that have been used to support implementation of the now Mental Health Act in the UK, designing mental health policy, service changes, planning and delivering quality training for the enhancement of performance and learning at the workplace. Conclusions: A failure to integrate scientific knowledge with its social context or to face some of the difficult implications of its practice separates the discipline from its potential as a humanitarian project in the long run underestimating the welfare of the populations they are privileged to serve. Keywords: cultural trauma, values-based practice training, mental health policy, human rights and legislation, planning and service development. A multidisciplinary perspectives for the importance of creativity of the childrens development. Social psychological and educational perspectives. Ioanna-Stamatina Panagiotakopoulou, Psychologist of the Pantion University of Athens, Nursery teacher (kindergarten) University of Athens, M.A. Educational Psychology of the Charokopion University of Athens, Ph.D. candidate of Psychology of Art and Creativity University of Cassino, Italy. Creativity is the individual s tendency and ability to discover new things and original ideas. It exists as a dynamic potential in all individuals and all ages, provided that there is a social and cultural environment that favors the development of these ideas. Little children who admire the wonderful world around them, trying to learn new things without having been yet initiated in the educational process, are especially creative. Cultivating creativity helps preschool age children to develop their spontaneity, their intellect and their perception. Programs, strategies and inventive ways of exercising creative thinking contribute to the development of the children s creative abilities such as the brainstorming technique. Original ideas can be generated with the help of a catalogue of innovations, facilitating associations of old ideas with new ones. Of course the development of creativity requires a suitable environment with solid social and economic foundations to support innovative ideas. In this presentation we develope the fundamental traits of Children s creativity: Intrelligence, Originality, Readiness, Productivity, Proccesing and Abilities. Keywords: Creativity, Creative thinking, Educational perspectives Disguising losses as wins in modern multiline slot machines. Dixon Mike, J. Professor of Psychology, University of Waterloo, Psychology, Waterloo, Ontario Canada In modern multiline slot machines players can wager on many lines at once (e.g., they can wager one 0 eurocents on each of 0 lines for a spin wager of euro). When players spin and lose the machine goes quiet. When they spin and win more than a euro the machine celebrates the win with songs and animations. When they spin and win back less than a euro (e.g., 0 eurocents)

3 the machine still celebrates this win with catchy songs and animations even though the player lost money. We call these latter outcomes losses disguised as wins (LDWs). I will show how LDWs cause players to misremember having won more often than they did in reality. I will show how celebratory sounds play a key role in this win-overestimation effect. I will also show that by pairing negative sounds with all losing outcomes (including LDWs) we can eliminate this win overestimation effect. Finally I will show that players prefer multiline games over single-line games, find multiline games more arousing, and that relative to non-problem gamblers, problem gamblers become preferentially absorbed by these multiline games. I will discuss how these findings have implications for the development of gambling addictions. WORKSHOPS PSYCHOTHERAPY FOR THE INTERRUPTED LIFE: AN EVIDENCE-BASED THERAPY FOR INDIVIDUALS WITH COMPLEX PTSD Christie Jackson, Ph.D. Director of the PTSD Clinic; Clinical Psychologist Director of the PTSD Clinic Department of Veterans Affairs New York Harbor Healthcare System, Manhattan Campus Clinical Assistant Professor at NYU School of Medicine Private psychotherapy practice New York, NY U.S.A. Abstract: This workshop will present Skills Training in Affective and Interpersonal Regulation/ Narrative Therapy (STAIR/NT), an evidence-based cognitive-behavior therapy specifically developed for individuals with complex PTSD. STAIR/NT has been shown to be effective with multiple populations, including men and women, individuals who experienced childhood and/or adulthood sexual, physical and/or emotional assault, individuals with PTSD related to the World Trade Center Attacks in New York, and Military Veterans. Participants will learn about the two phases of treatment in STAIR/NT. The first phase, STAIR, teaches skills for improved emotion regulation and interpersonal functioning, two areas that are often particularly impaired when a person has experienced multiple traumas. The second phase, Narrative Therapy, is a modified form of prolonged exposure tailored for complex PTSD. The workshop will include training on the use of exposure therapy for treating PTSD in this population, and explain ways in which exposure therapy may differ when dealing with complex trauma versus trauma that stems from a single incident. Teaching modalities will include PowerPoint, video-clips, role-plays and other experiential exercises, as well as case presentations. INTEGRATING MENTAL HEALTH SERVICES IN PRIMARY CARE SETTINGS - LESSONS LEARNT AND PRACTICAL TIPS NICK KATES MB.BS FRCPC, MCFP(hon), FCPA PSYCHIATRIST CHAIR DEPT. OF PSYCHIATRY, MCMASTER UNIVERSITY, SENIOR ADVISOR, HEALTH QUALITY ONTARIO, FORMER DIRECTOR HAMILTON FAMILY HEALTH TEAM MENTAL HEALTH PROGRAM CHAIR, DEPT. OF PSYCHIATRY, MCMASTER UNIVERSITY PSYCHIATRIST, HAMILTON FAMILY HEALTH TEAM MENTAL HEALTH PROGRAM, HAMILTON, ONTARIO, CANADA. Introduction and Aims: With family physicians playing increasingly central roles in delivering mental health care in most communities and countries, the need to improve the relationship with mental health services and to build collaborative partnerships becomes even more important. Methods: This workshop reviews the current role of primary care in delivering mental health care, and the challenges that mental health and primary care face when working together. It presents a new vision for the role of primary care in delivering mental health services and changes mental health services need to make to support this. It thendraws on experiences of a program in Hamilton, Ontario, Canada which has successfully integrated mental health counsellors and psychiatrists into the offices of what is now 50 physicians for 0 years. It describes how the program works, the roles of the psychiatrist, mental health counsellor and family physicians, the principles that have guided the development of the service, the practical skills required to enable psychiatrists and counsellors to function effectively within primary care settings and the educational opportunities such partnerships present for providers and also for residents. Results: It reviews the key lessons learnt, ways to improve communication, how the program is managed and co-ordinated and how it has increased the capacity of primary care providers to deliver mental health care. The workshop then provides examples of how this model can assist with early detection, improving communication and co-ordination between mental health and primary care providers, meeting the needs of underserved populations and building partnerships with community agencies. Discussion: The workshop will be interactive throughout, but the final discussion will focus on strategies and practical tips for adapting and implementing these concepts in any community. The New Paradigm in Psychotherapy: Subliminal Therapy Ph.D. Psychologist and Clinical Professor, Psychiatry Dept. UCSD School of Medicine, San Diego, California, USA Abstract: In the world of psychotherapy, marked strides have been taken toward new understanding of mental functioning, and the recent emergence of Subliminal Therapy as a new paradigm of psychotherapy is clear demonstration of that progress. The concept of accomplishing desired change by rationally utilizing mental capacities that exceed conscious capabilities, doing so without conscious involvement in the process, is at the very least unconventional and lacks obvious links with conventional psychotherapy. Disengagement of conscious process is central to Subliminal Therapy during its application, which is in direct contrast to conventional therapy protocols. In the course of this lecture, you will be introduced to Subliminal Therapy, and will be invited to subjectively experience evidence of the presence of your own extra-conscious abilities. Διαπροσωπικές σχέσεις και Συγκρουσεις στην Κλινική πράξη μέσα από χαρακτήρες της Αρχαίας Ελληνικής Τραγωδίας Ioanna-Stamatina Panagiotakopoulou, Psychologist of the Pantion University of Athens, Nursery teacher (kindergarten) University of Athens, M.A. Educational Psychology of the Charokopion University of Athens, Ph.D. candidate of Psychology of Art and Creativity University of Cassino, Italy. Στο εργαστήριο θα συζητηθούν οι διαπροσωπικές συγκρουσιακές σχέσεις πυο αφορούν στην Κλινική Πράξη και την εφαρμογή τους από τους χαρακτήρες της Αρχαίας Ελληνικής Τραγωδίας στην Σύγχρονη Ψυχοθεραπευτική διαδικασία. Το εργαστήριο αναλογεί σε ομάδα ατόμων, σε περίπτωση περισσότερων συμμετοχών θα γίνουν περισσότερα τμήματα. ORALS QUALITY OF FAMILY INTERACTIONS AND PSYCHOSOMATIC SYMPTOMS DURING ADOLESCENCE PERIOD Eshref Zogaj, Naim Fanaj ; Valbona Gashi, Shyhrete Sertolli Psychologist, Secondary school Hamdi Berisha, Malishevo; KOSOVO MD; psychiatrist; Mental Health Unit for Children and Adolescents; Prizren; KOSOVO Student; Faculty of Philosophy; University of Prishtina, Prishtina, KOSOVO Pedagogue; Primary school Naim Frasheri, Banje, KOSOVO Introduction and Aims: Psychosomatic symptoms are known to be associated with poor quality of family dynamics. Main aim is to measure and recognize the correlation between the quality of adolescent family interactions and the level of their psychosomatic symptoms. Methods: It is a corelational study. The measures included the Scale of Quality of Family Interactions (Vulić-Prtorić,000) and one original self-reporting questionnaire for somatic symptoms. The purposeful sample was selected of 55 students of secondary schools of Malisheva region (Kosovo). In terms of gender composition, 9.% were females and 50.% males, aged between 0-8 years. Data processing was done with SPSS.0 and Microsoft Excel 007. Results: Analyses showed that the level of somatisation is significantly negatively correlated with sex (girls +; r=-.0, p<.00), and positively with residence (urban +; r=.,p<.0), but didn t have significant correlation with subscales of family interactions. Higher level of family satisfaction and father accepting subscale is non-significantly negatively correlated to level of somatisation; mother accepting, mother rejecting and father rejecting subscales are positively non-significantly correlated to level of somatisation. The multiple regression analysis indicated that sex and residence significantly predicted somatisation (R=.6, F(,59)=5.7, p<.00). Discussion: Despite some emerging correlations, we didn t found significance between psychosomatic symptoms and quality of family interactions in adolescents. USER EXPERIENCE AND SATISFACTION IN UPTAKE OF COMPUTERISED COGNITIVE BEHAVIOURAL THERAPY (CCBT) SERVICES Eliane Du, Dr. Ethel Quayle, Dr. Hamish Macleod PhD Candidate, Clinical Psychology, The University of Edinburgh, SCOTLAND Psychologist, Senior Lecturer, Clinical Psychology, The University of Edinburgh, SCOTLAND Senior Lecturer, The Moray House School of Education, Institute for Education Community and Society, The University of Edinburgh, SCOTLAND Introduction and Aims: Despite good evidence indicating that Computerised Cognitive Behavioural Therapy (CCBT) is an effective treatment for mild to moderate anxiety and depression, many people drop out before completing the programme. A mixed method study was carried out to gain a better understanding from the users perspectives why this might be and how this computer-mediated therapy can be utilised more effectively. Methods: In-depth semi-structured interviews were conducted with participants at different NHS organisations in Scotland. An inductive thematic analysis was used to identify recurring patterns and themes for qualitative data. Results: The preliminary analyses indicate that there are number of challenges related to how CCBT is made available to these users and the support mechanisms around it. These might have impacted on users engagement and the effectiveness of this technology. Discussion: The findings suggest that health care professionals and policy makers may need to look closely at the accessibility of CCBT to users and how best to support them to take up or continue with the programme. Good user experience and satisfaction will increase adherence and completion rates. These are pivotal to the success of this intervention. POST VICTIMAZATION NEEDS OF SEXUALLY HARASSED FEMALE MIGRANT DOMESTIC WORKERS IN GREECE: THE COMMUN AID PROJECT Nikoleta Ratsika (Lecturer), Dr. Maria Papadakaki (Lecturer), Lina Pelekidou (Research assistant), Maria Papanikolaou (Postgraduate student), Efmorfia Vasilaki (Postgraduate student), Nikolas Spetsidis (Researcher), Emmanouela Skoula (Researcher), Joannes Chliaoutakis (Professor) DEPARTMENT OF SOCIAL WORK, TECHNOLOGICAL EDUCATIONAL INSTITUTE OF CRETE, HERAKLION, GREECE UNION OF WOMEN MEMBERS ASSOCIATIONS OF HERAKLION PREFECTURE, HERAKLION, GREECE Introduction: Sexual harassment/ violence against migrant domestic workers constitute a silent phenomenon which affects women s mental state severely. Especially when occurring within the narrow limits of a house. Aim: This study aimed to identify the psychological sequel of sexually victimized female migrant domestic workers. Methods: A qualitative field research was carried out during May-July 0, in Crete, Greece, as part of the Commun AID project, which was funded by the DAPHNE III programme (JUST/0/ DAP/AG/7). The study involved 0 sexually-harassed female migrant domestic workers recruited through a snowball technique. The information was collected through semi-structured interviews during face-to-face meetings. Results: The psychological consequences were experienced in two areas; in personal and in relational level; As regards to the personal level, the vast majority experienced anger, stress, insecurity, depression and psychosomatic symptoms. At the relational level, the majority of the participants reported emotional withdrawal from their partners and refusal of sexual intercourse. Low reporting of incidents was also evident due to the fear of husband s reaction, fear of unemployment and ignorance of the existed services. Discussion: The emerging need for raising migrants awareness cannot be disregarded, neither the urgent need for the development of culturally competent and migrant-friendly services. ΨΥΧΙΚΗ ΑΝΘΕΚΤΙΚΟΤΗΤΑ ΝΕΩΝ ΣΕ ΠΡΌΓΡΑΜΜΑ ΕΠΑΝΕΝΤΑΞΗΣ ΑΣΤΕΓΩΝ ΣΤΙΣ Η.Π.Α.: ΜΙΑ ΠΟΙΟΤΙΚΗ ΕΡΕΥΝΑ 5 ΠΕΡΙΠΤΩΣΕΩΝ RESILIENCE IN FORMERLY HOMELESS YOUTH WITHIN A TRANSITIONAL HOUSING PROGRAM IN TEXAS, USA: A CASE STUDY OF FIVE YOUTH Sofia Georgiadou Ph.D in Marriage and Family Therapy, University of Louisiana at Monroe, USA Licensed Professional Counselor In Private Practice Thessaloniki, Greece ABSTRACT: Introduction: Due to their at-risk behaviors, viewing homeless youth (8- years) as vulnerable individuals who lack coping skills leads to a deficit perspective of this population. The researcher, through her clinical work with homeless youth in a transitional housing program at Covenant House Houston, Texas, observed that certain youth functioned better than their peers (abstained from substances, high-risk sexual behaviors, and delinquency), when all were given similar support and resources. Objective: This study explored resilience traits selected successful youth have developed that helped them progress and benefit from their transitional housing program more than their peers. Method: The researcher conducted in-depth interviews with five youth (four males, one female). The transcribed interviews were analyzed using a multiple case study design. Findings: Common themes across the five youth s accounts of resilience indicated the presence of internal drive, an ongoing sense of hope in a different way of experiencing life, isolation from their family and social circle at times contact was perceived as detrimental, and help-seeking behavior at key moments of adversity during their childhood and adolescence. Discussion: The researcher will juxtapose her findings with the US literature on resilience and discuss therapeutic concepts clinicians can incorporate when working with at-risk youth. A NARRATIVE INQUIRY INTO HOW YOUNG PEOPLE MAKE SENSE OF

4 THEIR EXPERIENCES OF ASSESSMENTS AT MENTAL HEALTH SETTINGS Ting-ya Wang & Kerry Gibson Doctoral student & Senior lecturer Department of Psychology, University of Auckland, Auckland, NEW ZEALAND Introduction: Young people (YP) have proven to be a challenging group to engage within mental health settings (MHS). There is a need to learn how YP experience their initial encounters with MHS in the assessment phase. Most of the knowledge in this area are derived from a professional point of view, with little work done to explore YP s own perceptions of services they had received. Aims: This research aimed to explore how YP make sense of their experiences of assessments at MHS. Methods: A qualitative methodology was employed. YP between the ages of and 8 who had undergone an assessment in MHS were invited to an hour-long, in-depth narrative interview. Sixteen interviews were collected and themes were identified through thematic analysis. Results: Findings show how YP made sense of their readiness for, and hesitations about engaging with the service, the multifaceted processes they used to disclose personal information, and how they made meaning of the assessment at the interpersonal and intrapersonal level. Discussion: This study shows that YP can provide useful information about their mental health experiences. The findings propose the importance of raising awareness of YP s concerns about assessment and exploring different clinical approaches to fit their needs. SLEEP PROBLEMS OF SERVICE USERS OF ELDER CARE IN HONG KONG Alice M.L. Chong, PhD. Associate Professor, Department of Applied Social Studies, City University of Hong Kong, Hong Kong, CHINA Abstract Introduction and Aims: The present study aims to explore the sleep quality of service users of elder care in Hong Kong. Methods: A survey of 06 participants aged 60 or over randomly selected from among users of community care (77.%) and residential care services (.7%) of the largest NGO in Hong Kong was carried out. Two-third (66.7%) was female;.% from the age group of Sleep quality was measured by Cantonese-version Pittsburgh Sleep Quality Index (Cantonese-PSQI) and a global question on self-reported insomnia. Results: A total of.7 % of the participants self-reported suffering from insomnia. Among them, 78% had it for more than one year, 5.0% did not seek help, and 6.5% could not find any suitable persons to help. If the Cantonese-PSQI score 5 or above was taken as the cutoff point for sleep problems, 68.8% of the participants would be suffering some sleep problems. This suggests a need to adjust the cut-off score for PSQI among Chinese older people. Sleep quality was predicted by self-reported insomnia, institutionalization, depression and poor perceived health, after controlling for confounding variables. Discussion: Further studies are recommended to find out reasons of low help-seeking, and to cross validate the cutoff score of Cantonese-PSQI for Chinese elders. Table : Correlations and Descriptive Statistics of C-PSQI (N=06) Subjective sleep quality *** 0.9*** 0.7*** 0.*** ***. Sleep latency *** 0.*** 0.8*** ***. Sleep duration *** 0.5*** Habitual sleep efficiency *** *** 5. Sleep disturbances *** 6. Use of sleep medications Daytime dysfunction.00 Mean SD * p<0.05 **p<0.0 ***p<0.00 Table : Factor Matrix for the -Domains of C-PSQI (N=06) Domains of C-PSQI Perceived Sleep Quality Daily Disturbances Sleep Medication. Subjective sleep quality Sleep latency sleep duration Habitual sleep efficiency Sleep disturbances Use of sleep medications Daytime dysfunction Extraction Method: Principal Component Analysis. Table : Standardized Regression Coefficients of Demographic and Personal Variables on C-PSQI (N=06) Model Model Age 0.6* Gender (Female) 0.05* 0.0 Education level -0.** Perceived health^ 0.6*** Perceived financial adequacy 0.0 Depression (Geriatric Depression Scale) 0.8*** Living in institution 0.** Self-reported insomnia 0.6*** Adjusted R² * p<0.05 **p<0.0 ***p<0.00 Dependent variable: C-PSQI ^ 5 point scale with being very good to 5 being very bad. ΤΟ ΜΟΝΤΕΛΟ ΣΤΡΕΣ-ΔΙΑΘΕΣΗ ΥΠΟ ΤΟ ΨΥΧΑΝΑΛΥΤΙΚΟ ΠΡΙΣΜΑ ΣΕ ΚΑΤΑΘΛΙΠΤΙΚΟΥΣ ΑΣΘΕΝΕΙΣ THE STRESS-DIATHESIS MODEL UNDER THE PSYCHOANALYTIC PERSPECTIVE IN DEPRESSIVE PATIENTS Α. Καλαματιανός, Υποψήφιος Διδάκτορας Κλινικής Ψυχολογίας, Πανεπιστήμιο Αθηνών Λ. Κανελλοπούλου, Επίκουρη Καθηγήτρια Ψυχολογίας, Πανεπιστήμιο Αθηνών A., Kalamatianos, PhD in Clinical Psychology candidate, University of Athens L., Canellopoulos, Assistant Professor of Psychology, University of Athens Περίληψη Η παρουσίαση αυτή έχει σκοπό τη συγχρονική μελέτη του μοντέλου στρες-διάθεσης σε καταθλιπτικούς ασθενείς και στο δείγμα ελέγχου. Σύμφωνα με αυτή τη θεώρηση, συγκεκριμένα στρεσογόνα γεγονότα ζωής αλληλεπιδρούν με προδιαθεσικούς παράγοντες ευαλωτότητας. Αυτοί, ειδικότερα, υπό μια αναπτυξιακή και ψυχαναλυτική σκοπιά συνίστανται στον ανακλιτικό και στον ενδοβλητικό τύπο κατάθλιψης. Η παρούσα έρευνα σκοπεύει να μελετήσει αν γεγονότα, όπως χωρισμοί, αποχωρισμοί και θάνατοι συνδέονται με την εξαρτητική κατάθλιψη και το αίσθημα εγκατάλειψης και άλλα γεγονότα, όπως απώλεια εργασίας, ανεργία και μείωση του εισοδήματος συσχετίζονται με την αυτό-κριτική κατάθλιψη και το αίσθημα της αποτυχίας. Συμμετείχαν διαγνωσμένοι καταθλιπτικοί ασθενείς που προσήλθαν σε εξωτερικά ιατρεία κέντρων ψυχικής υγείας και ψυχιατρικών μονάδων γενικών νοσοκομείων και άτομα που προσήλθαν σε χώρους αναμονής υπηρεσιών του ΙΚΑ, της διεύθυνσης υγειονομικής περίθαλψης ασφαλισμένων του Δημοσίου και της Εθνικής Τράπεζας. Οι συμμετέχοντες συμπλήρωσαν το Ερωτηματολόγιο Καταθλιπτικών Εμπειριών του Blatt, που αξιολογεί τους δύο καταθλιπτικούς τύπους, το Ερωτηματολόγιο Κατάθλιψης του Beck, ένα αυτοσχέδιο Ερωτηματολόγιο Γεγονότων Ζωής και το Ερωτηματολόγιο της Πρόσδεσης του Ενηλίκου-Κάρτες των Ατομικών Μοντέλων Σχέσης του Pierrehumbert. Παρουσιάζονται τα προκαταρτικά αποτελέσματα της επαλήθευσης του μοντέλου, της σύγκρισης των δύο δειγμάτων, η συσχέτιση των καταθλιπτικών τύπων με τους τύπους ανασφαλούς πρόσδεσης και η πρακτική σπουδαιότητα της έρευνας για τη θεραπευτική διαδικασία. Μελέτη Εικόνας Σώματος,επιπέδων Αυτοπεποίθησης και Διατροφικών Συνηθειών Μεϊντάνη Παρασκευή,, Κολέτση Μάρσα 5 Γενικό Νοσοκομείο Αεροπορίας, City Unity College A study investigating the Body Image, the levels of Self Confidence and Eating Attitudes Meidani Paraskevi,, Koletsi Marsha 5 Air Force General Hospital, City Unity College ΣΤΟΧΟΣ ΤΗΣ ΕΡΕΥΝΑΣ: Ο σκοπός της παρούσης έρευνας είναι είναι να μελετήσει την εικόνα σώματος, τις διατροφικές συνήθειες και τα επίπεδα αυτοπεποίθησης σε ηλικιακό φάσμα 5-5 ετών στον Ελληνικό πλυθυσμό, δεδομένου ότι οι περισσότερες έρευνες που έχουν διεξαχθεί αφορούν εφήβους και άτομα στην πρώιμη νεότητα. ΜΕΘΟΔΟΣ: Η παρούσα έρευνα αποτελεί μία συγκριτική ποσοτική μελέτη. Το δείγμα θα αποτελείται από 50 άτομα ηλικίας 5-5 ετών οι οποίοι εργάζονται στο 5 Γενικό Νοσοκομείο Αεροπορίας. Οι συμμετεχοντες δεν θα πρέπει να έχουν διαγνωσθεί με διατροφικές διαταραχές. ΥΛΙΚΑ: Ερωτηματολόγιο δημογραφικών στοιχείων, η Ελληνική έκδοση του ερωτηματολόγιου Εκτίμησης Εικόνας Σώματος, το ερωτηματολόγιο Διαιτητικών Συνηθειών (Eating Attitude Test EAT- 6) και το ερωτηματολόγιο Αυτοπεποίθησης του Rosenberg. ΠΡΟΣΔΟΚΩΜΕΝΑ ΑΠΟΤΕΛΕΣΜΑΤΑ: Προσδοκάται ότι θα βρεθεί άμεση συσχέτιση μεταξύ των επιπέδων αυτοπεποίθησης, της εικόνας σώματος και των διατροφικών συνηθειών του ατόμου, η οποία επίσης θα διαφοροποιείται ανάλογα με το φύλο και την ηλικία. STUDY OF SENSE-VALUE ATTITUDES TO BRINGING UP CHILDREN AT REAL AND POTENTIAL PARENTS Liudmila Ju. Kruteleva, Irina V. Abakumova Associate Professor, Psychologist; Professor, Psychologist Psychology Department, Southern Federal University, Rostov-on-Don, Russian Federation The family plays a significant a part in developing and socializing a child. It forms basic values and personality of the child. Modern conditions make a strong impact on the disposition of young people to have a family, children, and also on methods of bringing up children. Communication of the child with the parents is the first experience of the communication with the world around which is fixed and forms future models of behaviour. The sense-value attitudes of young people to bringing up children and the difference in their expectations and real experience determine the process of the communication. The study of the attitudes at real and potential parents was the aim of our research. The research methods are both a special developed questionnaire and valid procedures modified for Russian respondents (Purpose-in-Life Test, Rokeach Value Survey, Parental Attitude Research Instrument, etc.). 0 couples aged 0-5 years old both having and going to have children took part in the study. The study was held in Main results: we have analyzed and described the difference between stereotypic expectations and the real experience of bringing up children, styles and methods used by men and women, developed a supporting training for future parents. THE PATHWAYS TO CARE AMONG THREE ETHNIC/RACIAL GROUPS: A SYSTEMATIC REVIEW Kelly K. Anderson, Nina Flora, Suzanne Archie, Craig Morgan, & Kwame McKenzie, Associate Professor, McMaster University Social and Epidemiological Research, Centre for Addiction and Mental Health (CAMH); Toronto, Ontario, Canada Department of Psychiatry and Behavioural Neurosciences, McMaster University; Hamilton, Ontario, Canada Section of Social Psychiatry, Institute of Psychiatry, King s College London; De Crespigny Park, London SE5 8AF, UK Department of Psychiatry, University of Toronto; Toronto Ontario, Canada Introduction: The literature involving patients with serious mental illness suggests that either first or second generation immigrants of Black African and Caribbean heritage (European literature) were more likely to experience involuntary routes into mental health care compared to other groups. We conducted a systematic review comparing the pathways to care among three different ethnic/racial groups (Black, White, and Asian), restricting the sample to patients with a first episode of psychosis. Methods: Studies of pathways to care were selected by searching electronic databases. Independent reviewers extracted data on service contacts. The data on both GP and police involvement were meta-analyzed to compute a pooled effect estimate. Results: A total of 66 studies were screened and seven were entered into the meta-analysis. We found significant differences in GP and police involvement: Black patients (but not the Asian group) were significantly less likely to have GP involvement vs White (OR = 0.70; 95%CI ) and were significantly more likely to have police involvement (OR =.; 95%CI ). Discussion: Strategies are needed early in the pathways to care that not only reduce involuntary routes into care but also strengthen therapeutic alliances with primary care to potentially improve access to care for vulnerable groups. HOSPITALIZATION FOR ASSESSMENT: A NEW SCHEME OF FORENSIC MENTAL HEALTH IN JAPAN Akihiro Shiina, Masaomi Iyo, Toyoaki Hirata, Yoshito Igarashi Assistant Professor, psychiatrist, Chiba University Hospital and Chiba University Center for Forensic Mental

5 Health, Chiba, JAPAN Professor, psychiatrist, Chiba University Hospital, Chiba University Postgraduate School of Medicine, and Chiba University Center for Forensic Mental Health, Chiba, JAPAN Director, psychiatrist, Chiba Psychiatric Medical Center, Chiba, JAPAN Professor, psychiatrist, Chiba University Center for Forensic Mental Health, Chiba, JAPAN Abstract sections: In Japan, a new legislation named the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity (the Medical Treatment and Supervision Act, or the MTS Act) was enforced in 005. In this scheme, persons who committed a serious crime under the influence of mental disorders are to be hospitalized for assessment to determine the treatment order. However, the standard of hospitalization for assessment has not been developed yet. We conducted an observational study to clarify the characteristics of hospitalization for assessment, demographic data of the patients, and preferable contents of the treatment during the hospitalization. We gathered the data from nationwide facilities accepting hospitalization for assessment from 005 to 0. As a result, we revealed the current situation and challenging issues regarding hospitalization for assessment, such as diagnosis, medication, isolation and restraint, social environment, and so on. We conclude that hospitalization for assessment has some structural problems to be solved, therefore we propose some conditions for appropriate assessment for offenders with mental disorders. ΝΟΣΟΣ ALZHEIMER: ΕΜΦΑΝΙΣΗ ΑΤΥΠΩΝ ΣΥΜΠΤΩΜΑΤΩΝ ΣΕ ΝΕΑΡΕΣ ΗΛΙΚΙΕΣ ALZHEIMER DISEASE: PRESENTATION OF ATYPICAL SYMPTOMS IN EARLY AGE Σ.Δημόπουλος / S.Dimopoulos, Φοιτητής Ιατρικής - Πανεπιστήμιο του Τορίνο/ Medical Student University of Turin Περίληψη: Εισαγωγή: Η νόσος Alzheimer είναι γνωστή ως η νόσος της τρίτης ηλικίας, καθώς αντιπροσωπεύει μια από τις κυριότερες αιτίες αναπηρίας και εξάρτησης των ηλικιωμένων, κυρίως άνω των 65 ετών, με τα ποσοστά της να αυξάνονται όσο προχωράμε σε μεγαλύτερες ηλικίες και να φτάνουν ακόμα και το 50% του πληθυσμού σε ηλικιακές ομάδες από 85 ετών και άνω. Πιο συγκεκριμένα, η νευροεκφυλιστική αυτή νόσος χαρακτηρίζεται από εμφάνιση προϊούσας άνοιας στους ενήλικες. Για το 0 υπολογίζεται ότι ο αριθμός των πασχόντων με άνοια, με κύρια μορφή εκδήλωσης την νόσο Alzheimer, θα ανέλθει στα, εκατομμύρια, με εκτίμηση ότι το 00 ο αριθμός θα αυξηθεί στους 75,6 εκατομμύρια ανθρώπους (World Alzheimer Report της Alzheimer s Disease International). Αξίζει να επισημανθεί ότι η νόσος Alzheimer ξεκινά με συμπτώματα ισχνά, τα oποία μπορούν δύσκολα να αναγνωριστούν, όπως η απώλεια μνήμης, λόγω της άτυπης παρουσίασης της νόσου. Σκοπός και ερευνητικά ερωτήματα: Έτσι, σκοπός της παρούσας έρευνας είναι να περιγραφούν τα κλινικά χαρακτηριστικά, ο γονότυπος APOE και οι παθολογικές συσχετίσεις της νευροπαθολογικής επιβεβαίωσης της πρόωρης έναρξης της νόσου του Alzheimer (EOAD), μέσω της παρουσίασης των συμπτωμάτων της νόσου στα άτομα άνω των 65 ετών και των γνωστικών συμπτωμάτων που εμφανίζονται σε μικρότερες ηλικίες, που λόγω μη κατάδειξης προβλήματος μνήμης, δεν καθίσταται δυνατόν να συνδεθούν εξαρχής από την ερευνητική κοινότητα με την νόσο Alzheimer, αλλά σταδιακά οδηγούν σ αυτήν. Μέθοδος: Αναδρομική ανασκόπηση των κλινικών δεδομένων (της ηλικίας έναρξης, του οικογενειακού ιστορικού, της κλινικής εικόνας, των διαγνωστικών καθυστερήσεων, της διάγνωσης) και του γονότυπου της APOE των ασθενών με νευροπαθολογικά επιβεβαιωμένη EOAD (<60 ετών). Αποτελέσματα, Συμπέρασμα: Το ένα τρίτο των ασθενών με παθολογικά επιβεβαιωμένη πρόωρη έναρξη της νόσου του Alzheimer (EOAD) παρουσιάζονται με άτυπα συμπτώματα. Ασθενείς με πρόωρη έναρξη της νόσου του Alzheimer (EOAD) με μη αμνησιακά δείγματα λαμβάνουν συχνά λανθασμένες κλινικές διαγνώσεις. EARLY LIFE STRESS AND NEUROPSYCHIATRY Erica de Lana Meirelles, Neuropsychologist, Cognitive Behavioral Psychotherapist, Master in Psychology and Neuroscience, PhD neuroscience student. Laboratory of Neurobiology and Neurochemistry IBCCF/UFRJ Federal University of Rio de Janeiro, Rio de Janeiro/RJ BRAZIL; NNCE Experimental and Clinics Neuroscience Nucleus - Department of Psychology PUC-Rio, Rio de Janeiro/ RJ BRAZIL. Introduction and Aims: Emotional behavior and cognition are influenced by several factors, including environment, genetic and their interaction. The early developmental environment has major importance in this relation, due to neurobiological reasons. Here we aim to report the current knowledge about this influence. Method: Review for clinical and preclinical data which have established the relation of early life stress (ELS) and neuropsychiatric disorders, through neurobiological way. Results: ELS has been related to the development of emotional disturbances late in life, nevertheless recent studies have showed a new operational model to this relation, depending on the genetic background. Different kind of stressors has been cited, as sexual and psychological abuse, but also emotional and physic neglect. Besides the well-known influence in the emotional behavior, ELS also influences cognition abilities which are independent from emotional status. These aversive situations early in life have important neurobiological implications in brain areas and circuits responsible for emotion, reward, behavior and cognition as general, such as limbic areas, HPA (hypothalamus-pituitary-adrenal) axis, among others. Discussion: ELS is able to produce long term consequences, certainly mediated by structural and functional changes in core brain circuitries. There is currently a large amount of knowledge about how disturbances in the emotional and/or physical early in life are able to programming since alterations in the brain circuitry as a whole, until proteins synthesis, neurogenesis, neuroplasticity, and so on. However, this influence appears to be mediated by the genetic background, reinforce the new operation model to understand the emotional disorders etiology. IMPACT OF RECESSION ON MENTAL AND PHYSICAL HEALTH OF INDIAN PRIVATE SECTOR WORKERS : A SOCIO _ PSYCHOLOGICAL STUDY Dr. SANJUKTA DAS, ASNIKA DAS READER in SOCIOLOGY, HEAD OF THE DEPARTMENT, DEPARTMENT OF SOCIOLOGY, KENDRAPARA AUTONOMOUS COLLEGE, KENDRAPARA, ODISHA, INDIA STUDENT, DEPT. OF HUMAN REOURCE, KARNATAKA STATE OPEN UNIVERSITY, KARNATAKA, INDIA ABSTRACT: Introduction: Floodgates of opportunities for jobs opened up in private sectors in 990s and after in terms industries of software, marketing, sales, manufacturing, banking etc. in the waves of globalisation. Alongwith the onrush, there had come the diseases of recession, market downturns and other sicknesses. Since most of the newly created jobs are mainly dependent on offshore business in above sectors dependent on the market demands from Europe and North American countries, the vulnerabilities exposed with the setbacks in economies of the originating countries. Stark realities was demonstrated when western market collapsed and impacted heavily on Indian Industries who in turn laid off employees, rationed their salary and perks, served pink slips and asked them to wait in benches. The psychology built on flunky life style on the fat salaries and better perks employees in these industries were the first casualty to a sudden jolt as the advantages were withdrawn. The job holders were subjected to indefinable psychological, physical strains as they were condemned to unprecedented financial disturbances. Methods: To find out the life style developed around a large persona/family income. To study the factors those causes the nervousness when the incomes are suddenly drained. To gauze the magnitude of individual and family sufferings that spreads to society as well as to other concerns related. To have an idea about the capacity to withstand and overcome the eventualities. Discussion: India is yet to recover from the chill of recession. We have gathered sample information from various employees, ex- employees and employees who are looking out for a change; and inferred that modest balance between the surge of material wealth and equally purge in ostentatious living is mandatory to face the choppy times. This balancing, ethos are very much in Indian culture and need an elaboration per se, but an healing effect on the traumatised subjects. EARLY LIFE STRESS AND COGNITION: HOW SOCIAL ISOLATION AND NEGLECT CAN INFLUENCE THE EPISODIC, EXPLICIT MEMORY. Erica de Lana Meirelles,, Flavia Rosseti, Rayssa Lopes, Gabriella Vieira, J. Landeira-Fernandez,, Patricia Franca Gardino ELM: Neuropsychologist, Psychotherapist, PhD neuroscience student; FR: Biologist, Specialized laboratory technician; RL: Biomedicine student; GV: Biologist, Specialized laboratory technician; JLF: MD, PhD, Full Professor, Director of Dep. Psychology PUC-Rio; PFG: MD, PhD, Full Professor, Head of Lab. Neurobiology and Neurochemistry UFRJ. Laboratory of Neurobiology and Neurochemistry IBCCF/UFRJ Federal University of Rio de Janeiro, Rio de Janeiro/RJ - BRAZIL, Department of Psychology UNESA, Rio de Janeiro/RJ - BRAZIL, NNCE Experimental and Clinics Neuroscience Nucleus - Department of Psychology PUC-Rio, Rio de Janeiro/RJ - BRAZIL. Abstract: Introduction and Aims: Early life stress (ELS), such as sexual and psychological abuse, but also emotional and physic neglect, has been related to the development of emotional and cognitive disturbances late in life, through important neurobiological implications in brain areas and circuits such as limbic areas, HPA (hypothalamus-pituitary-adrenal) axis, among others, responsible for emotion, reward, behavior and cognition abilities which are independent from emotional status, such as episodic, explicit memory tasks. This work aims to evaluate the long term consequences of the Neonatal Social Isolation (ISOL), an animal model of ELS, on the explicit, episodic memory, later in life. Methods: The ISOL animals were individually isolated, from post-natal day (PND) to PND7, 6 hours/day, while a control group (CTR) was left undisturbed; at PND50, tested in the Novel Object Recognition Task. Was analyzed the total and relative times exploring the objects. Results: CTR and ISOL animals did not differ in the relative time exploring the objects in the Training session. On the Test session, however, CTR animals spent more relative time exploring the new object (p<0.000) while ISOL animals did not show this difference (p=0.0 (ns)). There are not significant differences between the groups in the total amount of time exploring both objects in the sessions (p>0.05 (ns)). Discussion: These data suggest that the ISOL animals show a deficit in discriminating between known and new stimulus, which could be interpreted as an explicit, episodic memory impairment. Also, propose that ELS is able to produce long term consequences, certainly mediated by structural and functional changes in brain circuitries linked to emotional behavior and, more specific here, cognition. ADAPTING CBT WITH RESPECT TO CHINESE CULTURAL REFERENCES: PROMISESE AND CHALLENEGS Feng Guo Trainee Doctorate in Counselling Psychology, University of Manchester, UK Abstract With the growing influences of Chinese on the world s politics, economy, and culture, the psychological well-being to Chinese people is coming into the attention of more and more researchers and practitioners. However, there is a debate regarding the cultural responsiveness of many conventional psychotherapeutic modals. On the other hand, CBT is rapidly becoming one of the most popular approaches in the mental health service industry. And it has been successfully adapted into many different cultural contexts. The current article is a theoretical discussion of the promises and challenges that CBT faces with respect of it modification to meet the cultural needs and preferences of Chinese clients. Suggestions for successful cultural adaptation were offered based on current researches and practices. In the end, the author believes that many features of CBT match well with the Chinese cultural reference. However, ongoing studies need to be conducted to assess the effectiveness of these modifications. ANTENATAL DEPRESSION IN CHINA, SYMPTOMS AND ASSESSMENT-A NEW ANGLE H. N. Cheung (PhD Candidate), D. S. Yu (M.D) Department of Clinical Psychology, The University of Edinburgh, UK, Mental Health Center, Inner Mongolia, China Introduction: Compared to the well-established body of research of postpartum depression (PPD), which affects 0-0% of Chinese women, there was substantially less attention on antenatal depression in China. The majority of studies focused on the Chinese community in Hong Kong and Shanghai, which are more westernized than cities more remote and rural. Inner Mongolia is an interior province of China and a highly collective society where interpersonal harmony is greatly emphasized. Method: 7 clinical depressed participants were recruited from mental facilities. pregnant women were recruited in antenatal hospitals in Inner Mongolia. Using the Multidimensional depression assessment Scale, a well-validated 5-item depressive symptom checklist with emotional, cognitive, somatic and interpersonal subscales, comparison was made on the two groups of participants. Analyses included Differential Item Functioning (DIF) for item level comparison, factor analysis showing different symptom picture of the pregnant women, and consequently the reliability and validity of a new developed scale for pregnant women in China. Result: A different presentation of antenatal depression was found, in particularly interpersonal symptoms. It led to a development of a new self-report instrument. EVALUATION OF THE ATTITUDES OF MENTAL HEALTH PROFESSIONALS TOWARDS WORKING WITH PEER SUPPORT WORKERS Prof Anthony Henderson Research Assistant Professor School of Psychiatry and Clinical Neurosciences, University of Western Australia. PERTH WESTERN AUSTRALIA Introduction: Western Australia has introduced a service approach whereby staff of government mental health services work with peer support workers from non-government organisations to provide rehabilitation services. Aim: To evaluate the attitudes of mental health professionals employed by a government mental health services to working in collaboration with peer support workers employed by a nongovernment organisation. Methods: Government services staff completed an attitude survey prior to the inclusion of peer workers and again several months after peer workers commenced employment. The staff who completed the first survey were not necessarily the same staff who completed the second survey and therefore the samples were treated as two independent samples surveyed at different times rather than one sample surveyed over time. Comments were analysed qualitatively while quantitative data were analysed using Pearson Chi-Square. Results: There was a positive trend in staff attitudes towards working with peer workers. Discussion: The results indicate cautious support for the inclusion of peer workers as part of the health team working in collaboration with a non-government organisation. This wait-and-see 5

6 attitude might well be expected where a new approach to service delivery is introduced into an established service. SELF-REPORTS OF DEPRESSIVE SYMPTOMS, CRYING, LONELINESS AND SUICIDAL IDEATION IN A CLINICAL SAMPLE OF YOUNG ADOLESCENTS Naim Fanaj ; Erika Melonashi MD; psychiatrist; Mental Health Unit for Children and Adolescents; Prizren; KOSOVO PhD; Euroepan University of Tirana; ALBANIA Introduction and Aims The our aim was to estimate presence of depressive symptoms in adolescents and examine their relationship between in light of existing controversy in empirical literature Methods The present study is a correlational design. The measures included the Depression Self- Rating Scale For Children (Birleson) and The Hopelessness Scale for Children (Kazdin). The purposeful sample included adolescents referred to the Mental Health Unit for Children and Adolescents in Prizren (Kosovo). In terms of gender composition, 5.% were females and 5.8% males, aged between 0-8 years. Results The clinical level of depression in the sample was 0.8%. Analyses showed that the oldest adolescents had significantly higher levels of crying, loneliness and depressive symptoms. Girls reported significantly higher levels only for suicidal ideation. Crying was significantly positively correlated with loneliness, suicidal ideation and depressive symptoms. Loneliness was significantly positively correlated with crying, suicidal ideation, depressive symptoms and hopelessness. Suicidal ideation was significantly positively correlated with crying, loneliness and depressive symptoms. The multiple regression analysis indicated that crying, loneliness, suicidal ideation and hopelessness significantly predicted depression (R=.6, F(,59)=5.7, p<.00). Discussion Crying, loneliness, suicidal ideation and hopelessness are among frequent depressive symptoms and emerged as predictors of depression among young adolescents. Exploring the experiences of meaning reconstruction among bereaved Greek-Cypriot parents, following the accidental death of a child in older adolescence. Georgia Konstantinou, Professional Doctorate Student-Trainee Counselling Psychologist, School of Education, University of Manchester, Manchester, UNITED KINGDOM Abstract: Introduction and aims: Previous research has focused on comparing the three types of sudden deaths (accidents, suicides, homicides) and their association with poor outcomes in bereavement (complicated grief, PTSD). Only limited research has focused upon parental bereavement following an accidental death and no research in this area has been conducted among Greek-Cypriot participants. The aim of this study is to provide an understanding of the experience of meaning reconstruction among Greek-Cypriot bereaved parents, who were grieving the loss of their adolescent child, because of a motor vehicle fatal accident. Method: Semi-structured interviews were conducted with Greek-Cypriot participants, who e a child in older adolescence (6-9 years old) due to a fatal motor vehicle and were analysed with the method of Interpretative Phenomenological Analysis Results: One super-ordinate theme emerged from the data analysis The crisis of meaning, which was consisted from the following six emergent themes: ) death as unexpected, ) uniqueness of a child s death, ) loss of expectations, ) belief system, 5) change of personal values and 6) making sense of the loss. Discussion: The findings provide insights on the experience of the crisis of meaning among bereaved Greek-Cypriot parents. This presentation concludes with recommendations for further research. EBART INTERFACE FOR USING INTERACTIVE ROBOTS TO HELP CHILDREN WITH AUTISM BECOME MORE SOCIAL LiLi Liu, BingBing Li, Tze Jui Goh, Min Sung, I-Ming Chen 5, Fellow, IEEE Research Associate with Robotic Research Center at Nanyang Technological University, SINGAPORE. PhD student with BeingThere Center, Institute for Media Innovation at Nanyang Technological University of SINGAPORE Senior Psychologist with the Neurobehavioral Clinic under Child Guidance Clinic, Department of Child and Adolescent Psychiatry of Institute of Mental Health of SINGAPORE Assistant Professor at Clinical Sciences, fellow of the academy of medicine, Singapore; a Senior Consultant and Head of Autism Clinic, Department of Child and Adolescent Psychiatry, Institute of Mental Health, SINGAPORE 5 Professor at the school of Mechanical and Aerospace Engineering of Nanyang Technological University in Singapore since 995, Fellow of IEEE (Class of 0) and Fellow of ASME, He is currently Director of Intelligent Systems Center and also Director of Robotics Research Center in Nanyang Technological University, SINGAPORE Abstract To know why children with autism are more prone to develop mood disorders, to acquire strategies to teach patient emotion perception, expression and management, NAO robot facilitated autism therapy is developed to encourage the child to express and manage his or her emotions and empathy more effectively. This report describes the development of a prototypical Emotions Behaviors and Audio Real Time (EBART) assessment system, graphical user interface to wirelessly control NAO robot during a therapy session for children with autism. This study assessed the relation between NAO-intervention variables (cognition, socialization and communication) to outcome in young children with autism. Ten children with high functional autism (6-6 years) were enrolled in intensive behavior intervention. The children were observed before intervene, after sessions and following-up after 0 sessions. Four developmental-behavioral domains including, initiating social interaction, imitation, instruction following, emotion recognition and empathy are assessed at pre-, post- sessions and following up intervention. Significant progress is noted in all the four developmental-behavioral domains after 0 session s intervention. Better progress in expressive language was associated with the child s social abilities. These findings emphasize the importance of robot intensive intervention in autism, the value of pre-intervention cognitive and social interaction levels for predicting outcome. Index Terms: Robotics, BDI, Autism therapy, Children with autism, Social robot, Tele communication This research is supported under NTU-NHG Innovation Seed Grant 0 and Singapore National Research Foundation under its International Research Singapore Funding Initiative through IDMPO. ΤΟ ΠΑΙΔΙΚΟ ΙΧΝΟΓΡΑΦΗΜΑ: ΟΤΑΝ ΤΑ ΠΑΙΔΙΑ ΖΩΓΡΑΦΙΖΟΥΝ ΤΟΝ ΕΑΥΤΟ ΤΟΥΣ ΚΑΙ ΤΗΝ ΟΙΚΟΓΕΝΕΙΑ ΤΟΥΣ CHILDREN S DRAWING: WHEN CHIDREN DRAW THEMSELVES AND THEIR FAMILIES Σ.Μαστροκούκου / S.Mastrokoukou, Υποψήφια Διδάκτωρ Πανεπιστημίου Ιωαννίνων Περίληψη: Εισαγωγή: Η απόπειρα του ανθρώπου να εκφραστεί μέσα από το σχέδιο είναι τόσο παλαιά, όσο και η ίδια του η υπόσταση. Ιδιαίτερα, όταν η προσπάθεια αυτή για έκφραση γίνεται από ένα παιδί, και επομένως επηρεάζεται από τον αυθορμητισμό και ίσως από την ψυχική του διάθεση, είναι επιβεβλημένο να αντικρίσουμε αυτό το «ψυχρό» χαρτί -που συνήθως χρησιμοποιεί- ως κάτι πολύ περισσότερο. Ως μια αποτύπωση στοιχείων του ψυχισμού του, της προσωπικότητάς του, του εσωτερικού και εξωτερικού του κόσμου. Σκοπός και ερευνητικά ερωτήματα: Η παρούσα έρευνα θα έχει ως σκοπό: - να καταδειχθούν οι βασικές «σχολές σκέψης». - να παρουσιαστούν οι βασικές θεωρήσεις για το σχέδιο της οικογένειας, προκειμένου να χρησιμοποιηθούν στην ανάλυση και κατανόηση της προσωπικότητας του παιδιού. Μέθοδος: Θα επιχειρηθεί από την ερευνήτρια μια ιστορική και κριτική επισκόπηση της έρευνας των παιδικών σχεδίων, επισημαίνοντας διαδοχικές χρονικές περιόδους. Αποτελέσματα, Συμπέρασμα: Σε μια ορθολογική κοινωνία που συνεχώς υφίσταται την πίεση της τεχνολογικής της συνιστώσας, έχει σημασία να προσεχθεί ιδιαίτερα ο «σχεδιαστικός» λόγος των παιδιών και τα μηνύματα που αυτός προσπαθεί να μεταφέρει. Έχοντας ασκηθεί στο να ακούμε και να διαβάζουμε, φαίνεται πως ήρθε η στιγμή να ενδιαφερθούμε για την ανάπτυξη του τρόπου με τον οποίο «βλέπουμε» σχέδια και εικόνες και να προσπαθούμε να τα κατανοήσουμε. Αυτό το είδος του «οπτικού εναλφαβητισμού» αιφνιδιάζει την επιστημονική σκέψη, απλά και μόνο γιατί θέτει υψηλές απαιτήσεις για διεπιστημονικές προσεγγίσεις και καλεί στο ερμηνευτικό «παιχνίδι» το σύνολο σχεδόν των νευροεπιστημών και των διαφορετικών θεωρητικών προσανατολισμών. PROMOTING EGO-INTEGRITION THROUGH REMINISCENCE AN INTERGENERATIONAL ENCOUNTER Alice M.L. Chong, PhD. Associate Professor, Department of Applied Social Studies, City University of Hong Kong, Hong Kong, CHINA Abstract Introduction and Aims: Young people nowadays have little opportunities to interact meaningfully with older people, due to an increase in nuclear families and busy life style in most urban communities such as Hong Kong. They tend to have negative stereotypes of the older generation and are reluctant to work alongside people who are much older than them. This paper presents an intergenerational project which aims to strengthen empathetic understanding between university students and older people, and to enhance older people s ego-integrity through reminiscence facilitated by trained university students. Methods: A total of 70 older adult aged 60+ was matched with trained university students on a : students-to-elder basis. The trio then engaged in regular intergenerational contacts. A life story book was prepared for the elder by the two students to capture the elder s significant life experiences. The effectiveness of the Project was assessed by a cross-sectional survey with specially designed questions. Results: The assessment of the university students and the elders, both quantitative and qualitative, was significantly positive. Discussion: Similar intergenerational activities are recommended to achieve a win-win situation among the young and the old. THE SELF-CONCEPT HAS GREAT EFFECT ON EMOTIONAL COMPETENCY AMONG INSTITUTIONALIZED AND NON-INSTITUTIONALIZED ADOLESCENTS. Joshy. V.Antony Doctoral Research Scholar, Dept.of Psychology, Bharathiar University, Coimbatore Tamilnadu- India Dr. S. John Michael Raj, Ph.D, Dean i/c, College Development Council, Professor and Guide, Dept.of Psychology, BharathiarUniversity, Coimbatore Tamilnadu- India Abstract: The objective of this study is to synthesize information from existing literatures on Self- Concept among Institutionalized and Non-Institutionalized adolescents with respect to Emotional Competency. Although Self-Concept is just one dimension of psychological well-being, it is a primary component of an individual s growth (Rosenberg, 979). And Self-Concept development is a critical factor in every individual s life in general and in adolescents in particular. As for an adolescent is concerned, it is important to develop a positive self-concept and high self-esteem in order to enhance a healthier personality. So the main objectives and focus of this study is to monitor the self-worth of adolescent students and help improve one s self-concept and thus to develop a sense of healthy personality as an autonomous individual. adolescent students studying in high schools situated in and around Thrissur district, Kerala, India formed the sample for the study. The Self-Concept Questionnare (RajKumar Saraswat, 98) and Emotional Competency Scale developed by Harish Sharma and Rajeev Lochan Bharadwaj (995). This scale consists of 0 items measuring different aspects of Emotional Competency. Independent sample T-Test and correlation technique is used to analyse the data. The findings showed that the levels of self-concept seem to influence the levels of Emotional Competency among the adolescent students. Key Words: Self-Concept, Emotional Competency, Institutionalization, Non-Institutionalization, Peer influence, Family functioning. THE ROLE OF WORK-FAMILY CONFLICT BETWEEN PARENTAL DEMANDS AND CROSS-CULTURAL ADJUSTMENT OF EXPATRIATES LIVING IN PORTUGAL Diana Farcas & Marta Gonçalves PhD student, PhD, researcher Lisbon University Institute (ISCTE-IUL) and CIS-IUL, Lisbon, PORTUGAL The number of people living and working abroad has been constantly increasing. Immigration and expatriation are two migratory pathways contributing to these statistics. Since much attention was given to the study of immigration, this research focused on expatriation and one of its most predominant challenges: cross-cultural adjustment. It tested the mediating effect of the bidirectional work-family conflict on the relationship between parental demands and cross-cultural adjustment (general adjustment, interaction with locals and psychological well-being) of expatriates living in Portugal. Online survey data was gathered from 6 expatriates and 7 Portuguese citizens, who compose the control group. The bidirectional work-family conflict did not mediate the relationship between parental demands and cross-cultural adjustment, but it had significant effects on general adjustment and psychological well-being. As predicted, parental demands were negatively related to the interaction with locals. The results in the control group were similar to the ones in the expatriate group, except for the locals parental demands, which were positively related to the family-work conflict. This indicates that the way issues of work-family imbalance operate for expatriates and locals should be further investigated, by exploring the spouses perspective on the issue and the existent access to social support. PSYCHOLOGICAL FEATURES OF ADOLESCENT GIRLS WITH A NON- TRADITIONAL SEXUAL ORIENTAYION E. Nikolaeva, professor of the Applied psychology department of the Petersburg state transport university and the developmental psychology and family pedagogic department of the Herzen state pedagogical university, Sait-Petersburg E. Veterok, associate professor of special psychology department of the Novosibirsk State University, Novosibirsk RUSSIAN FEDERATION The purpose of this study was to examine the psychological features of adolescent girls with a nontraditional sexual orientation. In all, 8 girls participated, of which 5 were normally developed adolescents (mean age.69 ±.58 years), 5 were adolescents who identified themselves as having a non- traditional sexual orientation (mean age.69 ±.7 years) and 9 were adolescents who abused alcohol and tobacco (mean age.8 ±.56 years). All of the adolescents went through a set of psychological procedures. It was shown that the girls with a non-traditional sexual orientation commonly had a hysteroid type of character accentuation. They were androgynous, they had higher levels of aggression and hostility and they also had the highest scores for all of the parameters of 6

7 creativity when compared to the other two groups of teenagers. AN INNOVATIVE PROGRAM ON YOUTH MENTAL HEALTH DE- STIGMATISATION: CHALLENGES & RESULTS. Marta Gonçalves, PhD, post doctoral researcher,cis-iul, Instituto Universitário de Lisboa ISCTE- IUL. Lisbon. PORTUGAL. Introduction: Mental illness, especially emotional and behavioral problems and learning difficulties, increase among children and young citizens. Mental health stigma is one of the biggest barriers in the access to mental health care. Children, youth and their parents still think that only crazy people use mental health care and that peers make fun of those who use mental health care. Youth mental health de-stigmatization strategies can be education, contact and protest. Evidence shows that programs emphasizing contact are the only which improve attitudes towards mental health care over the long-term. Aims The aim of this study is to present a video-based program developed and tested in Portugal for the de-stigmatisation of youth mental health. Methods A total of 07 young students aged between and 6 participated in the program divided in intervention and control group. Results The intervention significantly reduced reported levels of stigma surrounding mental health care at the post-time period for all three measures of stigma in unadjusted analyses and significantly reduced self-stigma, even after adjustment for SES, grade, and gender. Discussion The importance of developing quick, low cost stigma reducing interventions is crucial to improving access to mental health treatment for those in need of treatment. EFFECTS OF CHILDHOOD MALTREATMENT ON FACIAL EMOTION RECOGNITION IN RECOVERED DEPRESSED PATIENTS AND HEALTHY CONTROLS. Niki Antypa, PhD,, Lorenzo Bassani, MD, Alessandro Serretti, MD, PhD Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ITALY Institute of Psychology, University of Leiden, Leiden, THE NETHERLANDS Introduction and Aims: Childhood maltreatment has been associated with an increased risk of developing psychopathology (especially depression) in adult life. This association may be mediated by biases in the processing of emotional information in the environment. Methods: 6 patients with a history of major depressive disorder (MDD) from the outpatient Unit of the Institute of Psychiatry (Bologna, Italy) and healthy controls (n=) were recruited. They performed a Facial Recognition Task, where a series of facial expressions were morphed from a neutral expression to a full emotion. History of MDD was diagnosed with the MINI interview. The Childhood Trauma Questionnaire and the Beck Depression Inventory were also administered. Results: Patients who reported high levels of childhood abuse (n=0) required greater emotional intensities to correctly recognize angry faces, compared to patients without abuse (n=) and compared to healthy controls (n=) (p=0.0). In particular, patients with history of physical neglect had increased difficulty in recognizing angry faces (p=0.007). We also found that the higher the trauma, the higher the depression severity. Conclusions: Our findings show that recovered depressed patients with history of childhood abuse exhibit difficulties in processing anger-related information. Childhood abuse may disrupt adaptive emotional processing, which may, in turn, explain residual symptomatology in those patients. VARIABILITY OF INTELLIGENCE AND PERSONALITY INDUCED BY BRAIN TUMORS OF DIFFERENT LOCALIZATION O.M. Razumnikova, A.M. Perfil ev, V.V. Stupak State Research Institute of Physiology and Fundamental Medicine, Federal Center of Neurosurgery, Research Institute of Traumatology and Orthopedics, Novosibirsk, RUSSIA It has been shown that resting state of brain activity might be able to reflect differences in personality traits and intelligence. Tumor genesis induces disorders in functions of higher nervous system but high plasticity and compensatory reactions of brain can mask cognitive deficits and behavior changes. The objective of study was to assess personality and intelligence variation which may be related to such reorganization in emotional and intellectual status. Twenty-one adult patients and twenty healthy volunteers were examined using EPQ and intelligence testing. The sample was balanced for sex, age and educational level. The tumor location and histology were reported for each patient. The results indicated that variability in personality and intelligence more associated with location than histology of tumor. Neuroticism, psychoticism, and social conformity were differently changed in patients vs. control group. Psychoticism increase and neuroticism decrease were more expressed during the left hemispheric localization of tumors. Tumor-induced decrease of intelligence was more presented while performing of figurative tasks, and least of all in verbal ones. Verbal functions were decreased more in group with frontal than parietal localization of tumor. So obtained changes in personality traits reflected reorganization in emotion regulation and social interaction in patients with brain damage. Communication with the use of Toy- Library Sidiropoulou Τ. Associate Professor of Psychopedagogics, Early childhood Dept., Technological Educational Institution of Athens, Vassiliou Ath. & Dimitriou Xristina Teachers of Early childhood Education The contain of our study relates to the establishment and functioning of a Toy Library (ludothèque). It s objectives are to find ways to strengthen the value of table games, to build knowledge about Toy Libraries and diversify the purpose and the functioning for children, adults and people with (special) disabilities. The method, which we used, was the method called Action-Research. In the process of the study are described the stages of creation of a Toy Library in Educational Facilities of the Department of Early Childhood Educational Institute of Athens. The first results are positive and provide a proposal for creating- functioning of a Toy Library, also, in places such us nurseries. Parents and Teachers Discipline Techniques for Preschoolers M Schiza Msc Education, Research Fellow, Early Chilhood Dept. TEI of Athens, M. Nanouri Master of Art Infant Mental Health, Teacher of Early childhood Education Children s aggression is a concern for many parents and teachers who struggle with understanding and helping children when they hurt others, and when they are hurt by other children. Most of the times aggressive behavior is a natural way to express their negative emotions or it could be an attempt to communicate in an inappropriate manner. Aggressive children can t easily control their frustration and they use violence as a way of dealing with conflict. The purpose of this study was to reveal the most common techniques which are used to reduce aggression in children both in school and at home. One hundred parents whose children go to nurseries school around Attica and their teachers answered a questionnaire of ten closed ended questions. According to the results they both agreed that physical punishment shouldn t be used as a way of handling disciplinary problems. Parents and teachers focused on the children s need to learn alternative ways to manage their behaviors and learn from mistakes. In their point of view there s a difference between punishment and discipline. Punishments often defeat the purpose of discipline and create relationship problems. On the other hand discipline may be the way to show kids their caregivers desire to keep them safe, teach them to make healthy choices for themselves, and gain independence. A case study in a daycare center: an intervention in its space and daily psycho pedagogue programs. Maria Zerva, Trifeni Sidiropoulou, Constantina Tsaoula Professor of Scientific Applications - Early Childhood Dept., Technological Educational Institution (TEI) of Athens, GREECE Associate Prof of Psychopedagogics, Early Childhood Dept., Technological Educational Institution (TEI) of Athens, GREECE Professor of Scientific Applications - Early Childhood Dept., Technological Educational Institution (TEI) of Athens, GREECE During the current academic year, an intervention is conducted in order to introduce, to accept and to establish new ways of organizing the space of a daycare center and its daily psycho pedagogic programs, having as an ultimate aim to improve the services provided, concerning the education and care towards the young child and his family. This study is performed by the Department of Early Childhood, Educational Institute of Athens in cooperation with the local authorities, relevant to the subject in demand. The activities that were the starting point for this intervention, have been tested and implemented before, during the annual meeting Open Workshop Day, organized by the Department of Early Childhood Education and which is taking place in the Department for over a decade (000-0). The data needed for the study during the intervention is collected by keeping a diary, with systematic recording by taking pictures and finally by interviewing the students. Early results show that students are accepting those innovative applications and with the help by their supervising teachers are succeeding in connecting the theory with practice, as far as their future employment is concerned. The kindergarten teachers, come in good terms with the presence of students in their class, they evaluate positively the interventions performed by them and display the outcome of these interventions. Infants learn how to function with new ways of organized school life (cooperation in teamwork, displaying their work at the entrance of the daycare center, their point of view is accepted, their proposals are being materialized). Parents are informed about the new way of organized activities (bulletin board, personal letters) and their involvement to these activities is requested (to collect materials of second and third use, to participate in the activities). The representatives of the local authorities, are aware of the new way of organized activities and accept its value, desire to not only continue this practice but also to consolidate it and they show it with every opportunity given (events, information, etc.). Finally, the benefit is particularly important for the Department of Early Childhood Education, as we can study the conditions and ways of introducing and establishing innovative actions in a small group (focus group) and furthermore there are suitable spaces established to cooperate with students so as to carry out their laboratory courses in between semesters. MENTAL HEALTH AND PREVENTION IN EARLY CHILDHOOD: THE ROLE OF EDUCATORS A. Poulakida, Teacher of Early Childhood Education, Med Education E. Tamvakou, Psychologist - Psychotherapist Prevention refers mainly to activities related to the promotion of psychosocial health of children and their families. The implementation of prevention programs should not be limited only to the person, to change the individual s behavior, but it should also assess the environment and its influences. The psycho-emotional and social development of a child depends, to a large extent, on its primitive early childhood experiences. Apart from family, the first educator in someone s life, nursery school and kindergarten play a significant role in a holistic child s development. In this context, the creation and implementation of prevention programs in early childhood is very important. According to researches, teacher child relationships are important for young children s social and emotional development. Furthermore, establishing interaction and collaboration between family, preschool teachers and health care professionals is an essential factor that shapes the future of detection and prevention. Group dynamics among co-educators Sidiropoulou Τ., Associate Professor of Psychopedagogics, Early childhood Dept., Technological Educational Institution of Athens, Kontou Irini & Poupaki Amalia-Pavlina, Teachers of Early childhood Education. Cooperative learning is defined as exceptionally useful as it seems to correspond to the demands of the modern educational reality. The efficiency and benefits of the educators collective commitment is explicitly noticeable in the action research that has been conducted and is about to be presented. «Portfolio: Ένα εργαλείο στην υπηρεσία ανάπτυξης όλων των συντελεστών της Προσχολικής Αγωγής» Tsaoula, C. Lecturer, Department of Early Childhood Education, Technological Educational Institute of Athens, Vagi-Spyrou, E. Advisor of Pre-School Education, Ministry of Education, Greece Τα τελευταία χρόνια στο χώρο της εκπαίδευσης, αναζητούνται και εναλλακτικές μορφές αξιολόγησης ως δημιουργική απάντηση στην εγκατάσταση και χρήση μορφών τυπικής αξιολόγησης. Στην περίπτωση των εναλλακτικών, ο αξιολογούμενος καθορίζει ο ίδιος τους στόχους του, περιγράφει το μαθησιακό του ή επαγγελματικό του τομέα και εκτιμά τις δυνατότητές του. Σε ένα δεύτερο επίπεδο, δημοσιοποιώντας την οπτική του για τα ζητήματα που τον αφορούν, κατανοεί ότι η παραπάνω διαδικασία αποτελεί μέρος δημιουργικής ανάπτυξής του. Ένα από τα πιο δημοφιλή εργαλεία εναλλακτικής ή αυθεντικής αξιολόγησης είναι και αυτό του Ατομικού Φακέλου Εργασιών ή Portfolio που εμπλέκει τον δημιουργό του στη διαδικασία ανάδειξης των αναγκών του και κατάκτησης των τομέων που τον αφορούν. Ο δημιουργός οδηγείται να σκέφτεται τρόπους βελτίωσης τους ενώ παράλληλα αναζητά νέους αποτελεσματικότερους. Απευθύνεται τόσο σε εκπαιδευτικούς, σε καταρτιζόμενους εκπαιδευτικούς-φοιτητές και σε μαθητές όλων των εκπαιδευτικών βαθμίδων. Το Portfolio είναι στενά συνδεδεμένο με την έννοια της αναστοχαστικής πρακτικής των δημιουργών του και ειδικότερα σε ότι αφορά στο Portfolio των μαθητών, εμπλέκει ενεργητικά και την οικογένεια ως βασική ανθρώπινη συνιστώσα λειτουργίας των εκπαιδευτικών θεσμών. Η παρούσα εισήγηση έχει ως στόχο να παρουσιάσει και να στηρίξει τη χρήση του Ατομικού Φακέλου (Portfolio) ως εργαλείο αυθεντικής αξιολόγησης. Πιο συγκεκριμένα, θα εξεταστούν βασικά χαρακτηριστικά της δομής και της μορφής του καθώς και τα πλεονεκτήματα που προκύπτουν από την αξιοποίηση του από τους εκπαιδευτικούς θεσμούς. SAVOURING BELIEFS AND POSITIVE INDICATORS OF ADJUSTMENT: A COUPLES APPROACH Christina Samios and David Boyd Assistant Professor of Psychology Registered Psychologist Faculty of Society and Design, Bond University, Gold Coast, AUSTRALIA Aim: The beliefs people hold about their capacity to savour positive experiences, termed savouring beliefs, have been linked to a range of positive indicators of psychological adjustment; however, it remains unclear how savouring beliefs may operate within a social context. Method: Seventy-seven couples completed measures of savouring beliefs and three indicators of positive adjustment (positive affect, life satisfaction, and relationship satisfaction). Results: We firstly examined the degree of nonindependence in couple members scores on savouring beliefs, and found that members scores on savouring beliefs were indeed related. Using multilevel modelling from a pairwise data set, we examined the effect of one s savouring beliefs on not only their own adjustment (actor effect) but also on their partner s adjustment (partner effect). We were surprised to find a significant negative partner effect of savouring beliefs on positive 7

8 affect, such that couple members savouring beliefs predicted lower scores on positive affect for their partner. We also found a significant actor by partner interaction for savouring beliefs in the prediction of positive affect. Discussion: Although preliminary, these findings make an important first step in the interpersonal examination of savouring beliefs, which may inform future longitudinal research guided, in part, by social sharing of emotions theory. Internet addiction and new dissociative phenomena in adolescence Rosella Tomassoni Full Professor of General Psychology Eugenia Treglia PhD in General Psychology The aim of this study is to analyze the Internet Addiction Disorder: a new disorder, with a complex genesis,often multifactorial, which develops compulsive behavior, leading to a progressive social withdrawal. After a brief analysis of the transformations that the digital age has spawned in the way of experiencing time and space, and the description of severe social withdrawal behaviors in adolescents result from the use of compulsive internet (especially in contexts such as interactive chat network, social networks, internet gambling, cybersex ), we focus our attention on the concept of dissociation that, in agreement with the theory of Ferro and Riefolo (006) and Tonioni (0), we consider the core foundation of most of the clinical manifestations internet related, with reference to its double function as a defense mechanism and organizer of the mind ( Riefolo, 0; Ferro, 007; Bromberg, 007). The dissociation and detachment from reality are processes that young people may experience as a result of prolonged use of the internet. Digital natives make a more interactive use of internet and it is involved in the formation of identity and personality, alternating acquisition processes, typical of the growth phase, and new dissociative phenomena. The phases of behavioral abuse in this context represent a dysfunctional attempt to grow maintaining the unique level of cohesion as possible; dissociation seems to act as a mind s organizer, separating aspects of personality and even parts of the mind that can not be integrated. ΔΙΑΡΚΕΙΑ ΝΟΣΗΛΕΙΑΣ ΨΥΧΩΤΙΚΩΝ ΑΣΘΕΝΩΝ Παράμετροι που επηρεάζουν τη διάρκεια νοσηλείας ψυχωτικών ασθενών Πέτσας Δημήτριος, Ψυχίατρος, Επιμελητής Β, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Η επίδραση της διάρκειας νοσηλείας των ψυχωτικών ασθενών στη λειτουργία ενός ΨΤΕ Στάικος Χαρ., Αναπληρωτής Προϊστάμενος Νοσηλευτικής Υπηρεσίας, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Το ζήτημα της διάρκειας της νοσηλείας των ψυχωτικών ασθενών επηρεάζει πολλαπλά την πορεία της υγείας αυτών, αλλά και την εύρυθμη λειτουργία των αντίστοιχων κλινικών. Η διάρκεια της νοσηλείας των ψυχωτικών ασθενών σε ένα Ψ.Τ.Ε. επηρεάζεται από διάφορους παράγοντες. Κάποιοι από αυτούς συντελούν στην παράταση της παραμονής τους για μεγαλύτερο χρονικό διάστημα, ενώ άλλοι επιτρέπουν την πιο γρήγορη χορήγηση εξιτηρίου. Γίνεται αναλυτική επισήμανση αυτών των παραγόντων και υπογραμμίζεται η ανάγκη αποφυγής αδικαιολόγητου περιορισμού ή παράτασης της νοσηλείας. Τονίζεται, επίσης, εκτενώς ο αντίκτυπος, που έχει στη λειτουργία ενός Ψυχιατρικού Τμήματος Εισαγωγών, μία μη ορθολογιστική διάρκεια νοσηλείας, είτε αυτή είναι μεγαλύτερη, είτε μικρότερη και οι αρνητικές συνέπειες που προκύπτουν και αντανακλώνται πρακτικά, τόσο στην ψυχοσύνθεση των ίδιων των επαγγελματιών υγείας (κυρίως του νοσηλευτικού προσωπικού, αλλά όχι μόνο), όσο και στην ποιότητα των παρεχόμενων υπηρεσιών. ΣΥΝΕΡΓΑΣΙΑ ΙΑΤΡΙΚΟΥ ΚΑΙ ΝΟΣΗΛΕΥΤΙΚΟΥ ΠΡΟΣΩΠΙΚΟΥ ΣΤΑ ΠΛΑΙΣΙΑ ΤΗΣ ΛΕΙΤΟΥΡΓΙΑΣ ΕΝΟΣ ΨΤΕ Η σημασία της συνεργασίας ιατρικού και νοσηλευτικού προσωπικού στα πλαίσια της λειτουργίας ενός ΨΤΕ Πέτσας Δημήτριος, Ψυχίατρος, Επιμελητής Β, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Προβλήματα στην εκπλήρωση του νοσηλευτικού έργου σε ένα ΨΤΕ Παναγιωτίδης Ευστάθιος. Προϊστάμενος Νοσηλευτικής Υπηρεσίας, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Οι συνθήκες, που επικρατούν σε ένα Ψυχιατρικό Τμήμα Εισαγωγών, ιδιαίτερα σε ένα Ψυχιατρικό Νοσοκομείο, λόγω της βαρύτητας των νοσηλευόμενων περιστατικών, απαιτούν ύψιστο βαθμό θεωρητικών γνώσεων και επαγγελματικής ευσυνειδησίας. Η αξιοποίηση αυτών των στοιχείων προϋποθέτει αντίστοιχο επίπεδο επικοινωνίας και συνεργασίας μεταξύ των επαγγελματιών ψυχικής υγείας διαφόρων ειδικοτήτων, με κορυφαίο, ίσως, πεδίο έκφρασης τη σχέση ιατρικού και νοσηλευτικού προσωπικού. Η λειτουργία ενός Ψυχιατρικού Τμήματος οφείλει να διέπεται από κανόνες αμοιβαίου σεβασμού και αναγνώρισης της σημασίας της θέσης και του ρόλου της κάθε ειδικότητας ξεχωριστά, αλλά υπό την προϋπόθεση της ένταξης και προσαρμογής όλων σε μια ομαδική διεργασία, χωρίς την οποία δεν είναι δυνατό να επιτευχθεί η βέλτιστη παροχή υπηρεσιών ψυχικής υγείας. Γίνεται αναλυτική αναφορά στους τρόπους με τους οποίους μια ποιοτική (ή μη) συνεργασία ιατρικού και νοσηλευτικού προσωπικού επηρεάζει το θεραπευτικό αποτέλεσμα, αλλά και τα προβλήματα που συναντά το ψυχιατρικό νοσηλευτικό προσωπικό στην προσπάθειά του να ανταποκριθεί στις αυξημένες απαιτήσεις ενός Ψυχιατρικού Τμήματος. Η ΣΧΕΣΗ ΜΕΤΑΞΥ ΕΞΩΝΟΣΟΚΟΜΕΙΑΚΩΝ ΣΤΕΓΑΣΤΙΚΩΝ ΔΟΜΩΝ ΝΠΔΔ ΚΑΙ ΝΠΙΔ Εξωνοσοκομειακές στεγαστικές δομές ΝΠΔΔ και ΝΠΙΔ : ομοιότητες και διαφορές Πέτσας Δημήτριος, Ψυχίατρος, Επιμελητής Β, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Η συμβολή και η αξία των νοσηλευτικών παρεμβάσεων στη διαδικασία προώθησης ψυχιατρικών ασθενών σε εξωνοσοκομειακές στεγαστικές δομές Φραδέλος Ε., Υπεύθυνος Νοσηλευτής, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Η προώθηση των διαδικασιών της Ψυχιατρικής Μεταρρύθμισης στην Ελλάδα περιλαμβάνει, μεταξύ άλλων, και τη λειτουργία εξωνοσοκομειακών στεγαστικών δομών (οικοτροφεία, ξενώνες προστατευμένα διαμερίσματα). Κύριος εκφραστής αυτών των προσπαθειών είναι τα ΝΠΔΔ, με το αντίστοιχο έργο των ΝΠΙΔ να έχει, τουλάχιστον στην παρούσα φάση, συμπληρωματικό, αλλά αποφασιστικής σημασίας, ρόλο. Έχοντας κοινό στόχο από τη μία, αλλά με δεδομένα ξεχωριστό νομικό χαρακτήρα, η λειτουργία αυτών των δομών παρουσιάζει ομοιότητες και διαφορές σε πρακτικό επίπεδο, που επηρεάζουν άλλοτε θετικά και άλλοτε αρνητικά, το παραγόμενο έργο και οι οποίες παρουσιάζοντα αναλυτικά στην πρώτη ομιλία. Στο δεύτερο μέρος περιγράφεται ο τρόπος με τον οποίο το νοσηλευτικό προσωπικό των δομών προέλευσης, αλλά και των δομών υποδοχής (ιδιαίτερα όταν οι δεύτερες ανήκουν σε ΝΠΙΔ) συνεργάζονται στο πλαίσιο της διαδικασίας μετάβασης και η σημασία των απαιτούμενων ενεργειών. ΧΡΗΣΗ ΚΙΝΗΤΩΝ ΤΗΛΕΦΩΝΩΝ ΑΠΟ ΨΥΧΩΤΙΚΟΥΣ ΑΣΘΕΝΕΙΣ ΠΟΥ ΝΟΣΗΛΕΥΟΝΤΑΙ ΣΕ ΨΥΧΙΑΤΡΙΚΟ ΤΜΗΜΑ ΕΙΣΑΓΩΓΩΝ Κίνδυνοι και συνέπειες λόγω της χρήσης κινητών τηλεφώνων από νοσηλευόμενους ψυχωτικούς ασθενείς Ψυχιατρικών Τμημάτων Εισαγωγών Πέτσας Δημήτριος, Ψυχίατρος, Επιμελητής Β, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Χρήση κινητών τηλεφώνων από νοσηλευόμενους ψυχωτικούς ασθενείς: σκοπιμότητα, δυνατότητα, δικαίωμα ή αντένδειξη ; Τσόπελας Χρήστος, Ψυχίατρος, Επιμελητής Α, 5ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Η παγίωση της χρήσης κινητών τηλεφώνων, ως κομμάτι της καθημερινής πραγματικότητας, από ένα πολύ μεγάλο κομμάτι του πληθυσμού (μεταξύ των οποίων συμπεριλαμβάνονται και οι ψυχωτικοί ασθενείς) οδήγησε στην εμφάνιση ενός διλλήματος, που συνδέεται με το αν θα πρέπει να επιτρέπεται σε νοσηλευόμενους ψυχωτικούς ασθενείς η χρήση τους εντός του Ψυχιατρικού Τμήματος. Ο ενδεχόμενος κίνδυνος και οι συνέπειες, που μπορεί να προκύψουν από τη χρήση των κινητών τηλεφώνων, αποτελούν παραμέτρους, που περιγράφονται και αναλύονται στο πρώτο μέρος της Στρογγυλής Τράπεζας. Στο δεύτερο μέρος γίνεται λόγος για το βαθμό στον οποίο κάτι τέτοιο θα σήμαινε καταστρατήγηση των δικαιωμάτων των νοσηλευόμενων ψυχικά ασθενών, για το αν η εξατομικευμένη προσέγγιση θα αποτελούσε μια εναλλακτική λύση, καθώς και για το νομικό καθεστώς, στο οποίο εντάσσεται ή λήψη της οιασδήποτε σχετικής πρακτικής. EΓΚΛΗΜΑ ΚΑΙ ΨΥΧΙΚΗ ΑΣΘΕΝΕΙΑ Απουσία καταλογισμού: το πριν και το μετά Πέτσας Δημήτριος, Ψυχίατρος, Επιμελητής Β, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Δικαστικά Ψυχιατρεία : η διεθνής εμπειρία Τσόπελας Χρήστος, Ψυχίατρος, Επιμελητής Α, 5ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Οι ασθενείς που υπάγονται στο άρθρο 69 του Π.Κ. αποτελούν σε σημαντικό βαθμό δημιούργημα της λανθασμένης ή ελλιπούς αντιμετώπισης και βοήθειας προς τους συνανθρώπους μας, που πάσχουν από μία μείζονα ψυχική διαταραχή. Μεγάλο μέρος από τις πράξεις που τελούνται υπό καθεστώς απουσίας καταλογισμού θα μπορούσαν να είχαν αποφευχθεί αν σε πρότερο χρόνο είχαν περιοριστεί οι αντίστοιχες ευοδωτικές του φαινομένου καταστάσεις αίτια, τα οποία και περιγράφονται αναλυτικά. Ανάλογα ανεπαρκής είναι και η προσέγγιση και η υποστήριξη αυτών των ασθενών μετά την τέλεση της αξιόποινης πράξης με σοβαρά εμπόδια, τα οποία αναλύονται και επηρεάζουν το θεραπευτικό έργο. Στο δεύτερο μέρος παρουσιάζεται ο τρόπος με τον οποίο λειτουργούν τα Δικαστικά Ψυχιατρεία στο εξωτερικό και οι δυνατότητες προσαρμογής της διεθνούς εμπειρίας στα ελληνικά δρώμενα με βάση τις υπάρχουσες συνθήκες και δυνατότητες. ΘΕΡΑΠΕΥΤΙΚΗ ΣΥΜΜΟΡΦΩΣΗ ΚΑΙ ΣΚΕΥΑΣΜΑΤΑ ΒΡΑΔΕΙΑΣ ΑΠΟΔΕΣΜΕΥΣΗΣ Οι συνέπειες της μεγάλης διάρκειας μη θεραπευόμενης ψύχωσης και της απουσίας συμμόρφωσης στη φαρμακευτική αγωγή ψυχωτικών ασθενών Τσόπελας Χρήστος, Ψυχίατρος, Επιμελητής Α, 5ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Σκευάσματα βραδείας αποδέσμευσης : πλεονεκτήματα και μειονεκτήματα Πέτσας Δημήτριος, Ψυχίατρος, Επιμελητής Β, ο Ψ.Τ.Ε., Ψ.Ν.Α. Δαφνί Το χρονικό διάστημα μεταξύ της εμφάνισης της σχιζοφρένειας και της έναρξης της φαρμακευτικής αγωγής αποτελεί καθοριστικό παράγοντα στην πρόγνωση και την πορεία της νόσου. Αλλά και μετά την έναρξη αυτής, η θεραπευτική συμμόρφωση ή προσκόλληση και ουσιαστικά η λήψη των αντιψυχωτικών σκευασμάτων αποτελεί αναμφισβήτητη προϋπόθεση, προκειμένου να επιτευχθεί το καλύτερο δυνατό αποτέλεσμα, πάντα, βέβαια, στα πλαίσια μιας ολιστικής, βιοψυχοκοινωνικής προσέγγισης. Στο πρώτο μέρος παρουσιάζονται οι συνέπειες και οι κίνδυνοι, που προκύπτουν από τη μη επίτευξη των ανωτέρω στόχων, ενώ στη συνέχεια περιγράφεται ο ρόλος των σκευασμάτων βραδείας αποδέσμευσης και κυρίως ο τρόπος με τον οποίο αυτά μπορούν να συνδράμουν όχι μόνο στην τήρηση, αλλά και στη διατήρηση της λήψης της φαρμακευτικής αγωγής. Γίνεται, επίσης, αναφορά στις θετικές, αλλά και τις αρνητικές πλευρές, που συνδέονται με τη χρήση αυτών των σκευασμάτων και πώς η ορθολογιστική χορήγησή τους μπορεί να βελτιώσει την πορεία της ψυχικής υγείας και την ποιότητα ζωής των ασθενών, που πάσχουν από σχιζοφρένεια. ΝΟΣΗΛΕΙΑ ΨΥΧΩΤΙΚΩΝ ΑΣΘΕΝΩΝ ΣΕ ΨΥΧΙΑΤΡΙΚΟ ΝΟΣΟΚΟΜΕΙΟ Η ΨΥΧΙΑΤΡΙΚΗ ΚΛΙΝΙΚΗ ΓΕΝΙΚΟΥ ΝΟΣΟΚΟΜΕΙΟΥ Πέτσας Δ., Παναγιωτίδης Ευστ., Θωμαϊδου Μ., Αυδίκος Κ., Παπαθανασίου Γ., Ναλμπάντη Αν., Μουρουζίδου Δ., Τσόπελας Χρ. Εισαγωγή: η νοσηλεία ψυχωτικών ασθενών μέχρι και την παρούσα φάση λάμβανε χώρα τόσο σε Ψυχιατρικά Νοσοκομεία, όσο και σε Ψυχιατρικές Κλινικές Γενικών Νοσοκομείων. Το αναμενόμενο κλείσιμο των Ψυχιατρικών Νοσοκομείων στο άμεσο μέλλον καθιστά εκ των πραγμάτων, τα Γενικά Νοσοκομεία ως τη μοναδική επιλογή. Σκοπός: να καταγραφεί το πλαίσιο που αποτελεί προτίμηση των ίδιων των ψυχωτικών ασθενών για την περίπτωση νοσηλείας τους σε φάση υποτροπής της νόσου. Υλικό Μέθοδος: την ημέρα του εξιτηρίου τέθηκε σχετικό ερώτημα σε 00 ψυχωτικούς ασθενείς, που νοσηλεύτηκαν στο ο Ψ.Τ.Ε. από --0 ως και --0. Η επιλογή έγινε με τη συμμετοχή και μη συμμετοχή ασθενών εναλλάξ με βάση τη σειρά εισαγωγής τους στην κλινική. Αποτελέσματα: από τους 00 συμμετέχοντες οι 5 εξέφρασαν προτίμηση για το Ψυχιατρικό Νοσοκομείο, 9 για την Ψυχιατρική Κλινική του Γενικού Νοσοκομείου και 9 δεν είχαν κάποια ιδιαίτερη προτίμηση. Συμπεράσματα: για λόγους, που θα μπορούσαν να αποτελέσουν αντικείμενο άλλης έρευνας, το Ψυχιατρικό Νοσοκομείο ίσως να αποτελεί ένα πλαίσιο, το οποίο να βρίσκεται πολύ πιο κοντά στις απαιτήσεις και την ιδιοσυγκρασία των ψυχωτικών ασθενών, στοιχείο που δύναται να επηρεάσει ακόμα και την πορεία της θεραπευτικής διαδικασίας. Η ΣΥΝΥΠΑΡΞΗ ΝΕΥΡΩΣΙΚΩΝ ΚΑΙ ΨΥΧΩΤΙΚΩΝ ΑΣΘΕΝΩΝ ΣΕ ΚΟΙΝΟ ΘΕΡΑΠΕΥΤΙΚΟ ΠΛΑΙΣΙΟ Πέτσας Δ., Τσόπελας Χρ., Παπαθανασίου Γ., Αυδίκος Κ., Θωμαϊδου Μ., Μουρουζίδου Δ., Ναλμπάντη Αν., Παναγιωτίδης Ευστ. Εισαγωγή: στα πλαίσια της λειτουργίας ενός Ψυχιατρικού Τμήματος Εισαγωγών νοσηλεύονται ταυτόχρονα τόσο ψυχωτικοί ασθενείς, όσο και ασθενείς που πάσχουν από μονοπολική κατάθλιψη. Σκοπός: να εντοπιστεί αν η συνύπαρξη καταθλιπτικών και ψυχωτικών ασθενών αποτελεί για τους πρώτους μία επιπλέον συναισθηματική επιβάρυνση, τη στιγμή που καλούνται να ανταπεξέλθουν σε μία δυσάρεστη για αυτούς συγκυρία. Υλικό Μέθοδος: σχετικό ερώτημα τέθηκε σε ασθενείς με μονοπολική κατάθλιψη, που νοσηλεύτηκαν στο ο Ψυχιατρικό Τμήμα Εισαγωγών του Ψυχιατρικού Νοσοκομείου Δαφνί από --0 ως και --0. Αποτελέσματα: ασθενείς δήλωσαν ότι δεν τους απασχολούσε καθόλου, ότι τους επηρέαζε ελάχιστα και 8 ότι ήταν για αυτούς δύσκολη η συνύπαρξη με ψυχωτικούς ασθενείς. Συμπεράσματα: ανεξάρτητα από το αν θα έπρεπε ή όχι να νοσηλεύονται σε ίδιο χώρο ασθενείς με μονοπολική κατάθλιψη και ψύχωση, φαίνεται ότι οι πρώτοι δείχνουν να μην επηρεάζονται από αυτή τη συνύπαρξη, κάτι που πιθανότατα συνδέεται όχι τόσο με την απουσία του στίγματος της βαριάς ψυχικής νόσου από τους πάντως, επίσης πάσχοντες καταθλιπτικούς ασθενείς, όσο με την αδιαφορία, την αδρανοποίηση και την απάθεια, που συνοδεύουν την κυρίαρχη καταθλιπτική συμπτωματολογία.

9 ΑΝΤΙΔΡΑΣΗ ΤΩΝ ΨΥΧΩΤΙΚΩΝ ΑΣΘΕΝΩΝ ΣΤΗΝ ΠΡΟΩΘΗΣΗ ΔΙΑΔΙΚΑΣΙΩΝ ΕΙΣΑΓΓΕΛΙΚΗΣ ΕΝΤΟΛΗΣ ΑΠΟ ΤΟΥΣ ΦΡΟΝΤΙΣΤΕΣ Πέτσας Δ., Στάικος Χ.., Θωμαϊδου Μ., Κούση Ελ., Γούτσου Ι., Στρωματιά Γ., Αθανασίου Χρ., Τσόπελας Χρ. Εισαγωγή: μία από τις συχνές, αρχικές αντιδράσεις των ακουσίως νοσηλευόμενων ψυχωτικών ασθενών αποτελεί ο θυμός σε σχέση με τα άτομα, τα οποία αιτήθηκαν την προώθηση της διαδικασίας έκδοσης εισαγγελικής εντολής. Σκοπός: να καταγράψουμε το βαθμό στον οποίο τα αρχικά συναισθήματα θυμού από τους ακουσίως νοσηλευόμενους εμμένουν και στην τελική φάση της νοσηλείας, όταν και βελτιώνεται η κλινική τους εικόνα. Υλικό Μέθοδος: 00 ψυχωτικοί ασθενείς που νοσηλεύτηκαν στο ο Ψυχιατρικό Τμήμα Εισαγωγών του Ψυχιατρικού Νοσοκομείου Δαφνί από --0 ως και --0, ερωτήθηκαν για το αν βίωναν συναίσθημα θυμού προς τα πρόσωπα, που αιτήθηκαν την έκδοση εισαγγελικής εντολής για ακούσια εξέταση, τόσο κατά την ημέρα της εισαγωγής τους (ή το αργότερο τρεις ημέρες μετά), όσο και κατά την ημέρα του εξιτηρίου. Αποτελέσματα: απάντησαν οι 78 από τους 00 ερωτηθέντες και οι 67 από αυτούς (ποσοστό 85,9%) ανέφεραν αρχικά έντονο θυμό (είτε γνώριζαν, είτε υπέθεταν το για ποια πρόσωπα επρόκειτο), από τους οποίους ανάλογο συναίσθημα εξέφραζε και την ημέρα του εξιτηρίου μόνο το, % ( ασθενείς) Συμπεράσματα: παρά τον έντονο φόβο και τις ενοχές, που εκφράζουν συχνά οι φροντιστές, που προωθούν τις διαδικασίες έκδοσης εισαγγελικής εντολής για ακούσια εξέταση των οικείων τους ψυχωτικών ασθενών, λόγω του αρχικού θυμού (και ενίοτε απειλών), που εκφράζονται από τους τελευταίους, οι ασθενείς δείχνουν, κατά κανόνα, να κατανοούν τελικά, παράλληλα με την ύφεση της ψυχωτικής συμπτωματολογίας, το καλοπροαίρετο των προθέσεων των οικείων τους και ουσιαστικά αίρεται στις περισσότερες περιπτώσεις η όποια αρχική τους επιθετικότητα. ΑΙΤΙΕΣ ΜΗ ΕΓΚΑΙΡΗΣ ΠΡΟΩΘΗΣΗΣ ΑΠΟ ΜΕΡΟΥΣ ΤΩΝ ΦΡΟΝΤΙΣΤΩΝ ΔΙΑΔΙΚΑΣΙΩΝ ΑΚΟΥΣΙΑΣ ΕΞΕΤΑΣΗΣ ΨΥΧΩΤΙΚΩΝ ΑΣΘΕΝΩΝ ΣΕ ΥΠΟΤΡΟΠΗ Πέτσας Δ., Θωμαϊδου Μ., Διακουμοπούλου Αν., Αθανασίου Χρ., Στάικος Χ., Κούση Ελ., Φραδέλος Ε., Τσόπελας Χρ. Εισαγωγή : οι φροντιστές ήδη διαγνωσθέντων ψυχωτικών ασθενών συχνά ενημερώνουν τις εισαγγελικές αρχές μετά την πάροδο σημαντικού χρονικού διαστήματος από την εκδήλωση υποτροπής. Σκοπός: να καταγραφούν οι λόγοι για τους οποίους εμφανίζεται αργοπορημένα αυτή η αντίδραση και η βαρύτητα εκάστου εξ αυτών των αιτίων Υλικό Μέθοδος: δόθηκε σχετικό ερωτηματολόγιο με πιθανά αίτια σε φροντιστές 50 ψυχωτικών ασθενών, που νοσηλεύτηκαν στο ο Ψυχιατρικό Τμήμα Εισαγωγών του Ψυχιατρικού Νοσοκομείου Δαφνί από --0 ως και --0. Οι φροντιστές βαθμολογούσαν κάθε αίτιο σε κλίμακα από ως 0. Αποτελέσματα: στα αίτια συμπεριλαμβάνονταν τα αισθήματα ενοχής, που βιώνουν οι φροντιστές υποβάλλοντας το οικείο τους άτομο σε μία τέτοια διαδικασία (μ.ο. βαθμολογίας 5,6), η αδυναμία εντοπισμού των στοιχείων της υποτροπής (,68), ο φόβος για εκδήλωση λεκτικής και σωματικής επιθετικότητας από τον ασθενή μετά το πέρας της νοσηλείας (7,5), η ελπίδα αυτόματης ύφεσης (,) και το πολύπλοκο (και η ταλαιπωρία) της διαδικασίας (7,) Συμπεράσματα: διάφορα αίτια (το καθένα σε διαφορετικό βαθμό) συνδράμουν ταυτόχρονα στην πρόκληση σημαντικής καθυστέρησης στη νοσοκομειακή αντιμετώπιση μιας ψυχωτικής υποτροπής. Δεν προκαλεί έκπληξη η κυρίαρχη αναφορά του φόβου των φροντιστών για εκδήλωση βίας από την πλευρά του ασθενή μετά το εξιτήριο, αλλά εντυπωσιάζει αρνητικά ο υψηλός βαθμός επιρροής του διαδικαστικού παράγοντα. Η αναλυτική προσέγγιση αυτών των αιτίων μπορεί να ενεργοποιήσει τα αντανακλαστικά των φροντιστών και να μειώσει το χρονικό διάστημα της έναρξης αντιμετώπισης των ψυχωτικών υποτροπών ΑΚΟΥΣΙΑ ΨΥΧΙΑΤΡΙΚΗ ΕΞΕΤΑΣΗ ΚΑΤΟΠΙΝ ΠΡΟΦΟΡΙΚΗΣ ΕΙΣΑΓΓΕΛΙΚΗΣ ΕΝΤΟΛΗΣ : ΠΑΡΑΛΕΙΨΕΙΣ ΟΥΣΙΑΣ ΚΑΙ ΟΧΙ ΔΙΑΔΙΚΑΣΙΑΣ Πέτσας Δ., Τσόπελας Χρ., Στρωματιά Γ., Γούτσου Ι., Θωμαϊδου Μ., Κούση Ελ., Φραδέλος Ε., Στάικος Χ. Εισαγωγή: συχνό φαινόμενο κατά την ανοικτή ψυχιατρική εφημερία αποτελεί η ακούσια εξέταση ασθενών κατόπιν προφορικής και όχι έγγραφης εισαγγελικής εντολής λόγω της ανάγκης επείγουσας παραπομπής. Ακόμη και υπό αυτές τις συνθήκες η έγγραφη εισαγγελική εντολή πρέπει να αποστέλλεται σε εύλογο, αλλά βραχύ χρονικό διάστημα, όχι τόσο για τυπικούς λόγους, αλλά προκειμένου να αποφεύγεται η καταστρατήγηση των δικαιωμάτων των εξεταζόμενων. Σκοπός: να καταγραφεί ο βαθμός τήρησης της αποστολής έγγραφης εισαγγελικής εντολής για ακούσια νοσηλεία στις περιπτώσεις αυτές. Υλικό Μέθοδος: έγινε έλεγχος 0 τέτοιων περιπτώσεων ψυχωτικών ασθενών, που νοσηλεύτηκαν στο ο Ψυχιατρικό Τμήμα Εισαγωγών του Ψυχιατρικού Νοσοκομείου Δαφνί από --0 ως και --0. Αποτελέσματα: μόνο σε από τις ανωτέρω 0 περιπτώσεις (ποσοστό 0%) απεστάλη σχετικό έγγραφο εντός των 8 ωρών που ακολούθησαν την εξέταση, παρά το γεγονός ότι η διαδικασία που τηρήθηκε στη συνέχεια ήταν ίδια με τις περιπτώσεις που η εισαγγελική εντολή είχε γίνει εξ αρχής εγγράφως. Συμπεράσματα: παρά το ότι συχνά γίνεται αναφορά για μη τήρηση των απαραίτητων διαδικασιών στην ακούσια νοσηλεία ψυχωτικών ασθενών από τους επαγγελματίες υγείας, οι ίδιες οι εισαγγελικές αρχές, στην περίπτωση αυτή, δεν τηρούν πιστά την προβλεπόμενη διαδικασία, κάτι που επιβάλλεται, όχι τόσο για τυπικούς λόγους, αλλά προκειμένου να αποφευχθεί ενδεχόμενη καταστρατήγηση των δικαιωμάτων των εξεταζόμενων. ΠΡΟΛΗΠΤΙΚΟΣ ΕΛΕΓΧΟΣ ΓΙΑ ΚΑΡΚΙΝΟ ΤΟΥ ΠΡΟΣΤΑΤΗ ΣΕ ΨΥΧΩΤΙΚΟΥΣ ΑΣΘΕΝΕΙΣ Πέτσας Δ., Παναγιωτίδης Ευστ., Διακουμοπούλου Αν., Αθανασίου Χρ., Μουρουζίδου Δ., Στρωματιά, Γ., Γούτσου Ι., Τσόπελας Χρ. Εισαγωγή: η μεγάλη σημασία της πρόληψης στην Ιατρική αφορά το σύνολο των πολιτών, χωρίς να υπάρχει λόγος να εξαιρείται από αυτή η οποιαδήποτε πληθυσμιακή ομάδα. Σκοπός: να καταγραφεί ο βαθμός στον οποίο άρρενες ψυχωτικοί ασθενείς υποβάλλονται σε προληπτικό έλεγχο για πιθανή εμφάνιση του καρκίνου του προστάτη. Υλικό Μέθοδος: ψυχωτικοί ασθενείς άνω των 50 ετών που νοσηλεύτηκαν στο ο Ψυχιατρικό Τμήμα Εισαγωγών του Ψυχιατρικού Νοσοκομείου Δαφνί από --0 ως και --0 ερωτήθηκαν για το αν είχαν προβεί σε προληπτικό έλεγχο για καρκίνο του προστάτη εκτός της περιόδου ενδεχόμενης ψυχιατρικής νοσηλείας. Αποτελέσματα: μόνο από τους ασθενείς (ποσοστό 6,9%) είχαν υποβληθεί σε προληπτικό έλεγχο, όλοι κατόπιν προτροπής από θεράποντα (μη ψυχίατρο). Από τους υπόλοιπους ασθενείς, 9 (ποσοστό,%) είχαν υποβληθεί σε έλεγχο κατά τη διάρκεια ψυχιατρικής νοσηλείας, ενώ (ποσοστό 5,8% ) δεν είχαν υποβληθεί ποτέ σε σχετικό έλεγχο. Συμπεράσματα: ο γενικότερος προληπτικός έλεγχος για πιθανή εκδήλωση καρκίνου του προστάτη αποτελεί ζητούμενο, αλλά όχι και πραγματικότητα για τους ψυχωτικούς άρρενες ασθενείς. Ο ρόλος του ψυχιάτρου στην κατεύθυνση της ενημέρωσης, αλλά και της προώθησης διαδικασιών και διενέργειας σχετικού ελέγχου είναι ιδιαίτερα κρίσιμος και σημαντικός. Η ΑΥΞΗΣΗ ΤΗΣ ΑΝΑΓΚΗΣ ΝΟΣΗΛΕΙΑΣ ΨΥΧΙΚΑ ΑΣΘΕΝΩΝ ΑΤΟΜΩΝ ΩΣ ΑΙΤΙΑ ΕΠΙΔΕΙΝΩΣΗΣ ΤΩΝ ΠΑΡΕΧΟΜΕΝΩΝ ΥΠΗΡΕΣΙΩΝ ΚΑΙ ΕΜΦΑΝΙΣΗΣ ΣΥΝΔΡΟΜΟΥ ΕΠΑΓΓΕΛΜΑΤΙΚΗΣ ΕΞΟΥΘΕΝΩΣΗΣ Πέτσας Δ., Τσόπελας Χρ., Αθανασίου Χρ., Ναλμπάντη Αν., Παπαθανασίου Γ., Αβδίκος Κ., Φραδέλος Ε., Στάικος Χ. Εισαγωγή: παρά τις προσπάθειες των επαγγελματιών ψυχικής υγείας, οι ανάγκη νοσηλείας ψυχικά ασθενών ατόμων αποτελεί μία αναγκαία πραγματικότητα. Σκοπός: να καταγράψουμε το βαθμό στον οποίο ένα Ψυχιατρικό Τμήμα Εισαγωγών καλείται να καλύψει τις ανάγκες νοσηλείας ψυχιατρικών ασθενών. Υλικό Μέθοδος: κατεγράφη ο αριθμός των ψυχιατρικών ασθενών που νοσηλεύθηκαν στο ο Ψυχιατρικό Τμήμα Εισαγωγών του Ψυχιατρικού Νοσοκομείου Δαφνί από --0 ως και -- 0 και έγινε σύγκριση με το αντίστοιχο δεδομένο προ οκταετίας. Αποτελέσματα: ο αριθμός των νοσηλευόμενων κατά το ανωτέρω χρονικό διάστημα έφτασε τους 0, με μέσο όρο ημερών νοσηλείας ανά ασθενή τις 9,8 ημέρες και πληρότητα κλινών που άγγιξε το 0%. Στο αντίστοιχο χρονικό διάστημα προ οκτώ ετών είχαν νοσηλευθεί 7 ασθενείς (ποσοστό αύξησης,6%). Συμπεράσματα: παρατηρείται μεγάλη αύξηση στο βάρος του έργου που καλούνται να επιτελέσουν οι Ψυχιατρικές Κλινικές, στοιχείο το οποίο σαφώς προβληματίζει και απαιτεί την ανάληψη δραστικών πρωτοβουλιών, καθώς υπό τις συνθήκες αυτές σαφώς επηρεάζεται αρνητικά η ποιότητα παροχής ιατρικών και νοσηλευτικών υπηρεσιών και κατ επέκταση η πορεία της υγείας των επωφελούμενων, ενώ ταυτόχρονα αυξάνεται η πιθανότητα εμφάνισης του συνδρόμου επαγγελματικής εξουθένωσης των επαγγελματιών ψυχικής υγείας. Personality Behaviour Inventory an Introduction of the new tool and comparison with PAI and MMPI. Dimitrios G. Lyrakos, Clinical & Forensic Psychologist In this presentation we will outline the characteristics of the Personality Behavior Inventory. The validation studies and population and we will attempt a comparison to the two leading personality Inventories MMPI and PAI. Non-Suicidal Self Harm as a form of Addiction. Dimitrios G. Lyrakos, Clinical & Forensic Psychologist This presentation aims to identify what is NSSH, why there are so many problems in the past with the definition. Finally it will present characteristics that make NSSI not as a symptom of various disorders, but as an addictive behavior. Characteristics of False Allegations of Child Abuse during the Separation. Dimitrios G. Lyrakos, Clinical & Forensic Psychologist This presentation will attempt to present the characteristics, the reasons and what a forensic psychiatrist and psychologist should consider in the case of false allegations. COGNITIVE-BAHEVIORAL THERAPY OF PATIENTS WITH HIPOCHONDRIA Dr. Ivanna Shubina Ass. Professor, Business Department, American University of the Middle East, KUWAIT. Cognitive-behavioral therapy of patients with hipochondria Originally hypochondria was considered as a distinct syndrome usually treated pharmacologically. It s treatment was based on the psychological theories or the dominant theories. The study regarding cognitive-behavioral approach has its origins primarily in the areas of obsessions and panic research. Cognitive conceptualization of hypochondria was created to effectively explain their characteristics and experience. Recent controlled studies of cognitive-behavioral therapy (CBT) of hypochondria suggest that: -CBT is extremely effective in relation to family therapy and dynamic and for hospitalized patients with hypochondria; -patients prefer CBT or waiting list group for treatment, - the improvement persists for at least months. The main aim of this article is to present and analyze the possibilities of CBT appliance. It is showed the efficacy of CBT in the treatment of patients with hypochondria, but the question whether it will be a future therapy, will depend on whether the results of research carried out under controlled conditions to be confirmed in clinical practice. Keywords: cognitive-behavioral therapy, hypochondria, treatment studies. ROLE OF FAMILY FOR GROOMING A CHILD: A PROTECTIVE STEP FOR VULNERABLE CHILD A. Sabath, K. Samal Professor, Govt. Women s College, Sambalpur, Odissa, INDIA Head of Sociology dept., KET s Vaze College of Arts, Commerce & Science, Mumbai, INDIA A child is the most innocent being on the earth. It is born innocent but the family, the community, the institution and the world at large always butcher its innocence. This paper aims at the role of family for the development of a child in different ethnic or social groups. Family, in fact, is the nucleus in the growth and development of the child. A child grows up with the idea that a family is the world around him. He tries to emulate consciously or unconsciously from the surrounding. This imitation has serious impact on the development of the child. It even sometimes cripples or stunts the growth of a mind. It results in the disability of the child. All policies about education or changing of curriculum cannot bring about a change in the plight of a child s life unless there is serious thinking about the role of a family and the contribution of a family to the development of a child. In the words of words worth Child is the father of man. Key Words: Vulnerable Child, Grooming, Surrounding. AMBIGUOUS LOSS EXPERIENCED BY FAMILIES OF PEOPLE WITH MENTAL ILLNESS K. Perera PhD candidate, Senior Social Worker, School of Psychiatry & Clinical Neurosciences, University of Western Australia and North Metropolitan Mental Health Services, Western Australia, AUSTRALIA Introduction/Aim: Ambiguity, coupled with loss, creates a powerful barrier to coping and grieving and can lead to feelings of depression and relational conflict that erode human relationships. Current theories, rituals and community support mainly address the grief of clear-cut loss such as death. There is very little evidence in literature, policy or practice in the area of mental health to demonstrate that service providers have paid much attention to the reactions of grief in people affected by mental ill health and those who care for them. Research on stress and trauma has found that none is as unmanageable as the stress of a loss, which is unclear, uncertain, inconsistent and possibly cyclical, known as ambiguous loss (Boss, 006). To present findings of a study undertaken towards a doctoral desertion on Ambiguous Loss Associated with Mental Ill Health: How is it perceived by those affected? Methods: Using qualitative methodology and methods, data from interviews of a collective case study of seven families were analyzed through the lens of ambiguous loss theory. Results: Reverberating losses emerge as a core category and a central defining aspect of the phenomenon of loss to which themes of other losses were interconnected: losing self, losing family ties, losing connectedness and losing functionality. Elements of ambiguity associated with mental ill health emerge in themes of riding a roller-coaster and being in the wilderness. Discussion: Loss complicated by the additional stressor of ambiguity is the most stressful kind of loss to bear. The trauma of not knowing what the future holds, of bouncing back and forth between diagnoses, the fluctuating nature of the ill health and all the while because of the stigma of mental

10 ill health, there is no validation of sorrow from society. Parallel stories of the experience of loss that exists for the person with the ill health and their significant others are rare in the literature. This study is unique because it gives a parallel story about grief without closure, and thus complicated and chronic grief. PSYCHOLOGICAL DISTRESS CAUSED BY URBAN EXPANSION IN ALGERIA F. Laid, B. Mounis Professor, Department of Psychology, University of Tlemcen, ALGERIA The purpose of this paper is to examine the psychological distress caused by urbanization, a field study conducted on a sample range of individuals who live in urban areas; some of them their place of residence in green spaces and others without green spaces in Tlemcen city, which saw the terrible expansion of urban. The study included the impact of urbanization on the mental health of individuals, and selected the psychological problems most commonly caused by urbanization, and the impact of green spaces in alleviating stress. The method used in this research is purely descriptive following the collected data from the sample of 60 young men. The tool that was used is psychological distress test. We proceeded with some statistical techniques, which provided the percentages, and the variance analyses, and the t measure differences. The findings of this research were: i) The psychological distress caused by urban expansion is mainly in the intensity of stress, incompetence, emotional, and psychosomatic problems; ii) There was statistical significant difference at the level of significance 0.0 among young people who live in places with green spaces and without green spaces, in terms of psychological distress, in favor of young people who live in places free of greenery. Key Words: psychological distress, urbanization, psychological problems NEAR DEATH EXPERIENCE: TEACHING, LEARNING AND THERAPY FOR POSITIVE LIVING M. Kasiram, D. Sartori Social Work Lecturer, University of KwaZulu-Natal, SOUTH AFRICA Lecturer in Mental Health, University of Swansea, Wales, UK Introduction/Aims: This presentation explores the needs of HIV positive women, the physicality of their illness, their vulnerability and their spiritual leanings. It is based on two related but separate research projects on HIV/AIDS and Women, and another on Near Death Experiences (NDEs). The presentation examines how Science, Spirituality and Health are interconnected and how best to use this interconnection in offering therapy and promoting teaching and learning. Methods: Both projects were qualitative, using exploratory and descriptive designs and purposive sampling to glean thick, rich descriptions. Results: Both studies demonstrated just how life- transforming respondents experiences were, with implications for change, doing good, living life to the full and making good with God, being core findings. Discussion: Marrying both projects has yielded rich outcomes for teaching and training in the helping profession, and for positive living in the face of trauma, death and dying. The international audience with whom this presentation will be shared would be privy to this groundbreaking work and have opportunity to engage with and/or use this work with adjustment in their various contexts, considering the universality of the topic. ADOLESCENT SUICIDAL IDEATION: A COMPARATIVE STUDY OF PSYCHOSOCIAL VARIABLES IN A SAMPLE OF SOUTH AFRICAN ADOLESCENTS E.D. du Plessis, H.S. van den Berg Principal Clinical Psychologist/Lecturer, Counselling Psychologist/Senior Lecturer, Department of Psychiatry, University of the Free State, Bloemfontein, SOUTH AFRICA The lives of adolescents have drastically changed during the twenty first century and they need to cope with complex stressors. The use of effective coping strategies plays an important role in determining the health and wellbeing of adolescents. This study investigated the nature of stressors, as well as coping strategies utilized by a group of South African adolescents. A cross-sectional design including a correlational design was used. A random, stratified sample of 0 secondary school learners was gathered from urban and rural schools. Questionnaires used in this study included: the Reynolds s Suicidal Ideation Questionnaire, the Life Stressors and Social Resources Inventory, Youth Form, the Coping Orientations to the Problems Experienced Questionnaire. Results indicate that the participants, as a whole, experience similar stressors, with the exception of a few and use dysfunctional coping more frequently. Comparing White, Black and Mixed Race participants, a significant difference were found in their level of suicidal ideation (White.8, SD.0; Black 5., SD 9.9; Mixed Race 7.85, SD 7.). Significant differences were found with regard to financial stressors (>Black group) and relationship stressors (>Black group). Black participants reported more frequent use of dysfunctional coping strategies (such as denial and mental disengagement) (% significance level). NEONATAL NEUROPSYCHOLOGICAL ASSESSMENT OF NEWBORN INFANT: LOCAL EXPERIENCE AND A FOLLOW-UP STUDY M.M.J. Alqahtani Associate Professor, King Khalid University, Al-Riyadh; Consultant of Clinical Psychology, National Neuroscience Institute, King Fahad Medical City KFMC; Assistant Professor of Clinical Psychology: Medical College, King Saud bin Abdulaziz University for health sciences, SAUDI ARABIA Introduction/Aims: Preterm children tend to have higher levels of neurodevelopmental deficits. These deficits may be minimized with early intervention. There has been no previous study in Saudi Arabia, which assessed neonatal high-risk children, neuropsychologically. To assess the neuropsychological features of preterm ( 9 weeks OR.5 kg) children born from March 006 through August 008, and who were admitted following birth to a tertiary care NICU. Methods: This study used a pool of standardized psychometric scales: Vineland Adaptive Behavior Scales; Bayley Scales of Infant Development; and Stanford-Binet Intelligence Test. Follow-up assessments were applied to examine 68 children at 8 months, and 96 of them were re-evaluated at years. Results: Our study indicates that preterm children, who were born at the NICU at King Fahd Medical Center (KFMC), have rates of neurodevelopmental normality, which could be similar to those reported in other studies. Major neuropsychological abnormality was present in 6 (5.50%) and (.6 %) children, at 8 months and years, respectively. The relationship between two scales (Bayley vs. Vineland) at 8 months, and two scales (Stanford-Binet vs. Vineland) at years, were associated significantly: χ (, N=68) = 58.07, p<0.000; and χ (, N=96) = 9.5, p<0.000, respectively. Nevertheless, Bayley scale and Stanford-Binet test were more likely to detect neuropsychological impairment among children at 8 months and years, respectively. Discussion: Neuropsychological assessments are essential to speed the beginning of treatment interventions in order to allow for better developmental outcome. KEYWORDS: neonatal infant; preterm children; neuropsychology PERSONALITY, PARENTING AND PERFECTIONISM: PREDICTORS OF ACADEMIC ANXIETY IN COLLEGE STUDENTS Monica L. Heller, Graduate Student Educational Psychology Ball State University, Muncie, Indiana, UNITED STATES Kathryn L. Fletcher, Professor Associate Professor of Psychology Educational Psychology Ball State University, Muncie, Indiana, UNITED STATES Abstract: Perfectionism has been associated with personality traits and controlling parenting. But limited research has focused on these factors in relation to academic adjustment. The present study examined whether maternal control, perfectionism and personality traits related to academic anxiety. College students (N = 0; 8% female; mean age = 0.7) completed the Multidimensional Perfectionism Scale, Academic Anxiety Scale, Five-Factor Model of Personality Measure and Achievement and Dependency Parent Psychological Control scale. Socially prescribed perfectionism and academic anxiety were positively correlated (r =.9). Both variables were correlated with dependency-oriented psychological control (r =.9 and., respectively) and achievement-oriented psychological control (r =.9 and.5). Conscientiousness and neuroticism correlated with academic anxiety (r = -.5 and.), while only neuroticism was correlated with socially prescribed perfectionism (r =.). Both forms of maternal psychological control correlated with neuroticism and conscientiousness. After controlling for maternal psychological control, conscientiousness, neuroticism and socially prescribed perfectionism were still significant predictors of academic anxiety. In separate analyses, socially prescribed perfectionism also served as a partial mediator between maternal psychological control and academic anxiety. Thus, personality traits and perfectionism enhance academic anxiety, beyond the influence of controlling parenting. PERSONAL, FAMILIAL AND CONTEXTUAL RISK FACTORS THAT IMPACT FEMALES ACADEMIC ANXIETY AND ACHIEVEMENT: IMPORTANCE OF EARLY IDENTIFICATION AND INTERVENTION Monica L. Heller, Graduate Student Educational Psychology Ball State University, Muncie, Indiana, UNITED STATES Jerrell C. Cassady, Professor Professor of Psychology Educational Psychology Ball State University, Muncie, Indiana, UNITED STATES Kathryn L. Fletcher, Professor Associate Professor of Psychology Educational Psychology Ball State University, Muncie, Indiana, UNITED STATES Abstract: The current study examines the personal, familial, and contextual challenges that place females at risk for academic failure in higher education. Traditionally these barriers have been measured in isolation or without attention to level of influence. Using a new measure that evaluates the degree of perceived risk (e.g., transportation, finances, family obligations), we explored the impact risk factors on females academic anxiety and achievement outcomes. Comparisons among 6 females attending a United States community college demonstrated significant age group differences (ages 8- traditional, -7 late-starters, and 8+ nontraditional ), wherein we found late-starters experiencing the highest degree of perceived barriers. Furthermore, this group reported greater levels of academic anxiety, demonstrated lower levels of achievement, and were less likely to engage in coping strategies that mitigate the risk factors. Our analyses also identify the relative influence of each perceived barrier on the anxiety and achievement outcomes. The personal, familial, and contextual barriers faced by this unique population pose a significant area of need in supporting academic and social equity. Our research provides an avenue for early identification of barriers and connecting students to support networks. Implications for the academic success and well-being of females are discussed as well as avenues for intervention. Too Drained to Help: Psychological Resource Depletion and Daily Workplace Helping Behaviours. John P. Trougakos, Ph.d. Associate Professor, Department of Management, University of Toronto. Toronto and CANADA. Abstract: Introduction and Aims: This paper explores the role of within-person fluctuations in employees daily surface acting and subsequent personal energy resources in the performance of organizational helping behaviours directed towards other individuals in the workplace. Drawing on Ego Depletion Theory (Muraven & Baumeister, 000), this paper develops a resource-based model in which surface acting is negatively associated with daily helping through the depletion of resources manifested in end of day exhaustion. Further integrating Ego Depletion Theory, the role of employees baseline personal resource pool, as indicated by chronic exhaustion, is considered as a critical betweenperson moderator of these within-person relationships. Methods: To test the proposed model experience sampling methods (ESM) were utilized to track employees surface acting, end of day exhaustion, and helping over a 0-day period. Chronic exhaustion was measured with a general exhaustion scale prior to the daily portion of the study. Results: Results indicated that surface acting was indirectly related to co-worker ratings of helping through the experience of exhaustion. Further, chronic levels of exhaustion exacerbated the influence of surface acting on employees end of day exhaustion. Discussion: These findings demonstrate the importance of employees regulatory resource pool for combating depletion and maintaining important work behaviours. WOMPOWER -Empowering women to fight against domestic violence through integrated model of training support and counseling. Papadakaki M., Simona Musteata, Vasilaki E., Pelekidou L., Ratsika N., Anipsitaki M., Papanikolaou M., Chliaoutakis J. Aim: Domestic violence is the most common form of violence against women. The prevalence of domestic violence in Europe has been shown to be high. The study aims at empowering women, victims or possible victims of domestic violence. Methodology: The study is part of a European project funded by the DAPHNE_III program (JUST/0/DAP/AG/008) and is carried out in eight European countries (Estonia, Greece, Romania, Latvia, Spain, Austria, Finland, and Sweden). Reviews of existing legislation and programmes are carried out with regard to domestic violence against women. The women s experiences of violence in their environment and their needs are explored using qualitative methods (qualitative interviews and workshops). Results: An integrated model of education, counseling and support, will be developed including an online platform for psychological and judicial counseling for women victims or possible victims of domestic violence in sense of recovery and prevention. Development of educational and informational materials (three booklets, leaflets, DVD) for women, policy makers and practitioners involved in adult education. Conclusion: The effort of the communities should be directed towards awareness raising and increase of self-esteem of this target group and towards providing as many support elements by means of which these women can escape the abusive control and become independent and able to exercise their rights. MODEL AND TYPES OF CHARACTER AS A PREDICTOR OF MENTAL AND SOMATIC WELL-BEING. A STUDY AMONG ADOLESCENTS. Dr Andrzej Januszewski, Dr Elżbieta Januszewska, MSc Izabella Januszewska Assistant Professor, Department of General Psychology, Institute of Psychology, The John Paul II Catholic University of Lublin, POLAND Assistant Professor, Department of Clinical Psychology, Institute of Psychology, The John Paul II Catholic University of Lublin, POLAND PhD student, Department of Clinical Psychology, Institute of Psychology, The John Paul II Catholic University of Lublin, POLAND

11 Abstract Based on the assumptions of the R. C. Cloninger et al. psychobiological concept of personality, the methods used to diagnose (TCI - Temperament and Character Inventory) and using the technical capabilities of Confirmatory Factor Analysis (CFA) a research was conducted with the aim to verify the hypothesis of admissibility of character model consisting of three constructs: self-directedness, cooperativeness and self-transcendence along with their empirical arguments (indicators of character). The empirical base matrix consisted of TCI results obtained on the layered sample (N=50) of adolescents (-8 years). The effect of slight adjustments (comparing to original form of TCI) allowed to demonstrate the validity of three models of character, of which the best in tests of goodness of fit of empirical covariance matrix (S) in relation to implied by the theoretical model (Σ), obtained in the test criterion the following values: χ/df=,9; p 0,000; RMSEA-HI=0,0; PCLOSE=0,99; AGFI=0,978; Hoelter N(0,05)=557. The effect of the sample diversification (by cluster analysis) for the five types of structural character types allowed to indicate the types which were more frequent in populations of girls and boys. There was no such regularity in the case of the age range (-5 years and 6-8 years). The fact of belonging to a character type (independent variable) showed a significant (F; p 0,05) correlation with the distribution of integrated vs. disturbed personality measures (especially borderline symptoms), such as weak sense of identity and inadequate sense and control of reality (and their specific indicators - the dependent variables), ranged between 9.% and.7 % of explained variance. A significant, although with a weaker power, was the effect of the impact on the somatic well-being. For its five indicators, the values ranged from to. % of explained variance. SENSE OF COHERENCE AND PSYCHOLOGICAL INDICATORS OF BIO-PSYCHO-SOCIAL HEALTH. A STUDY AMONG ADOLESCENTS. Dr Andrzej Januszewski, Dr Elżbieta Januszewska, MSc Izabella Januszewska Assistant Professor, Department of General Psychology, Institute of Psychology, The John Paul II Catholic University of Lublin, POLAND Assistant Professor, Department of Clinical Psychology, Institute of Psychology, The John Paul II Catholic University of Lublin, POLAND PhD student, Department of Clinical Psychology, Institute of Psychology, The John Paul II Catholic University of Lublin, POLAND Abstract According A. Antonovsky s theory of salutogenesis, people with a strong sense of coherence are characterized by an active attitude towards their own health and make internal attributions about the causes of health and health-related activities. The SOC-9 questionnaire, developed by A. Antonovsky, in the corrected, hierarchical model version as proposed by A. Januszewski, was used for the diagnosis of sense of coherence (the exogenous variable). Apart from the confirmation of the admissibility of this corrected solution (using Confirmatory Factor Analysis), the main objective of this study was to verify the admissibility of three hypotheses about the positive impact of the sense of coherence on better health in psychological, somatic and social aspects. For this purpose, the Causal Modeling was used. A representative, stratified sample of (N=69) adolescents took part in the study of the age range -8 years. For measurement of the endogenous variables respective to the above mentioned aspects of health, the following were used: () Borderline Personality Organization Questionnaire (BPOQ) developed by E. Januszewska, which allows measurement of two psychological hierarchical structures: sense of self-identity and sense and control of reality (with their indicators), () The Giessen Physical Complaint List for Children and Adolescents (GSCL-C) developed by Brähler and Scheer, which allowed the measurement of somatic symptoms experienced in the following areas: Exhaustion, Gastric Complaints, Pains in Limbs, Circulatory Problems, and Cold Symptoms; () Psychological Inventory of Aggression Syndrome (Polish: IPSA-II) developed by Gaś which was indirectly used to identify pro-social behavior. Strong causal relationships were shown between the psychological construct of sense of coherence and indicators of mental, somatic and social health. The sense of manageability was found to be the strongest causal predictor of indices of mental health and somatic health, whereas the sense of meaningfulness was found to be most strongly causatively related to the indices of social health. RELATIONSHIP BETWEEN POSITIVE SYMPTOMATOLOGY AND THERAPIST ACTION. Álvarez-Iglesias, A., Segovia-Arroyo, A., Marchena-Giráldez, C. y Galván- Domínguez, N. PhD Student. Master degree Student. Biological and Health Psychology Department. Universidad Autónoma de Madrid. Madrid. SPAIN. Introduction: The positive manifestations that characterize severe mental illnesses- delusions, hallucinations- have been widely studied from a descriptive perspective, mainly focusing on topography and patient. The purpose of this research is to study, from a functional analytical perspective, the verbal interaction between therapist and patient during session in order to analyse the influence of such interaction in the appearance and typology of the positive symptoms. Method: An observational methodology has been applied -using the software The Observer XT and a previously validated Categorization System of verbal behaviour of Therapist and User. The survey data -collected from therapy sessions (n=0) from various centres belonging to the public network of social health care to individuals with a disability derived from a severe and lasting mental illness of the Community of Madrid- comprise video recordings of psychotherapy sessions. Results: Variations in the frequency of the manifestations of positive symptomatology have been observed in relation to the therapist s behaviour after the appearance of such symptomatology. Discussion: The results will be used to discuss the role of the therapist in the appearance of positive symptoms during session, based on aspects such as the therapist s directivity. Keywords: mental illness, delusions, verbal interaction, positive symptomatology. AN INNOVATIVE PROGRAM UNDER THE NEW INTERGENERATIONAL LEARNING PARADIGM: CHALLENGES & RESULTS. Marta Gonçalves PhD, post doctoral researcher Post doctoral researcher, CIS-IUL, Instituto Universitário de Lisboa ISCTE-IUL. Lisbon. PORTUGAL. Abstract sections: Introduction: Active ageing is the process of allowing individuals to continue participating in social, economic, cultural, spiritual and civic issues independently of their age. Ageism, discrimination against age, is a big actual social problem. It involves holding negative stereotypes about people of different ages. The new intergerational learning paradigm can solve it by emphasizing the importance of the intergroup contact between generations where each group can learn from and teach the other. Aims: The aim of this study is to present a program developed and tested in Portugal under this new intergenerational learning paradigm where participants from different generations learned scientific skills together. Methods: During an academic year at university participants from different generations learned together how to develop and conduct a research project and conducted one in an intergenerational team, which was then presented at a conference. Results: Results from the two editions of the program indicated benefits at different levels: in the contribution to the challenge of age stereotypes and isolation, in the promotion of social capital and intergenerational solidarity, in cognitive stimulation and mental health, in community development and in learning and practice. Discussion: This concrete experiment allowed implications for action, policy and future research within innovation in Psychology. REINFORCING THE PREDICTIVE VALUE OF YOUTH PSYCHOPATHIC TRAITS: STABILITY PROFILES IN A 0-YEAR FOLLOW-UP Laura López-Romero, Estrella Romero & Jose Antonio Gómez-Fraguela Doctoral student, Department of Clinical Psychology, University of Santiago de Compostela, Santiago de Compostela, SPAIN Associate Professor, Department of Clinical Psychology, University of Santiago de Compostela, Santiago de Compostela, SPAIN Abstract INTRODUCTION AND AIMS: The relevance of psychopathic traits at different developmental stages has been extensively highlighted. However, such a controversial construct requires a wide body of research supporting its usefulness, particularly when youth populations are analysed. By prospectively examining the development of psychopathic traits across childhood and adolescence, focusing on distinctive patterns of stability and change, the utility of the construct will be reinforced. METHODS: Data was collected in a sample of 5 children, aged 6 to in the first data collection (T). Two subsequent follow-up studies were conducted six (T) and 0 (T) years later. RESULTS: Following a person-oriented perspective, three distinctive profiles were identified, based on participants level of psychopathic traits on each assessment point: Decreasing, Stable-high/ increasing, and Stable low. Severe behavioural outcomes and psychosocial functioning variables were analysed, with the Stable-high/increasing group showing the most severe and persistent pattern of both childhood and adolescent disadjustment. DISCUSSION: These findings allow the identification of a specific group of youths at increased risk for severe behavioural and psychosocial problems. Moreover, they contribute to the better knowledge of the development of psychopathic traits, and support the utility and predictive value of the construct. Implications for prevention and intervention are also discussed. VARIABILITY OF INTELLIGENCE AND PERSONALITY INDUCED BY BRAIN TUMORS OF DIFFERENT LOCALIZATION O.M. Razumnikova, A.M. Perfil ev, V.V. Stupak State Research Institute of Physiology and Fundamental Medicine, Federal Center of Neurosurgery, Research Institute of Traumatology and Orthopedics, Novosibirsk, RUSSIA It has been shown that resting state of brain activity might be able to reflect differences in personality traits and intelligence. Tumor genesis induces disorders in functions of higher nervous system but high plasticity and compensatory reactions of brain can mask cognitive deficits and behavior changes. The objective of study was to assess personality and intelligence variation which may be related to such reorganization in emotional and intellectual status. Twenty-one adult patients and twenty healthy volunteers were examined using EPQ and intelligence testing. The sample was balanced for sex, age and educational level. The tumor location and histology were reported for each patient. The results indicated that variability in personality and intelligence more associated with location than histology of tumor. Neuroticism, psychoticism, and social conformity were differently changed in patients vs. control group. Psychoticism increase and neuroticism decrease were more expressed during the left hemispheric localization of tumors. Tumor-induced decrease of intelligence was more presented while performing of figurative tasks, and least of all in verbal ones. Verbal functions were decreased more in group with frontal than parietal localization of tumor. So obtained changes in personality traits reflected reorganization in emotion regulation and social interaction in patients with brain damage. ΤΟ ΜΟΝΤΕΛΟ ΣΤΡΕΣ-ΔΙΑΘΕΣΗ ΥΠΟ ΤΟ ΨΥΧΑΝΑΛΥΤΙΚΟ ΠΡΙΣΜΑ ΣΕ ΚΑΤΑΘΛΙΠΤΙΚΟΥΣ ΑΣΘΕΝΕΙΣ THE STRESS-DIATHESIS MODEL UNDER THE PSYCHOANALYTIC PERSPECTIVE IN DEPRESSIVE PATIENTS Α. Καλαματιανός, Υποψήφιος Διδάκτορας Κλινικής Ψυχολογίας, Πανεπιστήμιο Αθηνών Λ. Κανελλοπούλου, Επίκουρη Καθηγήτρια Ψυχολογίας, Πανεπιστήμιο Αθηνών A., Kalamatianos, PhD in Clinical Psychology candidate, University of Athens L., Canellopoulos, Assistant Professor of Psychology, University of Athens Περίληψη: Η παρουσίαση αυτή έχει σκοπό τη συγχρονική μελέτη του μοντέλου στρες-διάθεσης σε καταθλιπτικούς ασθενείς και στο δείγμα ελέγχου. Σύμφωνα με αυτή τη θεώρηση, συγκεκριμένα στρεσογόνα γεγονότα ζωής αλληλεπιδρούν με προδιαθεσικούς παράγοντες ευαλωτότητας. Αυτοί, ειδικότερα, υπό μια αναπτυξιακή και ψυχαναλυτική σκοπιά συνίστανται στον ανακλητικό και στον ενδοβλητικό τύπο κατάθλιψης. Η παρούσα έρευνα σκοπεύει να μελετήσει αν γεγονότα, όπως χωρισμοί, αποχωρισμοί και θάνατοι συνδέονται με την εξαρτητική κατάθλιψη και το αίσθημα εγκατάλειψης και άλλα γεγονότα, όπως απώλεια εργασίας, ανεργία και μείωση του εισοδήματος συσχετίζονται με την αυτό-κριτική κατάθλιψη και το αίσθημα της αποτυχίας. Συμμετείχαν διαγνωσμένοι καταθλιπτικοί ασθενείς που προσήλθαν σε εξωτερικά ιατρεία κέντρων ψυχικής υγείας και ψυχιατρικών μονάδων γενικών νοσοκομείων και άτομα που προσήλθαν σε χώρους αναμονής υπηρεσιών του ΙΚΑ, της διεύθυνσης υγειονομικής περίθαλψης ασφαλισμένων του Δημοσίου και της Εθνικής Τράπεζας. Οι συμμετέχοντες συμπλήρωσαν το Ερωτηματολόγιο Καταθλιπτικών Εμπειριών του Blatt, που αξιολογεί τους δύο καταθλιπτικούς τύπους, το Ερωτηματολόγιο Κατάθλιψης του Beck, ένα αυτοσχέδιο Ερωτηματολόγιο Γεγονότων Ζωής και το Ερωτηματολόγιο της Πρόσδεσης του Ενηλίκου-Κάρτες των Ατομικών Μοντέλων Σχέσης του Pierrehumbert. Παρουσιάζονται τα προκαταρτικά αποτελέσματα της επαλήθευσης του μοντέλου, της σύγκρισης των δύο δειγμάτων, η συσχέτιση των καταθλιπτικών τύπων με τους τύπους ανασφαλούς πρόσδεσης και η πρακτική σπουδαιότητα της έρευνας για τη θεραπευτική διαδικασία. The influence of conflict style towards reactivity to changes at Romanian preadolescent pupils Roxana Urea Associated Professor Ph. D, Bucharest University Problem Statement:The classroom environment is a particular one, because develops a lot of relationships between the actors that are involved in educational process. The nature of relationships could be conflicting one and express the participant personality. The human personality is characterised by features, traits such as conflict style. These personality traits exercise a lot of influences, in particular over the reactivity to social changes. Purpose of Study: Our hypothesis was that the pupils reflect in the classroom management the influence of conflict style towards their reactivity to social changes. Research Methods: The conflict style Questionnairedeveloped in 00 by R. Urea for Romanian preadolescents (coefficient of fidelity were: 0,805), The Reactivity to social changes Questionnaire, developed in 008 by R. Urea for Romanian preadolescents (coefficient of fidelity were: 0,78) Findings: Our results showed some basic features of preadolescent s conflict style and different type of reactivity to social changes at these preadolescents. The hypothesis was confirmed Conclusions: The conclusions that came through allows us to establish a specific typology between preadolescent s conflict style and type of reactivity to social changes at these preadolescents and are important for developing proper strategies in the classroom management.. Keywords: Conflict style, reactivity to social changes, preadolescents, classroom management RELATIONSHIP BETWEEN POSITIVE SYMPTOMATOLOGY AND

12 THERAPIST ACTION. Álvarez-Iglesias, A., Segovia-Arroyo, A., Marchena-Giráldez, C. y Galván- Domínguez, N. PhD Student. Master degree Student. Biological and Health Psychology Department. Universidad Autónoma de Madrid. Madrid. SPAIN. Introduction: The positive manifestations that characterize severe mental illnesses- delusions, hallucinations- have been widely studied from a descriptive perspective, mainly focusing on topography and patient. The purpose of this research is to study, from a functional analytical perspective, the verbal interaction between therapist and patient during session in order to analyse the influence of such interaction in the appearance and typology of the positive symptoms. Method: An observational methodology has been applied -using the software The Observer XT and a previously validated Categorization System of verbal behaviour of Therapist and User. The survey data -collected from therapy sessions (n=0) from various centres belonging to the public network of social health care to individuals with a disability derived from a severe and lasting mental illness of the Community of Madrid- comprise video recordings of psychotherapy sessions. Results: Variations in the frequency of the manifestations of positive symptomatology have been observed in relation to the therapist s behaviour after the appearance of such symptomatology. Discussion: The results will be used to discuss the role of the therapist in the appearance of positive symptoms during session, based on aspects such as the therapist s directivity. Keywords: mental illness, delusions, verbal interaction, positive symptomatology. THE REPRESENTATION OF DOMESTIC VIOLENCE IN THREE ITALIAN ONLINE NEWSPAPERS: THE INFLUENCE OF THE JOURNALIST S GENDER L. ROLLÉ, S. ABBÁ, S. FAUDA, R. FAZZINO, E. MARINO, P. BRUSTIA Psychologist, Psychoterapist, Ph. D., Assistant Professor of Dynamic Psychology. Postgraduate student. Psychologist, Ph.D. Research Fellow Psychologist, Psychoterapist, Full Professor of Dynamic Psychology, Director of School of Health Psychology. Department of Psychology, University of Turin, ITALY. Domestic violence (D.V.) concern all behaviors that establish power over the partners. The media has a central role related to the representation of this sensitive issue. The aim of this study is to point out the influence of journalist s gender in the presentation of D.V. in three most widespread Italian online newspapers, in 00 and 0. Seven keywords has been used to find out the articles on D.V., in the online newspapers archives. The role of journalist s gender has been seen in relation to variables of D.V. characterizing the articles. An opposite trend has been observed about the number of journalists: in 00 there are more man than women while in 0 women are more than men. In 00 the more adopted style is emphatic (67,7% man;,% women). In 0 the emphatic style was the more adopted by man (9,8%) instead denouncing style by women (,7%). In 0 the perpetrator is negatively described less by women than man. It has been observed that media offer information that contributed to a distorted picture of D.V.. In fact results show a significantly difference dealing with D.V. concerning journalist s gender. In this regard women published more articles concerned with the issues in general way than man. GENDER AND MEDIATIC REPRESENTATION T. DI PIANO, L. ROLLÉ, E. GERINO, E. MARINO, P. BRUSTIA Postgraduate student Psychologist, Psychoterapist, Ph. D., Assistant Professor of Dynamic Psychology. Psychologist, Ph.D. Research Fellow Psychologist, Psychoterapist, Full Professor of Dynamic Psychology, Director of School of Health Psychology. Department of Psychology, University of Turin, ITALY. The present work aims to examine the Italian scenario for what concerned gender stereotypes against women and, specifically, how they are reinforced and partially produced by the media (Volpato, 0; 0). It s important to analyze briefly the evolution of women s movement, particularly in the historic moment that goes from the 60s until today, characterized over time by different claims which have led to breakthroughs in civil and social rights. After this first part, aimed to provide a basis for a better understanding of the complexity of the phenomenon, the work goes into a part related to women s gender stereotypes, highlighting their pervasiveness. Since this is an extremely complex phenomenon, the focus was narrowed to two areas: the role of women within the family (and how the transformation of the couple has produced substantial changes in gender roles) and women seen as an object. Both roles assigned and self-assigned to women are also compared with the media representation to provide a broader picture of the phenomenon. Despite the progress made both from a social and legislative point of view, stereotypes against women are still present on the Italian scene, and the media, seems that are using them in their favor, continue to promote their spread and pervasiveness. QUALITY OF LIFE IN THE ELDERLY: A STUDY ON RISK AND PROTECTIVE FACTORS E. GERINO, E. MARINO, P. BRUSTIA Prof., L. ROLLÉ Ph.D. Psychologist, Ph.D. Research Fellow Psychologist, Psychoterapist, Full Professor of Dynamic Psychology, Director of School of Health Psychology. Psychologist, Psychoterapist, Ph. D., Assistant Professor of Dynamic Psychology. Department of Psychology, University of Turin, ITALY. Literature indicates that good levels of self-esteem, self-efficacy and social support would be elements of strength in the elderly, while, loneliness, depression and anxiety would be among the main elements of vulnerability mentioned in studies on wellbeing in the Third Age. The objective of this study is to examine the role of these factors in the perception of Quality of Life (QoL) in its different dimensions (WHOLQOL Group, 998). The protective factors included in the research were: self-esteem, perceived social support and self-efficacy; depression, anxiety and loneliness were considered as risk factors. The participants, aged between 65 and 9 years (M= 7.8, SD= 6.7), were 6 (67% women and % men). The main findings were: ) in any case, self-efficacy appears as a protective factor and depression as a risk factor with respect to the components of QoL, ) self-esteem would impact positively on the dimensions: physical health, psychological well-being, only living environment; ) anxiety would result in a decrease in the perception of QoL factors: psychological status, living environment and social relationships; ) loneliness would be a negative predictor of psychological health and quality of social relationships, 5) perceived friends support would increase the well-being only at social level. INHIBITION: THE KEY PLAN FOR EXECUTIVE FUNCTIONS FOR ADHD- SUBTYPES AND ODD SYMPTOMATOLOGIES. Yuria Cruz-Alaniz, Albert Bonillo Martin, MaríaClaustreJanéBallabriga. Department of Clinical and Health Psychology, UniversitatAutónoma de Barcelona, Barcelona, Spain. Department of Psychobiology and Methodology of Health Science, Universidad Autónoma de Barcelona, Barcelona, Spain. The literature shows that Executive Functions (EF) have an important role in the lifetime of children and grown ups. It has been reported that children with ADHD and ODD presents a deficit in behavioral inhibition. In this work it has been hypothesized that behavioral inhibition plays the most important role between the other EF in children with ADHD and ODDsymptomatologies. To test the hypothesis, we studied 8 spanish children between the ages of six to twelve years old;they were evaluated by their parents with two questionnaires: CSI- and BRIEF. The analysis was performed using the Structural Equation Model (SEM). The results support the hypothesis made that behavioral inhibition plays a primarily role in children with ADHD-HI, ADHD-IN and ODDsymptomatologies. This result was also found when it was evaluated forthe combination of ADHD-HI+ODDsymptomatologies but not for other combinations (e.g. ADHD-HI+ODD, ADHD- HI+IN). It is concluded that behavioral inhibition plays the most important role between others EF in children with ADHD-HI, ADHD-IN, ODD and ADHD-HI+ODD. The results are discussed according to the importance of the behavioral inhibition in children that shared characteristics of hyperactivity and aggression. Acknowledgements: Yuria Cruzwassupportedby a scholarship (CONACyT-Estado de Querétaro 955). We appreciate the collaboration of the research team: Marina Monguillot,Mari Funes, Anna Seuba, Alba Ruiz, Eli Rius, Eli Mercadal, Tamara Jiménez and Sigrid Guasch. Correspondence concerning this abstract should be addressed to Yuria Cruz Alaniz. Address: Department of Clinical and Health Psychology, UniversitatAutònoma de Barcelona, Campus de Bellaterra, Edifici B, Bellaterra (Cerdanyola del Vallés), 089. Telephone number: Fax: THE REPRESENTATION OF HOMOPHOBIA IN TWO ITALIAN DAILY NEWSPAPERS L. ROLLÈ, B. BELLOCCHIO BRAMBILLA, C. ARADORI, E. MARINO, A. CALDARERA, P. BRUSTIA 5 Psychologist, Psychoterapist, Ph. D., Assistant Professor of Dynamic Psychology. Postgraduate student. Psychologist, Ph.D. Research Fellow. Psychologist, Ph.D. Candidate. 5 Psychologist, Psychoterapist, Full Professor of Dynamic Psychology, Director of School of Health Psychology. Department of Psychology, University of Turin, ITALY. Homophobia is a negative behavior towards homosexuals that based its roots on intolerance. Being a social and cultural phenomenon, media represent a tool to highlight any change in attitudes to LGBTQI reality. Our aim is to analyze the representation of Homophobia comparing the online articles published by two Italian daily newspapers: Repubblica and L Unità. We focalized our attention on the years 00 and 0 investigating the differences that might be and the change in media representation of this phenomenon. Our attention has been focused on the thematic section and the publishing format, the gender of the journalist and the font style that the author employed to describe the events. In 00 the articles in La Repubblica were 6, while in 0 were 6: the increase was greater than 900%. Between 00 and 0 there was an increase of % of the local articles. In 00 the articles in L Unità were 7 and in 0 were 95: there was an increase greater than 00%. Between those years there has been a decrease of % of the national articles. The significant increase of the articles emphasize the impact on public opinion, and the rise of the areas that deal with this issue shows a probable open-mindedness in the political and legislative field. Status post meningitis and encephalitis? 0 years after infection-psychiatric conseqences Dr med. Sanja D. Kaludjerovic Neurologist and psychiatrist.clinic dr laza lazarevic/ Day care hospital Belgrade\ Visegradska 6 Serbia Infectiones of CNS are very severe disorders,if not treated can lead to death.nowadays we still noticed presence of them. in our study,we traced neurological and psychiatric problems of 0 patients, age 5+_5,both sex, had survived meningitis 80% and encephalitis0% in their early adolescense. to. In Day care hospital they came because: Headache(cephalea) Panic attacs depression Anxiousness Control eeg Compulsive behaviour, irritability Emotional instability If necessary, CT brain were observed. before study 80% patients got antiepileptics and analgetics. AIMS: Find out are exisitng significance and link between infection of CNS (type bacterial or viral,duration, seizers if had happen) and psychitric disorders 0 years after method: Follow up study 0 patients,during one year,treated in Day care hospital, EEg controlled. CT brain if necessary, For measure depression used beck,montgomery A scales For measure panic PAIS ( subscales\ RESULTS: 0 years after infection CNS notices than just 0% visible eeg abnormalities,no seizers but 0%got AE 50%dg as panic attacs,felt better after clonazepam 0 %dg as depression,recovered on ascitalopram. 0%dg as emotional instability,on th. CONCLUSION: Evaluated study showed that duration of CNS infection and seizers in anamnesis,after 0 years consequented in iritiballity eeg as well as behaviour problems so needed th. Bacterial infectious(pneumoccous,enteroccoucus) linked in deprssion mild.as difference viral infections more linked in anxiety and panic,and emotional instabillity. ATTACHMENT THEORY AND ONLINE BEHAVIOR: THE INTERRELATIONSHIPS AMONG ATTACHMENT STYLE AND FACEBOOK USE Kalogeropoulou, A., Marouda - Chatjoulis, A. PhD cand. in Psychology, National and Kapodistrian University of Athens Ass. Professor of Psychology, National and Kapodistrian University of Athens The increasing use of social networking sites has brought about significant changes in society and human behavior. Drawing from Attachment Theory, as formulated by John Bowlby, and recent research that correlates Bowlby s theory with specific online behavior, the current study aims to explore the relationship between attachment style and the use of Facebook, as resulting from the latest relevant studies. Key words: Social media, Facebook, Attachment theory, Online behavior. THE EFFECTS OF THE ECONOMIC CRISIS ON HETEROSEXUAL COUPLES RELATIONSHIPS IN GREECE Marouda - Chatjoulis, A., Kalogeropoulou, A., Lagadinou, M., Hounda, E. Ass. Professor of Psychology, National and Kapodistrian University of Athens PhD cand. in Psychology, National and Kapodistrian University of Athens Journalist, MSc PhD cand., National and Kapodistrian University of Athens The aim of the research is to study, through qualitative interviews, the impact of economic crisis on couple relationships. Specifically, it investigates the problems that arise in interpersonal relationships of heterosexual couples in Greece, as a result of the economic crisis, the role of the economic crisis

13 on the rise of conflicts and problems between couples, causes, changes in behavior, emotions that emerge and are manifested in relationships, as well as their confrontation. The context of research is related to changes in the relations between men and women in modern Greece, associated with the financial crisis and its aftermath, such as unemployment, financial hardship, insecurity and difficult psychological status. Keywords : Financial crisis, relationships, heterosexual couples, conflict, behavior. POSTERS STEREOTYPING AMONG TURKISH FOOTBALL FANS: A TERROR MANAGEMENT THEORY PERSPECTIVE Abdulkadir Kuzlak, StudentDr. Middle East Technical University (METU) Ankara, TURKEY Nuray Sakallı-Uğurlu, Professor Middle East Technical University (METU) Ankara, TURKEY Introduction: The purpose of this study is to understand the roots of stereotyping of Turkish football fans toward each other through Terror Management Theory perspective. It is expected that participants in mortality salience condition (MS) would report more negative and less positive stereotyping toward opponent team fans and less negative and more positive stereotyping toward supported team fans when compared with participants in dental pain condition (DP). Aims: Fans of three big teams (Besiktas: BJK, Fenerbahce: FB, and Galatasaray: GS) in Turkey are evaluated according to how stereotypical they are by 86 participants from METU, Ankara. As expected, males identified themselves with a football team more than females. Mortality salience and dental pain conditions differed on scores of FB supporting participants for interpersonal relations stereotyping towards FB fans and participants who do not support any team made significantly less interpersonal relations stereotyping towards GS fans in MS condition than in DP condition. A marginally significant difference was found for scores of GS supporters that they reported more competence stereotyping toward FB fans in MS than in DP condition. Results reveal that mortality salience do not heavily affect the relation between team affiliation and stereotyping toward other fans. THE INFLUENCE OF DEFENSE STYLE ON DEPRESSION AND ANXIETY IN NORTH KOREAN DEFECTORS Seog Ju Kim, Prof, MD,, Jin Yong Jun, MD, Eugene Lee, MD, So-Young Yu, MD, So-Hee Lee, MD Center for Medicine and Korean Reunification and Department of Psychiatry, Seoul National University of College of Medicine, Seoul, REPUBLIC OF KOREA Department of Psychiatry, Settlement Support Center for North Korean Refugee, Ansung, REPUBLIC OF KOREA Department of Psychiatry, National Medical Center, Seoul, REPUBLIC OF KOREA Introduction and Aims: We aimed to investigate the influences of defense style on depression or anxiety in North Korean Defectors. Methods: North Korean Defectors (n=97) and South Koreans (n=9) participated in this study. The Center for Epidemiological Studies-Depression scale, the state scale of the state-trait anxiety inventory and the self-reported Korean version of Defense Style Questionnaire were completed by the participants. Results: Higher resignation and withdrawal predicted higher depressive symptoms in North Korean Defectors, while higher isolation and lower omnipotence predicted higher depressive symptoms in South Koreans. Higher acting out, resignation and withdrawal predicted higher state anxiety in North Korean Defectors, while only higher acting out predicted higher state anxiety in South Koreans. Discussion: Our findings suggest that there may be cultural differences between South and North Koreans in specific defense style associated with depression or anxiety. Age-linked Decline in Functioning in Adults with Autism Spectrum Disorder M. Mary Konstantareas, Ph.D., C. Psych., Glenn Rampton, Ph.D., Cindy Desaulnier, M.A., Myra Sugar, M.S.W. & Kelly West, B.A. Kerry s Place Autism Services, Aurora ON, Department of Clinical Services and University of Guelph Key words: Autism Spectrum Disorder, Decline, Seizures, Medication effects, Intellectual Disability, Cognitive Skills, Life Skills Abstract: Aim: In evaluating the cognitive, linguistic and adaptive abilities of adults with Autism Spectrum Disorder (ASD), we discovered a considerable decline from previous assessments for many. The purpose of the present study was to systematically evaluate this observation and determine the ramifications of such a decline. Methods: Data on 6 individuals, ranging in age from to 8 years, diagnosed with Autism Spectrum Disorder (ASD), and residing in the residential and treatment Centers of a large Ontario agency were collected. Their results were compared to data previously available on file for those who were formally assessed in the past, in some cases over 0 years. Cognitive abilities, receptive and expressive language and adaptive functioning were entered into a SPSS program for analyses. As well, data on number of medications received, presence of seizures, number of comorbid diagnoses, and ability to speck examined for their predictive power vis a vis the decline. Results: Declines in the scores on cognitive ability, receptive and expressive language were evident for most individuals. The most complete data were available for adaptive functioning on the Vineland. Analyses revealed significant declines in the following areas: Expressive language, Social interaction and Play and Leisure skills. The participants improved in Personal care and Domestic skills. At least 50% of the sample was nonverbal and as many as 60% to 80% were receiving psychotropic medications, mainly anticonvulsants, antidepressants and antipsychotics. Discussion: If the present results are replicated, the considerable declines which are well beyond what the aging process would have predicted, have implications for understanding ASD. They are reminiscent of the findings of deterioration of functioning in those with Down syndrome who begin to show the plaques of Alzheimer s Dementia by their 0th year. That improvement was evident in personal and domestic skills can be explained by the emphasis of caregivers on those abilities as the individuals grow older. The key areas of cognitive and social interaction were the most compromised. Although no systematic effort has as yet been made, some MRI-based evidence of diffuse brain deterioration has been found for some of the individuals involved by age 0. It is possible that only a subgroup of those with ASD show this deterioration in functioning. Our next step is to determine the characteristics of those most likely to show declines, and to consider what would be the best approaches to address the issue. Thus, the present study provides an opening into the long term outcomes of individuals diagnosed with ASD, a diagnosis that has seen tremendous increase in frequency over the last twenty years. ANALYSIS OF CORRELATIONS OF STRUCTURE ELEMENTS OF A WOMAN S SELF-ATTITUDE WITH HER ANXIETY LEVEL DURING PREGNANCY Viktoria F. Boguslavskaya, Irina V. Abakumova Associate Professor, Psychologist; Professor, Psychologist Associate Professor; Professor; Psychology Department, Southern Federal University, Rostov-on-Don, Russian Federation Change in views about oneself and distortion of self-attitude lead to personal transformation. Studying women s mental health during pregnancy is of special interest. For practical purposes it is important to know which psychological factors can transform pregnancy into a significant life s event, optimize processes of pregnancy and childbirth, and assist in forming sense-value attitude to motherhood. The purpose of our research is to study structure elements of a woman s self-attitude during pregnancy and analyze correlations of significant attitudes of a pregnant woman (to herself, to the future child and to his/her father) with her anxiety level during this period. The research methods are psychological testing of self-attitude, measurement of anxiety level, methods of mathematical statistics, etc. Main results: the research has confirmed that the self-attitude of a woman considerably influences on her anxiety level during pregnancy; the characteristic features of these correlations differ for women expecting their first child from ones for women expecting their second and more child. The theoretical and practical significance of the research: the found results can be used for developing adequate methods of psychological correction of pregnant women s mental health. Adaptation of Parent Child Interaction Therapy for Malaysian Families: A Pilot Efficacy Study Noor Hassline Binti Mohamed, Lecturer Open University Malaysia (OUM), Dept.: Faculty of Applied Social Sciences, Kuala Lumpur, Malaysia This study evaluates the initial efficacy of the Parent-Child Interaction Therapy (PCIT) for Malaysian preschool children aged to 6 years with a diagnosis of attention-deficit/hyperactivity disorder (ADHD), combined or predominantly hyperactive type, and significant behaviour problems. Four steps were followed: () translation and adaptation of the treatment manual, () application of the treatment to five families as part of an exploratory study using repeated measures, () treatment revision and refinement, and () in-depth interviews with parents. Throughout this process, cultural elements and modifications were recommended to be incorporated into the treatment protocol. Participants were completed pretreatment and post-treatment assessments. The outcome measures included child s ADHD symptoms and behaviour problems, parent or family functioning, and parents satisfaction with the treatment. The findings showed that parents reported a highly significant reduction in pretreatment hyperactivity and inattention and less aggressive and oppositionaldefiant behaviours, reduction of parenting stress, high level of satisfaction and improvement in their parenting practices. Therefore, PCIT seems to be an efficacious intervention for Malaysian families who have young children with significant behaviour problems. Results from this study may inform clinicians and researchers who work with Malaysian families about relevant issues to be considered to promote their participation in behavioural family interventions and to enhance their acceptability and effectiveness. Keywords: ADHD; PCIT; Preschool Children DO INFANTS REALLY HAVE AN IMPLICIT RELATIONAL KNOWING? Fabia E. Banella, Lauren Balest, Jennifer A. DiCorcia, Erin Duffy, Dominick Newell 5, Semira Semino-Asaro 6, Nancy Snidman 7, Edward Tronick 8 MA, Psychologist, Psychotherapist Candidate, Child Development Unit, University of Massachusetts, Boston, USA; Student, Research Assistant, Child Development Unit, University of Massachusetts, Psychology Dept., Boston, USA; PhD, Assistant Research Professor, Psychology Dept, University of Massachusetts, Boston, USA; Research Coordinator, Child Development Unit, University of Massachusetts, Psychology Dept., Boston, USA 5 Student, Research Assistant, Child Development Unit, University of Massachusetts, Psychology Dept., Boston, USA; 6 RN,MS, PhD Candidate, University of Massachusetts, College of Nursing & Health Sciences, Boston, USA; 7 PhD, Research Professor Psychology, Child Development Unit, University of Massachusetts, Boston, USA; 8 Phd, Distinguished University Professor of Psychology, Child Development Unit, University of Massachusetts, Boston, USA. Abstract: This study investigated infants individualized procedural communicative behaviors as strategies for soliciting mothers typical response during the Still-Face Paradigm (SF). The purpose was to observe whether infants utilize unique eliciting behaviors (UEBs) when mothers stop all interaction during the still-face episode of the Paradigm. UEBs are coherent patterns of behavior learned duringtypical play,which are then used in a different context with a different intention For example, repeating the finger movements from an interactive game to get the mother to respond during the still-face. Forty-five -weeks-old and nineteen -weeks-old babies were observed in thesf. Twenty-two - weeks-old infants werealso observed twice over the course of two days, to investigate the stabilityof UEBs. Results showed that only the -weeks-old babies displayed UEBs, whereas none of -weeks old babies did, pointing to important early developmental change. These findings suggest that infants acquire UEBs during typical interactions and UBEs can be incorporated into a procedural relational knowledge which can then be used for different purposes in a different context.this research contributes to the understanding of implicit relational knowing as a form of procedural knowledge that arises in the interactional processes between infants and caregivers. COGNITIVE FUNCTIONING AND CORTISOL SUPPRESSION IN MAJOR DEPRESSION IN PATIENTS IN REMISSION OR PARTIAL REMISSION Pia Berner Hansson, Robert Murison, Anders Lund,, & Åsa Hammara, PhD student, University of Bergen, Department of Biological and Medical Psychology, NORWAY Professor, PhD, University of Bergen, Department of Biological and Medical Psychology, NORWAY Professor, PhD, Division of Psychiatry, Haukeland University Hospital, University of Bergen, NORWAY Professor, PhD, Moodnet Research Group, Haukeland University Hospital, Bergen, NORWAY Introduction: Major Depressive Disorder (MDD) is often associated with high levels of stress and disturbances in the Hypothalamic Pituitary Adrenal (HPA) system in addition to cognitive dysfunction. Aim: The aim of the present study was to examine the relationships between cortisol levels after the dexamethasone suppression test and cognitive function in a long term perspective in MDD patients. Method: All patients were previously diagnosed with MDD. Patients were tested at inclusion with a minimum symptom load of 8 on the Hamilton Depression Rating Scale and retested in 6- months in the symptom reduction phase. A matched control group was included. Cortisol was measured in saliva. Saliva samples were collected times during a hours period over two consecutive days: at awakening, after 5 minutes, after 7 hours and at pm. Dexamethasone (.0 mg) was given on Day at pm. The neuropsychological test battery consisted of standardized tests measuring memory and executive functioning (EF). Results: The results showed significant less suppression in the patient group after Dexamethasone at inclusion. Low suppression was correlated with memory dysfunction. However these findings were not evident at the follow up. Conclusion: The results indicate that the HPA-axis functioning normalises in MDD patients over time and that there no relation between cortisol profile and cognitive functioning in memory or EF.

14 PERCEIVED DIFFERENTIAL PARENTAL EXPECTATIONS OF ACHIEVEMENT: ASSESSING IMPACT ON PSYCHOLOGICAL WELL-BEING AMONG COLLEGE STUDENTS WITH SIBLINGS Shao Wei Chia, Dr. Pamela E. Davis-Kean, Dr. Daniel P. Keating Student, Department of Psychology, University of Michigan, Ann Arbor, UNITED STATES Associate Professor, Department of Psychology, University of Michigan, Ann Arbor, UNITED STATES Professor, Department of Psychology, University of Michigan, Ann Arbor, UNITED STATES Abstract: Parental expectation is a realistic belief or a judgment that a parent has about their children s future achievement (Glick & White, 00; Yamamoto & Holloway, 00). One factor that may influence parents expectations on a child is their previous experience with their other children (Whiteman & Buchanan, 00). This study investigated how parental expectations affect college students with siblings in a sample of 6 college students via an online survey. There was a significant relation between having a high achieving sibling and parental differential expectations. Students without a high achieving sibling is.7 times more likely to be expected to do as well as if not better than their sibling by their parents. We found significant differences in depressive symptoms and self-esteem between students with lower perceived parental expectations but self-rated as higher achieving than their sibling and students with higher perceived parental expectations but self-rated as lower achieving than their sibling. This suggests that parental expectations of students achievement based on his or her sibling s achievement affects students psychological well-being. Our findings indicate that future studies should explore the possible moderating or mediating effect of sibling s achievement on parental expectation in predicting college students psychological well-being. PROFILING ALCOHOL USE AMONG ADOLESCENTS: PATTERNS AND PREDICTORS IN A 0-YEAR LONGITUDINAL STUDY Estrella Romero, Paula Villar and Laura López-Romero Associate Professor, Department of Clinical Psychology, University of Santiago de Compostela, Santiago de Compostela, SPAIN Doctoral student, Department of Clinical Psychology, University of Santiago de Compostela, Santiago de Compostela, SPAIN Abstract INTRODUCTION AND AIMS. Even if vigorous lines of research have been conducted on alcohol use/misuse by adolescents, there is still a lack of studies which examine if the most severe drinking patterns can be predicted from early stages of life. In this line, this study aims ) to depict the behavioural and psychosocial profile of problematic drinkers as compared with moderate drinkers in adolescence; ) to examine, from a longitudinal perspective, if childhood predictors of alcohol use patterns can be identified. METHODS: A sample of 5 children (6- year olds in the first data collection) was assessed in 00 (T) and again in 0 (T), when a variety of self-reports and rating scales were administered to evaluate alcohol and use of other drugs, behavioural disturbances and psychosocial functioning. RESULTS: Cluster analysis allowed identification of a group of problematic early-starter drinkers, characterized by more behavioural and attentional problems, family and school disadjustment, disinhibited personality and emotional difficulties. Not only the problematic drinkers showed concurrent differential characteristics (T), but they had also shown more behavioural, emotional and family problems at childhood (T). DISCUSSION: These findings show that the most serious patterns of alcohol use are associated to a more dysfunctional profile during adolescence. Moreover, adolescent alcohol misuse is associated to identifiable childhood disturbances, which supports models on high-risk trajectories, and suggests the need of early prevention. The comorbidity of personality disorders in eating disorders: A meta-analysis of studies from 988 to 00 Oddgeir Friborg,, Monica Martinussen, Phöbe Schmierer, Sabine Kaiser, Karl Tore Øvergård, Anna-Lena Neunhoeffer, Egil W. Martinsen 5 and Jan H. Rosenvinge Department of Psychology, UiT The Arctic University of Norway. Department of Psychiatric Research, University Hospital of North Norway, Tromsø, Norway Regional Center for Child and Youth Mental Health and Child Welfare, UiT The Arctic University of Norway. Department of Psychology, Eberhard Karls Universität Tübingen, Germany. 5 Division of Mental Health and Addiction, Oslo University Hospital and Department of Clinical Medicine, University of Oslo, Norway Abstract Introduction: Comorbid personality disorders (PDs) are frequently encountered in the treatment of eating disorders (ED). Like EDs, the course of PDs are protracted and have impairing consequences. Patients with PDs often display poor insight into the existence and severity of their disorders and hence, seek treatment for the consequences and not for the disorders per se. Aims: We conducted a meta-analysis to summarize the proportion of comorbid PDs in patients with anorexia (AN) and bulimia (BN) nervosa, respectively, and examined possible moderating variables. Methods A search of the databases PsychINFO, Embase and Medline for the period identified 8 studies examining comorbid PDs in AN and BN. Results: The mean proportion of PDs among patients with any type of eating disorder was.5, and.5 and.55 in AN and BN, respectively. The level of cluster A, B and C PDs were.,. and. in AN, and.,. and.6 in BN. Both EDs had a comparable comorbidity profile on specific PD levels, except borderline (.5) and histrionic (.6) which were more prevalent in BN compared with AN (.0 and.09, respectively), and avoidant (.5) and obsessive-compulsive (.) which was more prevalent in AN compared with BN (.0 and., respectively). The moderator analyses yielded significant differences for diagnostic systems with respect to EDs, method for assessing PD, patient weight and age. Discussion: A spectrum model for understanding EDs has been introduced ranging from constriction/ obsessionality to impulsivity both in EDs (Fairburn et al., 009; Gazzillo et al., 0) and in PDs (Gazzillo et al., 0; Skodol, Oldham, Hyler, Kellmann, Diodge & Davies, 99). The present results add weight to AN as converging more with the former model (constriction/obsessionality) while BN converge to a larger extent with the latter (impulsivity). References Fairburn, C. G., Cooper, Z., Doll, H. A., O Connor, M. E., Bohn, K., Hawker, D. M., Palmer, R. L. (009). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders. American Journal of Psychiatry, 66, 9. Gazzillo, F., Lingiardi, V., Peloso, A., Giordani, S., Zanna, V., Filipuci, L., & Vicari, S. (0). Personality subtypes in adolescents with anorexia nervosa. Comprehensive Psychiatry, 5, Skodol, A. E., Oldham, J. M., Hyler, S. E., Kellman, H., Doidge, N., & Davies, M. (99). Comorbidity of DSM-III- -R eating disorders and personality disorders. International Journal of Eating Disorders,, 0-6. THE THERAPEUTIC RELATIONSHIP FROM THE POINT OF VIEW BEHAVIORIST Ruiz-Sancho, Elena, Moreno Dario, Pardo- Cebrián, Rebeca Froján-Parga, María Xesús & Marchena- Giraldez, Carlos 5 Researcher, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN Student, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN Therapist, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN Teacher, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN 5 Researcher, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN ABSTRACT SECTIONS: Introduction and Aims: The therapeutic relationship has taken a preeminent place above the rest of relevant elements of therapy as a possible enabler of the clinical change. Despite that, it has been stated in many papers that there have been few contributions regarding the mechanisms that might explain its importance. The aims of this study are: to describe briefly some of the most significant contributions to the research on the client-therapist relationship from the foremost theoretical options; to comment on the contradictions and difficulties that, from our point of view, hinder some of these approximations and finally to present a new conceptualization of the therapeutic relationship. Methods: In order to do this, 9 different sessions belonging to 9 cases treated by 9 different therapists with varying degrees of experience were coded using The Observer XT. The categorizing system was the SISC-INTER-CVT, developed and refined in previous studies conducted by the group Results: We propose a new conceptualization of the client- therapist relationship that gets over some of the traditional problems encountered so far. Discussion: We intend to bring clarity to the study of this element, specifying that its importance as enabler of the clinical change is due to learning processes. Critical Incidents Impact Management among South African Police Service Officers DR. MA GUMANI SENIOR LECTURER DEPARTMENT OF PSYCHOLOGY UNIVERSITY OF SOUTH AFRICA This article describes and interprets the law enforcement processes of managing critical incidents in a South African police district. Twenty participants from various police units were selected through purposive and theoretical sampling techniques. Data were collected using unstructured open-ended interviews, field notes, diaries and follow-up telephone interviews, and analysed through the constant comparative data analysis method. Findings suggest the police to have individual and in-group preferences for particular inner strategies of coping, as well as the external resources of relying on various forms of support from social networks and professional consultation in the form of debriefing. The study recommends that individualistic and contextual trauma management as well as proactive-supported coping be considered by mental health practitioners. COMPULSIVE BUYING OF EUROPEAN, ASIAN AND AFRICAN STUDENTS THE ROLE OF RESPONSE STYLE AND MEASUREMENT BIASES Julie Papastamatelou, Alexander Unger & Effi Lambropoulou Lecturer; University of Applied Sciences LUWIGSHAFEN GERMANY Dr, Research Assistant; University of Applied Sciences LUWIGSHAFEN GERMANY Prof, Professor. Panteion University of Social and Political Sciences ATHENS, GREECE Abstract sections: Introduction and Aims: We have examined the extent of compulsive buying in developing countries and in countries currently experiencing the consequences of the worldwide economic and financial crisis like Greece or countries which present a precarious economic situation like Kosovo. We have tested also for gender-differences compulsive buying (CB). Methods: The CB-tendency was measured by translations of the German SKSK (Raab et al., 005). Students from China (n= 89), Greece (n = 77), Kosovo (n = 5), Cameroon (n = 75) and Morocco (n = 97) participated in the survey. Hypotheses: (a) The CB-tendencies will be lower in Cameroon and Morocco compared to the other samples; (b) Women will show higher CB-tendencies. Results: Post-hoc multiple comparisons revealed that CB-tendencies in Kosovo, Cameroon and Morocco were significantly higher than in China and Greece (p <.00). Women in China, Morocco (both p s <.00) and Greece (p <.097) showed higher CB-tendencies. Discussion: The observation that the CB-tendency is higher in developing countries needs further explanation. A factor-analysis manifested inconsistencies of the factor structure: The basic structure of the three assumed dimensions of compulsive buying was proved, but some items were identified as problematic. Thus invariance, measurement-biases and response-styles have to be considered. STUDY ON THE CONCEPT OF RULE AND GENERALIZATION OF CLINICAL CHANGE TO CLIENT S NATURAL CONTEXT Vargas de la Cruz, I., Pardo-Cebrian, R., Marchena-Giraldez C., Froján-Parga, M. X Miss, Phd psychology, researcher. Researcher, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN Miss, therapist. Therapist, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN Mr, Phd student. Researcher, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN Miss, Professor. Teacher, Biological psychology and health departament, Universidad Autónoma de Madrid, Madrid, SPAIN ABSTRACT SECTIONS: Introduction and Aims: Although one of the main goals of therapy is to make the client learns to generelize what he has learned in clinical setting to its natural environment, it is unclear how the client learns to do it or what the therapist does to promote this generalization. It has been suggested that the concept of rule can play a crucial role in this process (Abreu, Costa Hüber & Lucchese, 0; Palmer, 0). The aim of this study was to develop a definition of rule applied to psychological therapy with which it is possible to study how the transference and generalization of what the client learns in the clinical setting to its natural environment (present and future) occurs. Methods: The research methodology involves the review of the literature through systematic searches in several databases (PsycInfo, Academic Research Library and Medline) and related articles found by inspecting cited references. Results: A new definition of rule has been developed to analyze the rules emitted in the session and their involvement in the generalizacion of knowledge acquired in session outside the clinical context. Discussion: The proposal of this study will help to clarify and to understand the therapeutic process, but primarily in some issues as the adherence to treatment and the maintenance of clinical change. THE NEW HYPOTHALAMIC PROLINE-RICH POLYPEPTIDE- PROTECTS MOTOR COORDINATION CHANGES AFTER ISCHEMIC STROKE IN RATS Armen A. Galoyan, Hakob V. Topchyan, Emma L. Yeritsyan and Dr., Prof. Marina G. Balasanyan Prof. Armen Galoyan, academician of NAS RA, from H. Buniatian Institute of Biochemistry of the National Academy of Sciences of the Republic of Armenia, 5/ Paruir Sevag Str., Yerevan 00, ARMENIA, who was the discoverer of PRP-. Dr., Prof. Hakob V. Topchyan Head of Department of Drug Technology at Yerevan State Medical University after Mkhitar Heratsi, Koryun str., Yerevan 005, ARMENIA Professor Assistant Emma L. Yeritsyan at the department of Pharmacology at Yerevan State Medical University after Mkhitar Heratsi, Koryun str., Yerevan 005, ARMENIA Head of Department of Pharmacology at Yerevan State Medical University after Mkhitar Heratsi, Koryun str., Yerevan 005, ARMENIA Background: The proline-rich peptide (PRP-) isolated from the neurosecretory granules of the

15 bovine neurohypophysis (produced by N. supraopticus and N. paraventricularis) produces several effects including immunoregulatory, hematopoietic, antimicrobial and neuroprotective properties. The aim of the present study was to investigate the effect of PRP- on motor coordination deficits in rats induced by cerebral ischemia. Materials and methods: Focal ischemia was induced in rats via the middle cerebral artery occlusion (MCAO). The rota-rod test was employed to assess motor coordination. The results were registered before MCAO and after the rd, 6th and th post-ischemic days. Results: On the rd and 6th days after MCAO, the motor coordination of rats was markedly impaired:.7%, 6.5% accordingly, in comparison with intact animals. On the th post ischemic day there was a noticeable loss of motor coordination (80.%). In the case of PRP- treated rats, after the rd, 6th and th post-ischemic days motor coordination values 6.5%, 9,6%, 99% were increased compare with ischemic rats. Conclusion: Thus, PRP- shows protective effect against the impaired coordination under the cerebral ischemic conditions. GENE EXPRESSION OF CYTOKINES AND CORTICOTROPIN RELEASING FACTOR AND THE REGULATION OF INFLAMMATORY BY CITALOPRAM IN POST STROKE DEPRESSION RATS Shan-Shan Wang, Hai-Ying Chen, Heng-Ge Xie Neurology Department of Nanlou clinical division, PLA General Hospital, Fuxing Road 8, Beijing 0085, China Introduction: Post stroke depression (PSD) is one of the most common psychiatric disorders related to cerebral vascular disease. This study focused on the rat model of post-stroke depression (PSD), and examine expression of genes encoding corticotropin releasing factor (CRF), interleukin beta (IL-β), and tumor necrosis factor alpha (TNF-α) in the hypothalamus of PSD rats. Methods: Rats were subjected to middle cerebral artery occlusion (MCAO) and chronic mild unpredictable stress (CUMS). Open field test and sucrose preference were used to examine depressive-like behaviors. Observed changes in gene expression levels in the hypothalamus of PSD rats were evaluated. Results: MCAO with CUMS resulted in reduction of sucrose preference and locomotor activity. Genes encoding TNF-α, IL-β and CRF were highly expressed in the hypothalamus of rats subjected to MCAO and CUMS. The antidepressant citalopram, a selective serotonin reuptake inhibitor, had inhibitory effects on the expression of the aforementioned genes. We observed a correlation between CRF and IL-β mrna levels in the citalopram-treated group of rats. Discussion: The etiology of PSD is associated with cytokine expression in the hypothalamus and with hypothalamic pituitary adrenal axis activity. Citalopram administration inhibited the expression of TNF-α and IL-β transcripts in the hypothalamus, suggesting that selective serotonin reuptake. PSYCHOLOGICAL PROBLEMS OF FAMILIES WITH DISABLED CHILDREN Svetlana V. Gridneva, Anna I. Tashcheva Associate Professor, Psychologist; Associate Professor, Psychologist Associate Professor; Associate Professor; Psychology Department, Southern Federal University, Rostov-on-Don, Russian Federation Our 5-year work experience with families having seriously ill children indicates the necessity of providing professional psychological help to the families. The purpose of our investigation is to study both psychological features of close people of children who have deadly dangerous disease and patterns of communication in such families. The research methods are theoretical analysis of scientific literature, documents studying, an observation, a survey, a psychodiagnostic method, a method of groups comparison, statistical methods and a method of verification of hypotheses. Main results: relatives of deadly diseased children with rare exception are in a state of chronic stress. They are characterized by an acute form of anxiety, asthenia, fragility of emotional structures, introversion, social shyness, suspiciousness, obviously low self-esteem, manifold fears, evident feelings of guilt and shame. Up to 98,6% of parents notice they have features of suicide behaviour and,5% of them situationally declared that they are ready to take active/passive steps to euthanasia to relieve the child and themselves from torments of illness and treatment. These families are usually closed for the outside world. Hyperprotection forms at the sick child a syndrome of learned helplessness, tendency to manipulate others. Healthy children and other family members suffer from neglect. ASSOTIATION OF PERSONAL ANXIETY WITH OTHER PSYCHOSOCIAL FACTORS IN FEMALE POPULATION AGED 5-6 IN RUSSIA: MONICA- PSYCHOSOCIAL EPIDEMIOLOGICAL STUDY Gafarov V.V.,, MD, Professor, the head of laboratory; Panov D.O.,, PhD, Doctor; Gromova E.A,, PhD, MD, Doctor; Gagulin I.V.,, assistant professor; Gafarova A.V.,, PhD, Doctor. Collaborative laboratory of cardiovascular diseases epidemiology SB RAMS, Novosibirsk, Russia; FSBI Institute of internal and preventive medicine SB RAMS, Novosibirsk, Russia The aim: To study prevalence of personal anxiety and its association with family stress and other psychosocial factors in female population aged 5-6 years in Russia. Methods: Under the third screening of the WHO MONICA-psychosocial (MOPSY) program random representative sample of women aged 5-6 years (n=870) were surveyed in Novosibirsk. Anxiety levels were measured at the baseline by means of Spilberger s test. Results: High level of personal anxiety (HLA) in female population of 5-6 years was 60. %. The rate of poor sleep increased in -times with growth of anxiety grade (p<0.0). Major depression also had a peak in women with HLA and made up.5% (p<0.00). High values of vital exhaustion and hostility were more frequent for HLA compared to lower anxiety levels (p<0.0). 80% of those women with HLA had low indices of close contacts (p<0.00). There was increasing of conflicts in family up to 58.9% and changes in marital status with growth of anxiety levels (p<0.0). Discussion: The prevalence of HLA in female population 5-6 years in Russia is large. Women with HLA more likely have major depression, high hostility and vital exhaustion, poor sleep, low social support, high family stress. THE COUNSELING OF WOMEN WHO ARE DISSATISFIED WITH THEIR BODIES Professor George Lotter, Practical Theology, Institution: North-West University, South Africa Copresentation with Ms. Eleanor Addinall Research has confirmed that many women are dissatisfied with their bodies. Seen from a pastoral perspective, this study examines the women that are dissatisfied with their bodies. An empirical qualitative study was done to evaluate the spiritual women s thoughts, feelings, causes and effects regarding their bodies. A comprehensive literature study was done to verify the results already found. Social science and theological literature were used to determine the ethology of bodily dissatisfaction, which confirmed that it is multifactorial. A variety of therapeutic aids were studied. Cognitive behavioural therapy appears to be the most effective for the women that are dissatisfied with their bodies. The eight cognitive behavioural steps of Cash were thoroughly explored and the value thereof confirmed. The therapeutic aids found by means of the study were furthermore researched and confirmed by theological literature. Every woman should be viewed as an individual with an individual body image and must be approached as an individual holistic being. The six dimensions of Clinebell s holistic-liberation growth model are important for the woman s healing process, as well as maintaining a balanced, healthy life. The implications of the research include the six dimensions of Clinebell s holistic-liberation growth model, incorporated in a pastoral counselling method to assist the women with her healing process. By integrating the eight steps of Cash s cognitive behavioural therapy and the six dimensions of Clinebell s holistic-liberation growth model, a pragmatic model was developed for healing these women as a possible aid. Keywords: body, dissatisfaction, body image, woman, pastoral. PSYCHODYNAMIC/INTERPERSONAL GROUP PSYCHOTHERAPY FOR PERFECTIONISM: EVALUATING THE EFFECTIVENESS OF A SHORT-TERM TREATMENT PROGRAM Paul L. Hewitt, Professor, Department of Psychology, University of British Columbia, Vancouver, CANADA Samuel F. Mikail, Clinical Director, Clinical Psychologist, Southdown Institute; Aurora, CANADA Gordon L. Flett, Professor, Department of Psychology, York University; North York, CANADA George A. Tasca, Director of Research, Centre for Eating Disorders; University of Ottawa, Ottawa, CANADA Carol A. Flynn, Psychologist, Department of Psychology, University of British Columbia Vancouver, CANADA Janet Kaldas, Student, Department of Psychology, University of British Columbia Vancouver, CANADA Chang Chen, Department of Psychology, University of British Columbia Vancouver, CANADA Xiaolei Deng, Department of Psychology, University of British Columbia Vancouver, CANADA Introduction: Perfectionistic behavior has been shown to be a pernicious personality style with many deleterious outcomes including unipolar depression, anorexia nervosa, physical health concerns, and suicidal behavior. Aim: This study sought to determine whether clinically significant improvement could be obtained using a psychodynamic/interpersonal group treatment developed by the first three authors and based on a comprehensive conceptualization of perfectionism. Method: A sample of 7 community-recruited perfectionistic individuals participated in group psychotherapy. Eighteen of these participants were initially assigned to a waitlist control condition. All participants completed measures of perfectionism traits, perfectionistic self-presentation, and automatic perfectionistic thoughts, as well as measures of distress including depression, anxiety, and interpersonal problems at pre-treatment, post-treatment, and at a -month follow-up. Results: Multilevel modeling demonstrated that perfectionism levels decreased with large effect sizes and that these decreases accounted for reductions in distress measures. Clinically significant decreases were found in all perfectionism components and post-treatment scores on most variables were significantly lower in the treatment condition versus the waitlist control condition. Conclusion: The findings suggest that psychodynamic/interpersonal group treatment is an effective treatment for perfectionistic behavior both post treatment and at follow up. Moreover, it is argued that the focus of treatment should be on the underlying personality vulnerability factors rather than solely on symptoms. LEVELS OF STRESS EXPERIENCED BY EDUCATIONAL WORKERS IN KOSOVO Naim Fanaj; Fahri Drevinja; Shpend Haxhibeqiri; Fitore Azemi; Kosovare AzemiMD; psychiatrist; Mental Health Unit for Children and Adolescents; Prizren; KOSOVO 5 MD; psychiatrist;university Clinical Center; Psychiatric Clinic, Prishtina; KOSOVO MD; psychiatri resident;university Clinical Center; Psychiatric Clinic, Prishtina; KOSOVO Psychologist, AAB University; Prishtina; KOSOVO 5Psychologist, Secondary School; Ferizaj; KOSOVO Introduction and Aims: The aim was to estimate presence of stress levels of workers in education and to examine relationship with some socio-demographic factors. Methods: The present study is a correlational design. The measures included the NSAD Stress Questionnaire. The purposeful sample included educational workers in schools (n=8) in Prishtina and Ferizaj (Kosovo). Also as comparison group we have included health workers (n=0), public enterprise (n=7) and private shopping workers in Ferizaj (n=69). In terms of gender composition, 60 % were females and 0% males, aged between 8-65 years. Results: 50.6% of sample resulted with high level of stress, 6.% were likely experiencing stress and % were less likely experiencing stress. Analyses showed that the females; oldest age; urban areas and workers with long experience had significantly higher levels of stress. A Kruskal-Wallis Test revealed a statistically significant difference in stress levels across four different professions (educational, n=96; private shopping workers, n=60; public enterprise, n=59; health, n=), x(; n=; 59)=5,588, p<.00. The educational workers recorded higher median score (Md=5). Discussion: Workers are experiencing high levels of stress; and educational profession seems the most stressful. SELF-REPORTED FAMILY SOCIO-ECONOMIC STATUS, THE 5-HTTLPR GENOTYPE, AND DELINQUENT BEHAVIOUR IN A COMMUNITY-BASED ADOLESCENT POPULATION Med dr Cecilia Åslund, Med dr Erika Comasco, Med dr Niklas Nordquist, Prof Jerzy Leppert, Prof Lars Oreland, Prof Kent W. Nilsson Centre for Clinical Research, Uppsala University, Västmanland County Hospital Västerås, Västerås, SWEDEN Department of Neuroscience, Unit of Pharmacology, Uppsala University, Uppsala, SWEDEN Introduction: Previous studies have reported associations between the serotonin transporter (5-HTT) and aggression, as well as between socio-economic status, aggression, and serotonergic functions of the brain. Aims: To investigate associations between the 5-HTTLPR genotype and family socio-economic status in relation to delinquent behaviour among adolescents. Methods: A total of year-old students anonymously completed a questionnaire during class hours, including questions on socio-economic status and delinquency, and provided a saliva sample for DNA extraction. Results: There were curvilinear interactions between the 5-HTTLPR genotype and family socioeconomic status in relation to delinquency, where boys with the LL and LS genotypes and girls with the SS and LS genotypes showed the highest variation in delinquency in relation to socio-economic status. Discussion: The results provide evidence for an interaction between family socio-economic status and the 5-HTTLPR genotype in relation to juvenile delinquency. The results suggest higher plasticity of the 5-HTTLPR gene in relation to environmental context among boys with the LL and LS genotypes and girls with the SS and LS genotypes. The association between socio-economic status and delinquency may thus partly depend on individual genetic differences in sensitivity to environmental influence. Is Rivastigmine associated with Sexually Dis-inhibited Behaviour? Mahesh Nachnani,Mohammad Mazharuddin, Devdutta Joardar, Kuppahalli Venkatesh Dr, Psychiatrist, Specialty Registrar in General Adult Psychiatry, Norfolk and Suffolk NHS Foundation Trust, Boston, UNITED KIGNDOM (NSFT) Dr, Psychiatrist, Specialty Registrar Old Age Psychiatry, (NSFT) Dr, Psychiatrist, Consultant Old Age Psychiatry, (NSFT)

16 Dr, Psychiatrist, Consultant Old Age Psychiatry, NHS-Grampian, UNITED KINGDOM Abstract sections: Introduction: We report a 7 years old patient with a diagnosis of Alzheimer s Dementia who developed sexually dis-inhibited behaviour after starting Rivastigmine. Aims: To support the hypothesis that starting Rivastigmine is associated with emergence of sexually dis-inhibited behaviour. Methods: Animal studies have that testosterone may play a significant role in producing this difference by its influence on the entry of Acetyl-Cholinesterase Inhibitors into the brain. Results: This case supports the hypothesis that starting Rivastigmine is associated with emergence of sexually dis-inhibited behaviour. Discussion: Further research is required to explore the prevalence of sexually disinhibited behaviour and use of Acetyl cholinesterase inhibitors. SOCIALLY PRESCRIBED PERFECTIONISM AND HELICOPTER PARENTING RELATE TO ACADEMIC ANXIETY Kathryn Fletcher, PhD, Monica Heller Associate Professor, Educational Psychology, Ball State University, Muncie, Indiana USA Doctoral Student, Educational Psychology, Ball State University, Muncie, Indiana USA Abstract: Although there is a wealth of research on perfectionism and psychological adjustment, less research has focused on perfectionism and academic anxiety. Perfectionism and academic anxiety has also been proposed to relate to controlling parents. The present study examined whether perfectionism and helicopter parenting (i.e., extreme parental monitoring) related to academic anxiety in college students. Ninety-nine participants (85% female with a mean age of M = 9.8, range 8-) completed the Helicopter Parenting Scale, the Multidimensional Perfectionism Scale and the Academic Anxiety Scale. Socially prescribed perfectionism (i.e., beliefs that others expect perfect performance) and academic anxiety were correlated (r =.6, p <.05) and helicopter parenting was positively correlated with socially prescribed perfectionism (r =., p <.0) and academic anxiety (r =.6, p <.0). Self-oriented perfectionism (i.e., expectations of perfection from one s performance) was not significantly correlated to academic anxiety or helicopter parenting. After accounting for self-oriented perfectionism, socially prescribed perfectionism (β =., t (, 8) =.80, p <.05) and helicopter parenting (β =.8, t (, 8) =.70, p <.05) predicted academic anxiety. Socially prescribed perfectionism and helicopter parenting enhanced academic anxiety, meaning that social cues are more influential upon students academic anxiety than their personal standards. EVALUATIVE CONCERNS PERFECTIONISM RELATES TO HIGHER LEVELS OF SOCIAL AVOIDANCE GOALS IN EARLY ADOLESCENCE Kathryn Fletcher, PhD, S. Serena Shim, PhD, Monica Heller Associate Professor, Educational Psychology Ball State University Doctoral Student, Educational Psychology, Muncie, Indiana Muncie, Indiana Muncie, Indiana USA Abstract: Perfectionism is a multidimensional construct, comprised of personal standards (PSP: exceedingly high standards) and evaluative concerns (ECP: concern over mistakes). PSP and ECP were related to college students reported social goals concerning approach motivation (e.g., gaining praise and social status) and avoidance motivation (e.g., avoiding being seen as socially incompetent). The present study examined the relationship between perfectionism and social approach and avoidance goals in adolescents. Participants were 07 ethnically diverse middle schools students in the 7th and 8th grades. Participants completed the Multidimensional Perfectionism Scale and the Social Achievement Goals. We calculated the estimate values and Cohen s d for social goals for: ) Nonperfectionism (NP); ) PSP; ) ECP; ) Mixed perfectionism (MP: high level of PSP and ECP). The model predicts that for approach motivation, PSP values will be larger than NP and ECP values and for avoidance motivation, ECP values will be larger than NP and PSP values. For approach motivation, values for moderate effect sizes were in the opposite direction: ECP (predicted value =.85) related to higher social approach goals than NP (.8). Values for social avoidance goals did support the model, with ECP (predicted value =.) having higher avoidance goals than NP (.6) and PSP (.65). PSYCHOLOGICAL AND MEDICAL CHARACTERISTIC OF DISEASE IN CHILDREN AND ADOLESCENTS WITH RHEUMATOSIS L.I. Omelchenko, T.M. Pushkareva, L.A. Datsenko, M.O. Kudriavchenko, V.V. Zavgorodnya 5, O.V. Mirza 6 Doctor of medical Sciences, professor. Scientist in the field of Pediatrics, Head of the Department of connective tissue diseases in children. State Institution «Institute of Pediatrics, obstetrics, and gynecology» of the National Academy of medical Sciences of Ukraine. Doctor of medical Sciences, chief researcher of the Center of medicine and psychotherapy of the State Institution «Institute of Pediatrics, obstetrics, and gynecology» of the National Academy of medical Sciences of Ukraine. Candidate of medical Sciences, physician of the highest category, senior researcher at the Department of connective tissue diseases in children of the State Institution «Institute of Pediatrics, obstetrics, and gynecology» of the National Academy of medical Sciences of Ukraine. Research scientist of Gifted children and adolescents monitoring department. Institute of gifted child of the National academy of Pedagogy of Ukraine. 5 Psychotherapist, a member of the Ukrainian Association of psychotherapists. (specialization - sand therapy). Scientist in the field of Pediatrics in the State Institution «Institute of Pediatrics, obstetrics, and gynecology» of the National Academy of medical Sciences of Ukraine. 6 Scientist in the field of Pediatrics. Territorial medical Association Psychiatry in Kiev, Ukraine. Abstract: We have examined types of attitude towards the disease and characteristics of family relationships among children with rheumatoid diseases, revealed the presence of psychological maladjustment due to rheumatoid illness, and found positive correlations between sense of psychological comfort and adaptation to illness. Most children and adolescents with rheumatoid disease and their parents need additional psychological care provided by joint efforts of pediatrician or rheumatologist and medical psychologist and psychotherapist. Further development of modern approaches with age appropriate categories in clinical psychiatric diagnosis and psychotherapy of psychosomatic disturbances in children and adolescents with rheumatoid diseases is required to reach these objectives. Keywords: rheumatoid diseases, attitudes toward illness, family relationships, personality questionnaire, Behterevsky Institute (LOBI), projective technique, image of disorder, parental attitude diagnostics. FRIENDSHIP PATTERNS AMONGST IRANIAN COUPLES (COMPARED TO FRIENDSHIP PATTERNS AMONGST MARRIED AND DIVORCED PEOPLE IN THE CITY OF TABRIZ) M. Mahdavy, B. Sarokhani, M. Navabakhsh, R. Tamiz Department of Human Sciences, Tehran Science and Research Branch, Islamic Azad University, Tehran, IRAN The main purpose of marriage in Islam, aside from human reproduction, is love, mercy, mutual respect, justice, emotional well-being, and spiritual harmony (Khan, 006). However, there is the tendency of decreasing marriage survival and divorce rate increase during the course of the twenty-first century. This research is a comparative study, which is performed in order to compare the Friendship patterns amongst married and divorced people in 0 in Tabriz city (East Azerbaijan province, Iran). Hagoel s friendship value scale (980) was used in this study and the indices are: intimacy, empathy, homogenous and emotional or instrumental relation. The findings indicated that: a) Empathy in married peoples is much more than in divorced people; b) Intimacy in married people is much more than in divorced people. c) Homogenous in married people is much more than divorced people. d) Attitude to marriage relation among divorced people was instrumental, and vice versa, married people s attitudes were emotional. In other words, the results support the theoretical presupposition that marriage survival was associated with the Friendship pattern between spouses. Key words: Tabriz, intimacy, empathy, homogenous and Emotional or instrumental relation, Friendship patterns, divorce and marriage. SUBSTANCE DEPENDENCE M.D. Sinanidou School and Clinical Psychologist, Psychotherapist, Athens, GREECE There is evidence that genetic factors play a role in both dependence and abuse. Other theories involve the use of substances as a means to cover up or get relief from other problems (e.g., psychosis, relationship issues, stress), which makes the dependence or abuse more of a symptom than a disorder in itself. Substance use history includes the following: () substance abuse (see below); () continuation of use despite related problems; () increase in tolerance (more of the drug is needed to achieve the same effect); and () withdrawal symptoms. Detoxification treatment may need to be administered due to the dangerousness of some withdrawal symptoms. Research suggests that no treatment method is superior, but that social support is very important. Organizations such as AA and NA have had better than average success in reducing relapse. Both substance abuse and dependence is difficult to treat and often involves a cycle of abstinence from the substance and substance use. INSOMNIA AND PSYCHIATRIC PROBLEMS - TREATMENT M.D. Sinanidou School and Clinical Psychologist, Psychotherapist, Athens, GREECE Insomnia is the inability to fall asleep or remain asleep for an adequate length of time. It is commonplace for several people to suffer at least an occasional night of almost non-existent sleep. It is when the occasional night here and there becomes a pattern of several nights in a row that we are faced with a sleeping problem. Insomnia, by itself, is not a disease. There are many possible causes of insomnia. Sometimes there is one main cause, but often several factors interacting together will cause a sleep disturbance. The following factors may increase an individual s risk for insomnia: Age, psychiatric problems, negative thinking and gender factors. Insomnia symptoms are broadly categorized into acute insomnia symptoms and chronic insomnia symptoms. Insomnia cures include, treating any underlying conditions or health problems that are causing the insomnia. If insomnia continues, our health care provider suggests the following insomnia cures such as sleep hygiene, behavioral therapy, herbal remedies, etc. Sleep hygiene type of insomnia cures include bedtime routine, avoiding stimulants, having balanced diet, etc. The treatment of insomnia depends on its cause and severity. If insomnia results from another disorder, treatment of that disorder may improve sleep. MOOD DISORDERS IN CHILDREN AND ADOLESCENTS M.D. Sinanidou School and Clinical Psychologist, Psychotherapist, Athens, GREECE During the 980s, mental health professionals began to recognize symptoms of mood disorders in children and adolescents, as well as adults. However, children and adolescents do not necessarily experience or exhibit the same symptoms as adults. It is more difficult to diagnose mood disorders in children, especially because children are not always able to express how they feel. Today, clinicians and researchers believe that mood disorders in children and adolescents remain one of the most under diagnosed mental health problems. What causes mood disorders is not well known. There are chemicals in the brain, called endorphins that are responsible for positive moods. Other chemicals in the brain, called neurotransmitters, regulate endorphins. Most likely, depression (and other mood disorders) is caused by a chemical imbalance in the brain. Life events (such as unwanted changes in life) may also contribute to a depressed mood. Mood disorders are a real medical disorder. A psychiatrist or other mental health professional usually diagnoses mood disorders following a comprehensive psychiatric evaluation. Mood disorders can often be effectively treated. Treatment should always be based on a comprehensive evaluation. Treatment may include one, or more, of the following: i) Antidepressant medications, ii) psychotherapy and iii) family therapy. NARCISSISTIC PERSONALITY DISORDER M.D. Sinanidou School and Clinical Psychologist, Psychotherapist, Athens, GREECE The symptoms of narcissistic personality disorder revolve around a pattern of grandiosity, need for admiration, and sense of entitlement. Often individuals feel overly important and will exaggerate achievements and will accept, and often demand, praise and admiration despite worthy achievements. They may be overwhelmed with fantasies involving unlimited success, power, love, or beauty and feel that they can only be understood by others who are, like them, superior in some aspect of life. There is a sense of entitlement, of being more deserving than others based solely on their superiority. These symptoms, however, are a result of an underlying sense of inferiority and are often seen as overcompensation. Because of this, they are often envious and even angry of others who have more, receive more respect or attention, or otherwise steal away the spotlight. Treatment for this disorder is very rarely sought. There is a limited amount of insight into the symptoms, and the negative consequences are often blamed on society. In this sense, treatment options are limited. Prognosis is limited and based mainly on the individual s ability to recognize their underlying inferiority and decreased sense of self worth. With insight and long-term therapy, the symptoms can be reduced in both number and intensity. LONELINESS OF MARGINALIZED GROUPS A. Rokach Assoc. Professor, The Center for Academic Studies, Petach Tikva, ISRAEL While loneliness is experienced by all, sometime in our lives, the groups who are socially marginalized may experience it more often than the rest. This poster will review recent research that applies to the following marginalized groups, examine the loneliness that they experience, and describe how they cope with it. The marginalized groups that will be reviewed include: i) The homeless, their daily struggle to survive on the street, societal negative attitudes towards them, and the resultant loneliness they experience. ii) People suffering from handicaps and physical disabilities, and the difficulties they face getting around in the world of the healthy people, the social alienation they experience, and how they deal with it. iii) Those suffering from chronic illnesses such as M.S., Parkinson s, arthritis, osteoporosis, feeling different from the rest of the population, incapacitated, and alone in their facing of their illness and mortality. iv) Psychiatric patients and those released after in-patient psychiatric treatment. Some of them become homeless, the rest feel alienated, unaccepted by society, and possibly feared. v) People with sexual orientation other than heterosexual [Lesbian, Gay, Bisexual], who while more accepted and tolerated in the st century than ever before, are still struggling with being different and not truly feeling art of the larger society. The poster concludes with a review of various areas that need

17 further exploration [i.e. comparing the various experiences of alienation of marginalized groups; how can the local community and the sate help them feel more of an integral part of society; techniques that they can learn to diminish their loneliness, and reconnect with society]. THE IMPACT OF ASSERTIVENESS TRAINING ON THE SUBSCALE ANXIETY AND INSOMNIA OF MENTAL HEALTH: A STUDY AMONG STUDENTS OF BOOSHER S HIGH SCHOOLS IN IRAN Seyed Younas Mohammadi Yousef Nejad, Seyeda Nafica Mohammadi Yousef Najad Faculty, Payamnoor University of Iran, Faculty, Payamnoor University of Iran, IRAN In the present study, an attempt was made to find out the Impact of Assertiveness training on mental health among students of Bousher s High Schools in Iran. The hypotheses of the present study were: ) Assertiveness Training is effective on the subscale Anxiety and insomnia of mental health among the experimental group; ) Assertiveness Training is increase post test among the experimental group on the subscale Anxiety and insomnia of mental health. ) Family Economic Condition is not effective on the subscale Anxiety and insomnia of mental health among the experimental group. Participants consisted of students of high schools. The sample selected for the present study consists of 00 male students (N=00) of first grade of high schools of Bousher city. The subject will be selected randomly and divided in to two groups, experimental (N=00) and control (N=00) groups. The experimental group alone undergoes the intervention programme i.e., Assertiveness training. General Information Schedule prepared by the investigator was used to gather personal information regarding each subject. General Health Questionnaire (GHQ) of Goldberg (979) was used to measure mental health of the students. Repeated Measure t-test and ANOVA were employed to find out the effectiveness of Assertiveness and Family Economic Condition on the subscale Anxiety and insomnia of mental health. Results revealed that Assertiveness was highly on the subscale Anxiety and insomnia of mental health among the experimental group and Family Economic Condition is not effective on the subscale Anxiety and insomnia of mental health. Keywords: Assertiveness Training, Anxiety and insomnia of mental health, Family Economic Condition and student ANTIPSYCHOTICS INCLUDING OLANZAPINE AND PERONEAL NERVE PALSIES IS THERE AN ASSOCIATION? M. Mazharuddin, M. Nachnani, D. Joardar, R. Kelly Specialty Registrar Old Age Psychiatry, Consultant Old Age Psychiatry, Librarian, Norfolk and Suffolk NHS Foundation Trust, Boston, UNITED KIGNDOM Introduction/Aims: We report the case of a 7-year old woman presented with Depression with Psychotic symptoms who was treated with antipsychotic Olanzapine. However, the patient developed bilateral peroneal nerve palsies. This case supports the hypothesis that antipsychotics including Olanzapine may be related to bilateral peroneal nerve palsies. Methods: We carried out a literature search across the databases. Results: On stopping her Olanzapine her bilateral foot drop resolved. Discussion: Olanzapine may cause peroneal nerve palsies. POSTNATAL DEPRESSION V.I. Koutsompou, M. Koletsi ΜA Counseling Psychology, Psychology Department, City University of Seattle, Psychology Department, City Unity College, Athens, GREECE Introduction/Aim: Being pregnant and having a baby usually is described as a happy experience, however, a series of ambivalent feelings and concerns can arise, which are able to transform it into an unpleasant experience. Mental disorders more related to pregnancy and the postpartum period are depression and postpartum psychosis. The purpose of this research is to study the importance of different aspects in relation to the development of depression. More specifically, the existence of correlation between the age, the educational background, as well as between the relationship with the partner in the development of the disorder. Methods: This study is a comparative quantitative study. The sample consists of a total of 00 women (pregnant and recently given birth), aged 0-5. Psychometric tools: For the detection of postpartum depression the EPDS scale (Edinburgh Postnatal Depression Scale) was used. Results: Results are expected to support a direct correlation between the age, the educational background and the partner s behavior on the development of the disease. Key words: pregnancy, depression, EPDS. DIFFICULT SESSIONS: THE ROLE OF MOTIVATIONAL UTTERANCES IN THE CLIENT S COMPLIANCE De Pascual-Verdú, R., Calero-Elvira, A., Beggio, G., Vargas-De la Cruz, I, Marchena-Giráldez, C. PhD student, Professor, Undergraduated, Doctor. Biological and Health Psychology Department. Universidad Autónoma de Madrid. Madrid. SPAIN. Introduction and aim: We defined motivational utterances as those that anticipate consequences to the client s behaviour, therefore specifying a contingency of the if you do/don t do X, Y will happen kind. In this study we aimed to ascertain the relation between the client s noncompliance with the tasks appointed by the therapist and the own therapist s motivational utterances in-session, and whether changes in the use of these result in a change in compliance. Method: 88 recorded sessions of patients with different clinical problems (depression, anxiety, etc.) were studied and all the verbalizations uttered in them (both by the therapist and the client) were categorized following the SISC-inter-CVT system. Sessions were categorized as non-difficult or difficult depending on the compliance showed by the client in them. Using the SISC-MOT to better categorize all motivational utterances issued by the therapist, differences in their type and frequency were studied. Results: A significant difference both in quantity and type of the motivational utterances used by the therapist was found, as was a rise in compliance in the sessions following difficult ones when the therapist changes the way he/she issues these motivational verbalizations. Discussion: These results could prove useful for therapists aiming to improve compliance. Does stopping Hormone Replacement Therapy (HRT) has any association with Alzheimer s disease? Mohammad Mazharuddin, Mahesh Nachnani, Devdutta Joardar, Rebecca Smith Dr, Psychiatrist, Specialty Registrar Old Age Psychiatry, Norfolk and Suffolk NHS Foundation Trust, Boston, UNITED KIGNDOM (NSFT) Dr, Psychiatrist, Specialty Registrar in Old Age Psychiatry, (NSFT) Dr, Psychiatrist, Consultant Old Age Psychiatry, (NSFT) Dr, GP trainee, General Practitioner Trainee, (NSFT) Abstract sections: Introduction: We report the case of a 7-year old woman presented Alzheimer s disease following stopping Hormone Replacement Therapy (HRT). Aims: To support the hypothesis that stopping the HRT could be associated with development of Alzheimer s disease. Methods: Over the past two decades, there has been some interest in research investigating risks and benefits of HRT with regards to neurodegenerative disease. Results: This case supports the hypothesis of association of stopping HRT with bringing forward the diagnosis of Alzheimer s disease. Discussion: There is a need for robust research on this subject which will impact on quality of life and safety of patients, carers burden and financial implications. COMPULSIVE BUYING OF EUROPEAN, ASIAN AND AFRICAN STUDENTS THE ROLE OF RESPONSE STYLE AND MEASUREMENT BIASES Julie Papastamatelou, Alexander Unger & Effi Lambropoulou Lecturer, University of Applied Sciences LUWIGSHAFEN GERMANY Dr, Research Assistant, University of Applied Sciences LUWIGSHAFEN GERMANY Prof, Professor. Panteion University of Social and Political Sciences ATHENS, GREECE Introduction and Aims: We have examined the extent of compulsive buying in developing countries and in countries currently experiencing the consequences of the worldwide economic and financial crisis like Greece or countries which present a precarious economic situation like Kosovo. We have tested also for gender-differences compulsive buying (CB). Methods: The CB-tendency was measured by translations of the German SKSK (Raab et al., 005). Students from China (n= 89), Greece (n = 77), Kosovo (n = 5), Cameroon (n = 75) and Morocco (n = 97) participated in the survey. Hypotheses: (a) The CB-tendencies will be lower in Cameroon and Morocco compared to the other samples; (b) Women will show higher CB-tendencies. Results: Post-hoc multiple comparisons revealed that CB-tendencies in Kosovo, Cameroon and Morocco were significantly higher than in China and Greece (p <.00). Women in China, Morocco (both p s <.00) and Greece (p <.097) showed higher CB-tendencies. Discussion: The observation that the CB-tendency is higher in developing countries needs further explanation. A factor-analysis manifested inconsistencies of the factor structure: The basic structure of the three assumed dimensions of compulsive buying was proved, but some items were identified as problematic. Thus invariance, measurement-biases and response-styles have to be considered. PSYCHOSOCIAL CHANGES IN THE MENTAL HEALTH OF MODERN SOCIETY AND COGNITIVE-SAVING THERAPY Tatyana Reshetova, Anton Reshetov Professor, Doctor of Medical Sciences, Mechnikov North-West State Medical University, St. Petersburg, RUSSIA Student, St. Petersburg State University, St. Petersburg, RUSSIA Psychosocial changes in the mental health of modern society and cognitive-saving therapy. Social stress generates lifestyle diseases. Averages asthenia rates in modern populations by 7% worse than developed by techniques authors standards in the twentieth century. 65% of hospital patients and % of healthy people have asthenia syndrome. Asthenia, anxiety, depression which accompanied by cognitive dysfunction impairs intellectual activity. In a prospective, randomized comparative study 88 patients were involved with irritable bowel syndrome who were treated with standard therapy (control group) and backbone therapy with psychoactive drugs: tenoten or valemidin at the anxiety and valdoxan at the depression. Study purpose is the ability to reduce anxiety or depression demonstration without negative influence on attention or memory concentration. Anxiety, depression, cognitive dysfunction (MMPI, MFI- 0) short-term memory were studied in the patients with irritable bowel syndrome. In the month in the control group bowel condition was improved, but psychopathological symptoms have not changed. In the intervention group the use of tenoten or valemidin or agomelatine significantly reduced anxiety or depression, as well as significantly reduced cognitive dysfunction: improved attention concentration. This increased the compliance. Therefore, cognitive-saving therapy of anxiety and depression is significant today. ANALYSIS OF CORRELATIONS OF STRUCTURE ELEMENTS OF A WOMAN S SELF-ATTITUDE WITH HER ANXIETY LEVEL DURING PREGNANCY Viktoria F. Boguslavskaya, Irina V. Abakumova Associate Professor, Psychologist, Psychology Department, Southern Federal University,Rostov-on-Don, Russian Federation Professor, Psychologist, Psychology Department, Southern Federal University, Rostov-on-Don, Russian Federation Change in views about oneself and distortion of self-attitude lead to personal transformation. Studying women s mental health during pregnancy is of special interest. For practical purposes it is important to know which psychological factors can transform pregnancy into a significant life s event, optimize processes of pregnancy and childbirth, and assist in forming sense-value attitude to motherhood. The purpose of our research is to study structure elements of a woman s self-attitude during pregnancy and analyze correlations of significant attitudes of a pregnant woman (to herself, to the future child and to his/her father) with her anxiety level during this period. The research methods are psychological testing of self-attitude, measurement of anxiety level, methods of mathematical statistics, etc. Main results: the research has confirmed that the self-attitude of a woman considerably influences on her anxiety level during pregnancy; the characteristic features of these correlations differ for women expecting their first child from ones for women expecting their second and more child. The theoretical and practical significance of the research: the found results can be used for developing adequate methods of psychological correction of pregnant women s mental health. QUALITY OF LIFE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION A YEAR AFTER THE EPISODE P. Heras, V. Natsis, M. Hera Hellenic Medical Society of Psychosomatic Problems Objective: This report is based on the assessment of the health-related quality of life in patients with acute myocardial infarction (AMI) one year after the episode. This assessment focused on the three main dimensions of physical, mental and social health. Method: Data collection was carried in 0-0 with the use of the self-administered instrument health survey SF-6, which consists of 6 questions constituting 8 scales of physical and socialmental health. The sample consisted of 00 patients with AMI a year after the episode. The majority of patients were men (86.9%), aged over 65 years (7%) and between 56-6 years old (5%). Results: The rating of the scales of the review SF-6 gave the following results: physical functioning : 70.8 (SD =8.6), physical role : 6.7 (SD=8.6), physical pain : 8.5 (SD=.7), general health : 6. (SD=.), vitality : 7. (SD=.), social functioning : 68. (SD=6.6), emotional role : 6. (SD=6.), mental health : 78. (SD=8.8). Linear regression analysis showed that 6 of the 8 scales of the health survey SF-6: physical functioning (B=0.860, t=5.90, p=0.0000), physical role (B=0.658, t=.78, p=0.00), general health (B=0.69, t=.097, p=0.000), vitality (B=0.66, t=.68, p=0.00), social operability (B=0.608, t=.097, p=0.000), mental health (B=0.65, t=., p=0.00) were related to patients satisfaction with the quality of life, while in addition, physical functioning (B= -0.80, t= -.986, p=0.005) and social functioning (B= -0.5, t= -.8, p=0.00) showed an inverse relationship with age. Conclusions: Patients with AMI a year after the episode appear to assess their socio-mental health (average 7.0) as more important than their physical health (average 6.). This finding raises the issue of non-concurrence of the individual assessment of patients between the objective (physical functioning, physical role, physical pain, general health) and the subjective (vitality, mental role, social functioning, mental health) dimension of health related quality of life. ΣΧΕΣΗ ΚΑΤΑΘΛΙΨΗΣ ΚΑΙ ΚΙΝΔΥΝΟΥ ΕΜΦΑΝΙΣΗΣ ΣΤΕΦΑΝΙΑΙΑΣ ΝΟΣΟΥ

18 ΣΕ ΥΓΙΗ ΠΛΗΘΥΣΜΟ Φ. Αθανασιάδου, Α. Τζώτζη, Τ. Σεραφείμ, Ε. Κούκια, Γ. Αλεβιζόπουλος 5, Γ. Καλλέργης 6, ( F. Athanasiadou, A. Tzotzi, T. Serafim, E. Koukia, G. Alevizopoulos, G. Kallergis ) Τχης (ΥΝ), Νοσηλεύτρια Ψυχικής Υγείας,Msc, Υποψήφια Διδάκτωρ ΕΚΠΑ. (Major, Mental Health Nurse, Msc ) Ψυχολόγος, τμήμα Ψυχολογίας Παντείου Πανεπιστημίου Αθηνών. ( Psychologist ) Τχης ( ΥΝ ), Νοσηλεύτρια Ψυχικής Υγείας. ( Major, Mental Health Nurse ) Επίκουρος Καθηγήτρια Ψυχιατρικής Νοσηλευτικής,. ( Assistant Professor of Psychiatric Nursing ) 5 6 Αναπληρωτής καθηγητής Ψυχιατρικής. ( Adjunct Professor of Psychiatric Nursing ) Επίκουρος καθηγητής Ψυχιατρικής, Τμήμα Νοσηλευτικής. ( Assistant Professor of Psychiatric Nursing ) Υποψήφια Διδάκτωρ ΕΚΠΑ, ΣΝΕΝ, Αθήνα. ( Candidate Doctor of the National and Kapodistrian University of Athens, Military Hospital of Special Diseases ) Τμήμα Ψυχολογίας Παντείου Πανεπιστημίου Αθηνών, Αθήνα. ( Department of Psychology of Panteion University of Athens ) Υπεύθυνη Ψυχιατρικής Κλινικής ΓΣΝΕ, Θεσ/νικη. ( Military Hospital ) Τμήμα Νοσηλευτικής, Τομέας Ψυχικής Υγείας και επιστημών συμπεριφοράς, ΕΚΠΑ, Αθήνα. ( Department of Nursing, National and Kapodistrian University of Athens ) 5 Τμήμα Νοσηλευτικής, Τομέας Ψυχικής Υγείας και επιστημών συμπεριφοράς, ΕΚΠΑ, Αθήνα. ( Department of Nursing, National and Kapodistrian University of Athens ) 6 Τμήμα Νοσηλευτικής, Τομέας Ψυχικής Υγείας και επιστημών συμπεριφοράς, ΕΚΠΑ, Αθήνα. ( Department of Nursing, National and Kapodistrian University of Athens ) ΠΕΡΙΛΗΨΗ Εισαγωγή: Η στεφανιαία νόσος θεωρείται σήμερα ως μια κλασσική ψυχοσωματική ασθένεια εντός του πλαισίου αναφοράς του επονομαζόμενου βιοψυχολογικού μοντέλου. Οι διάφοροι ψυχοκοαινωνικοί παράγοντες που περιλαμβάνουν συμπεριφορές και συνήθειες όπως το κάπνισμα, η έλλειψη σωματικής άσκησης, η φτωχή δίαιτα, φαινόμενα όπως η κατάθλιψη, η πνευματική εξουθένωση, η κοινωνικό- οικονομική κατάσταση, δεν έχουν πλήρως ξεκαθαριστεί ως προς τον βαθμό που επηρεάζουν την πιθανότητα εμφάνισης στεφανιαίας νόσου, αλλά χρήζουν συστηματικής επιστημονικής μελέτης. Σκοπός: Η παρούσα έρευνα ως σκοπό είχε τη διερεύνηση της συσχέτισης ανάμεσα στην ψυχολογική παράμετρο της κατάθλιψης με τον κίνδυνο εμφάνισης στεφανιαίας νόσου σε υγιή πληθυσμό. ΜΕΘΟΔΟΣ: Συμμετείχαν 6 στελέχη του Στρατού Ξηράς (58 άντρες,06 γυναίκες), ηλικίας από 8 έως 60 ετών. Χρησιμοποιήθηκε το Ερωτηματολόγιο B.D.I. (Beck Depression Inventory), το οποίο προσμετρά την ένταση της κατάθλιψης, σταθμισμένο στην Ελλάδα. ΑΠΟΤΕΛΕΣΜΑΤΑ: Από τα αποτελέσματα διαφαίνεται το υψηλό ποσοστό κατάθλιψης των συμμετεχόντων, με το μεγαλύτερο ποσοστό (5 άτομα) βαθμολόγησης 5 με μέγιστο στα 6 (BDI total score=5/6) την ένταση κατάθλιψης, δηλαδή την γνωστική εικόνα για τον εαυτό μέσα από το πρίσμα ερμηνείας των συμβάντων της καθημερινότητας. Παρουσιάστηκε ότι το συστηματικό κάπνισμα συσχετίζεται στατιστικά σημαντικά με χαμηλό βαθμό θετικής συσχέτισης r=.5, p=.05, σε σχέση με την ένταση της κατάθλιψης. (P<0.05) and the climbing behaviour by 5.5% (P<0.05). The sub-threshold doses of fluoxetine (5mg/kg and 0 mg/kg, i.p) did not change the immobility time in both models. Combination of fluoxetine and aspirin significantly decreased the immobility time by 5.9% and by 9.88% (P<0.05) in respectively FST and TST. Discussion: Results demonstrated that aspirin produces a suggestive antidepressant like activity that seems to be mediated by serotonergic and norepinephrinergic neurotransmission mechanism of action. Furthermore, aspirin significantly improved the activity of fluoxetine when given together. DIFFICULT SESSIONS: THE ROLE OF MOTIVATIONAL UTTERANCES IN THE CLIENT S COMPLIANCE De Pascual-Verdú, R., Calero-Elvira, A., Beggio, G., Vargas-De la Cruz, I, Marchena-Giráldez, C. PhD student, Professor, Undergraduated, Doctor. Biological and Health Psychology Department. Universidad Autónoma de Madrid. Madrid. SPAIN. Introduction and aim: We defined motivational utterances as those that anticipate consequences to the client s behaviour, therefore specifying a contingency of the if you do/don t do X, Y will happen kind. In this study we aimed to ascertain the relation between the client s noncompliance with the tasks appointed by the therapist and the own therapist s motivational utterances in-session, and whether changes in the use of these result in a change in compliance. Method: 88 recorded sessions of patients with different clinical problems (depression, anxiety, etc.) were studied and all the verbalizations uttered in them (both by the therapist and the client) were categorized following the SISC-inter-CVT system. Sessions were categorized as non-difficult or difficult depending on the compliance showed by the client in them. Using the SISC-MOT to better categorize all motivational utterances issued by the therapist, differences in their type and frequency were studied. Results: A significant difference both in quantity and type of the motivational utterances used by the therapist was found, as was a rise in compliance in the sessions following difficult ones when the therapist changes the way he/she issues these motivational verbalizations. Discussion: These results could prove useful for therapists aiming to improve compliance. PSYCHODYNAMIC/INTERPERSONAL GROUP PSYCHOTHERAPY FOR PERFECTIONISM: EVALUATING THE EFFECTIVENESS OF A SHORT-TERM TREATMENT PROGRAM Paul L. Hewitt, Professor, Department of Psychology, University of British Columbia, Vancouver, CANADA Samuel F. Mikail, Clinical Director, Clinical Psychologist, Southdown Institute; Aurora, CANADA Gordon L. Flett, Professor, Department of Psychology, York University; North York, CANADA George A. Tasca, Director of Research, Centre for Eating Disorders; University of Ottawa, Ottawa, CANADA Carol A. Flynn, Psychologist, Department of Psychology, University of British Columbia Vancouver, CANADA Janet Kaldas, Student, Department of Psychology, University of British Columbia Vancouver, CANADA Chang Chen, Department of Psychology, University of British Columbia Vancouver, CANADA Xiaolei Deng, Department of Psychology, University of British Columbia Vancouver, CANADA Introduction: Perfectionistic behavior has been shown to be a pernicious personality style with many deleterious outcomes including unipolar depression, anorexia nervosa, physical health concerns, and suicidal behavior. Aim: This study sought to determine whether clinically significant improvement could be obtained using a psychodynamic/interpersonal group treatment developed by the first three authors and based on a comprehensive conceptualization of perfectionism. Method: A sample of 7 community-recruited perfectionistic individuals participated in group psychotherapy. Eighteen of these participants were initially assigned to a waitlist control condition. All participants completed measures of perfectionism traits, perfectionistic self-presentation, and automatic perfectionistic thoughts, as well as measures of distress including depression, anxiety, and interpersonal problems at pre-treatment, post-treatment, and at a -month follow-up. Results: Multilevel modeling demonstrated that perfectionism levels decreased with large effect sizes and that these decreases accounted for reductions in distress measures. Clinically significant decreases were found in all perfectionism components and post-treatment scores on most variables were significantly lower in the treatment condition versus the waitlist control condition. Conclusion: The findings suggest that psychodynamic/interpersonal group treatment is an effective treatment for perfectionistic behavior both post treatment and at follow up. Moreover, it is argued that the focus of treatment should be on the underlying personality vulnerability factors rather than solely on symptoms. TRADITIONS OF FAMILY MUTUAL RELATIONS IN THE CONTEXT OF BESLAN S TERRORIST ATTACK Anna I. Tashcheva Associate Professor, Psychologist Psychology Department, Southern Federal University, Rostov-on-Don, Russian Federation ASPIRIN PRODUCES ANTIDEPRESSANT LIKE ACTIVITY AND POTENTIATES THE ANTIDEPRESSANT EFFICACY OF FLUOXETINE IN MICE Fatma M Rabie, teaching assistant; Souad Y Fruja, teaching assistant; Yousef A Taher, lecturer, Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Tripoli University Tripoli, LIBYA Introduction and aims: Several studies support a role of inflammation in depression. An improvement in psychiatric symptoms has been reported in patients treated with antiinflammatory drugs. These suggest that anti-inflammatory drugs may be used as an adjunctive therapy. This study aimed to investigate the mood effects of aspirin, given alone and as a co-drug with fluoxetine. Methods: Mouse forced swimming test (FST) and tail suspension test (TST (, were used for screening of antidepressants activity. Results: Aspirin treated mice (00mg/kg, i.p) significantly decreased immobility time by (FST, 66%, P<0.05; TST, 76.6%, P<0.05), with a decreased locomotion in open field test, in a separate experiment. In addition, in FST aspirin significantly increased the swimming time by 8.9%

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