The evolution of emotional intelligence in schizophrenia: A comparative study of two groups at different times of the disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S575-S575
Author(s):  
E. Chapela ◽  
J. Quintero ◽  
I. Morales ◽  
M. Félix-Alcántara ◽  
J. Correas ◽  
...  
Keyword(s):  
Emotional Intelligence ◽  
Clinical Course ◽  
Clinical Care ◽  
Positive Sign ◽  
Neurocognitive Deficits ◽  
Assessment Protocol ◽  
Neurocognitive Assessment ◽  
Schizophrenia Group ◽  
Competing Interest ◽  
Assessment Scales

IntroductionPeople with schizophrenia show changes in the skills related to emotional intelligence, but little is known about the clinical course of these deficits. Few studies have examined the evolution of emotional intelligence in schizophrenia patients.ObjectiveTo increase knowledge about emotional intelligence deficits in schizophrenia and to study its clinical course and factors related, with particular interest in neurocognitive deficits.AimsTo compare emotional intelligence and other clinical and neurocognitive data in patients with schizophrenia in a different moment of evolution.MethodsTwenty-five patients with schizophrenia for up to 5 years of evolution were compared to 24 patients with schizophrenia for more than 5 years of evolution. The assessment protocol consisted of a questionnaire on socio-demographic and clinical-care data, and a battery of assessment scales, including MSCEIT for emotional intelligence.ResultsBoth groups show a deterioration of emotional intelligence. Schizophrenia patients over 5 years of evolution have worse performance in emotional intelligence test that schizophrenic lower evolution. In the schizophrenia group of up to 5 years of evolution, none variables correlate with emotional intelligence. In the schizophrenia group of more than 5 years of evolution, there were moderate negative correlations with the severity of symptoms and depressive symptoms, and moderate correlation of positive sign with functionality, but none of the neurocognitive assessment scales.ConclusionsThere are arguments for the existence of a progressive deterioration of emotional intelligence in schizophrenia. This deficit in emotional intelligence in schizophrenia appears to be present from the first years of the disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The emotional intelligence in severe mental disorders: A comparative study in schizophrenia and bipolar disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S330-S331
Author(s):  
E. Chapela ◽  
M. Félix-Alcántara ◽  
J. Quintero ◽  
I. Morales ◽  
J. Gómez-Arnau ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Emotional Intelligence ◽  
Mental Disorders ◽  
Clinical Care ◽  
Descriptive Analysis ◽  
Assessment Tools ◽  
Severe Mental Disorders ◽  
Assessment Protocol ◽  
Competing Interest ◽  
Bipolar Patients

IntroductionSevere mental disorders have deficits in different aspects of social cognition, which seem to be more pronounced in patients with schizophrenia compared to those with bipolar disorder. Emotional intelligence, defined as the ability to process, understand and manage emotions, is one of the main components of the sociocognition. Both in schizophrenia and bipolar disorder have been described changes in emotional intelligence, but only few studies compare both disorders.ObjectivesThe objective of this research is to increase knowledge about the differences between schizophrenia and bipolar disorder.AimsTo compare emotional intelligence in patients with schizophrenia versus bipolar patients.MethodsSeventy-five adult patients with schizophrenia and bipolar disorder were evaluate.The assessment protocol consisted of a questionnaire on socio-demographic and clinical-care data, and a battery of assessment scales (BPRS, PANSS, SCID-I-RV, YMRS, HDRS, CGI-S, EEAG, MSCEIT). Among the assessment tools of emotional intelligence, we select MSCEIT as the most validated.Statistical analysis was performed using SPSS 23 version. After the descriptive analysis of the data, we compare the results of the scales.ResultsBoth disorders show a deterioration of emotional intelligence compared to the general population. There were no statistically significant differences in the comparison of emotional intelligence between schizophrenia and bipolar disorder.ConclusionSchizophrenia and bipolar disorder have deficits in emotional intelligence, while it is difficult to show differences between them. These changes in emotional intelligence are part of a set of cognitive, social and non-social skills, which are altered in these severe mental disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Relationship between emotional intelligence and neurocognition in severe mental disorders

2016 ◽  
Vol 33 (S1) ◽  
pp. S367-S367
Author(s):  
E. Chapela ◽  
I. Morales ◽  
J. Quintero ◽  
M. Félix-Alcántara ◽  
J. Correas ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Emotional Intelligence ◽  
Mental Disorders ◽  
Clinical Symptoms ◽  
Clinical Care ◽  
Executive Dysfunction ◽  
Type I ◽  
Neurocognitive Deficits ◽  
Severe Mental Disorders ◽  
Assessment Protocol

IntroductionThe severe mental disorders are the subject of growing research in the area of emotional intelligence because of his relationship with psychosocial functionality loss. Despite treatment advances, patients continue to experience high levels of social, professional and personal disabilities, related to the presence of deficits in cognition. These changes are manifested in two areas: the neurocognitive and social cognition.ObjectivesTo better understand the relationship between neuro- and sociocognition in schizophrenia and bipolar disorder.AimsThe aim of this research is to study the factors related to emotional intelligence, with particular interest in neurocognitive deficits.MethodsA total of 75 adult patients with schizophrenia and bipolar disorder type I were evaluated. The assessment protocol consisted of a questionnaire on socio-demographic and clinical-care data, and a battery of clinical and cognitive scales, including MSCEIT, WAIS-IV, TMT and Rey Figure.ResultsMSCEIT was negatively correlated with age, the severity of the clinical symptoms (BPRS, CGI-S), the TMT-A and the Test of Complex Figure, and positively with the intelligence quotient.ConclusionsThe deficits in emotional intelligence are part of a set of cognitive, social and non-social skills, which are altered in these severe mental disorders. Emotional intelligence worsens with the deterioration of cognitive functioning, executive dysfunction and severity of psychiatric disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Revolutionary Education: Fostering Emotional Intelligence and Empathic Imagination Across The Mainstream Curriculum. Interdisciplinary Inquiry

2016 ◽  
Vol 33 (S1) ◽  
pp. S438-S438
Author(s):  
I. Rozentsvit
Keyword(s):  
Special Education ◽  
Emotional Intelligence ◽  
Emotional Experience ◽  
Columbine High School ◽  
Competing Interest ◽  
Metal Detectors ◽  
Bullying Programs ◽  
Sandy Hook Elementary School ◽  
K 12 ◽  
Empathic Imagination

If fostering emotional intelligence and empathic imagination and solving ethical dilemmas were discussed openly and taught methodically in K-12 mainstream (“typical”) classrooms, would we need metal detectors at the inner city schools’ entrances, and would we need special anti-bullying programs, which intend to correct bullying culture, rather than build a new one, based on kindness, openness, and consideration for others?Will we learn lessons from the Columbine High School and the Sandy Hook Elementary School massacres, and radically change educational system, to incorporate empathic imagination and emotional intelligence into mainstream K-12 curriculum – as a mandatory discipline – instead of leaving this important part of learning and character formatting only to the special education sphere?This symposium represents a collaborative effort of four educators from various disciplines who crossed boundaries to emphasize and foster emotional intelligence and empathic imagination throughout the K-12 curriculum.The following are the parts of the proposed multidisciplinary panel:– multidisciplinary approach to revolutionary education, or paradigm shift towards fostering emotional intelligence and empathic imagination across the mainstream curriculum;– Descartes’ error, the triune brain, and neurobiology of emotional intelligence;– changing our consciousness: imagining the emotional experience of the other;– teaching social skills and play therapy in schools: report from the trenches of special education;– examining cultural artifacts, tools for personal, emotional, and academic development;– growing kind kids: mindfulness and the whole-brained child;– Emotional Imprint™ at the street squash: ‘If you talk, you don’t kill.’Disclosure of interestThe author has not supplied his declaration of competing interest.

Patient education for behavior change: Harm reduction and hypertation control

2017 ◽  
Vol 41 (S1) ◽  
pp. S741-S741
Author(s):  
D. Soria ◽  
G.M. Schincariol ◽  
G.T. Chan ◽  
S. Linda Beatriz Pontes De ◽  
E.J. Domingos ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Harm Reduction ◽  
Common Mental Disorders ◽  
Clinical Care ◽  
Family Health ◽  
Public Health Problem ◽  
Pressure Profile ◽  
Care Plan ◽  
Health Lifestyle ◽  
Competing Interest

BackgroundChronic non-communicable diseases (NCD) are a public health problem in Brazil. In addition, NCDs is more strongly associated with common mental disorders than was each NCD individually. This study is about the implementation and execution through the university extension project “harm reduction and mental health: hypertation control and health education” developed at Images of the Unconscious Museum, Brazil.AimsMeasure the prevalence of hypertation, verify the association with chronic NCDs, educate about risk behavior and improve to psychosocial rehabilitation.MethodsA socio-demographic and blood pressure profile was constructed. We identify hypertation on 33 patients. After the diagnosis, the family health unit was contact to construct a clinical care plan. We distribute health educational material about clinical diseases.ResultsThirty-six percent patients was identify with hypertation; once had high blood pleasure and rejected any intervention; 68% have family rates of hypertation and 100% referred low salt on diet. A book storytelling was constructed to give orientations about health lifestyle. We conducted therapeutic workshop to highlighting the creative, imaginative and expressive potential of the users on health behavior.ConclusionWe identify low blood pressure after the activities and a new health style after the orientation process.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Innapropriate sinus tachycardia – cardiac syndrome or anxiety-related disorder?

2016 ◽  
Vol 33 (S1) ◽  
pp. S152-S152
Author(s):  
P. Rasmus ◽  
E. Kozłowska ◽  
T. Sobow
Keyword(s):  
Emotional Intelligence ◽  
Trait Anxiety ◽  
Sinus Tachycardia ◽  
Clinical Syndrome ◽  
Coping With Stress ◽  
Inappropriate Sinus Tachycardia ◽  
Related Disorder ◽  
Psychological Tools ◽  
Neo Five Factor Inventory ◽  
Competing Interest

IntroductionRelation between psychology, psychiatry and cardiology are multidimensional and begin to have growing importance in the diagnosis and treatment of patients of cardiosurgery, electrocardiology and cardiac rehabilitation. Inappropriate sinus tachycardia (IST) is a rarely diagnosed clinical syndrome characterized by excessive resting heart rate (HR) or disproportional increasing HR during exercise. The mechanisms of IST are not well understood. It is speculated that psychological factors might be of importance.AimsThe purpose of the study was to evaluate possible relation between the level of anxiety, personality traits and control of emotions, emotional intelligence, coping with stress strategies and manifestation of IST.MethodsThe participants were 23 women with a diagnosis of IST (age range 31.8 ± 8.72) and 23 women (28.7 ± 4.4) without cardiac diseases. The research applied psychological tools including: State–Trait Anxiety Inventory, NEO-Five Factor Inventory, Courtauld Emotional Control Scale, Emotional Intelligence Questionnaire, Coping Inventory for Stressful Situations and an originally developed sociodemographic questionnaire.ResultsIt has been found that that the group of women with IST received higher results in Trait Anxiety Inventory compared to the group of healthy women and the relation was highly statistically significant (P = 0,009). No other differences were found.ConclusionsInappropriate sinus tachycardia can be considered as an anxiety related disorder. However, its pathogenesis and classification position remains elusive.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clinical Course of Nonfunctional Pituitary Microadenoma in Children: A Single-Center Experience

2019 ◽  
Vol 104 (12) ◽  
pp. 5906-5912 ◽  
Author(s):  
Vidhu V Thaker ◽  
Adrianne E Lage ◽  
Garima Kumari ◽  
V Michelle Silvera ◽  
Laurie E Cohen
Keyword(s):  
Clinical Course ◽  
Clinical Care ◽  
Tertiary Care ◽  
Drug Induced ◽  
Health Records ◽  
Clinical Data Warehouse ◽  
Pituitary Microadenoma ◽  
Single Center Experience

Abstract Context Pituitary lesions consistent with microadenomas are increasingly discovered by MRI. Sparse data are available on the long-term clinical and imaging course of such lesions in children. Objective The aim of this study was to define the clinical and imaging course of pituitary lesions representing or possibly representing nonfunctioning microadenomas in children to guide clinical management. Design Retrospective observational study. Methods The clinical data warehouse at a tertiary care academic children’s hospital was queried with the terms “pituitary” AND “microadenoma” and “pituitary” AND “incidentaloma.” The electronic health records of the identified subjects were reviewed to extract data on the clinical and imaging course. Results A total of 78 children had nonfunctioning pituitary lesions incidentally discovered during clinical care, of which 44 (56%) were reported as presumed or possible microadenomas. In the children with microadenoma (median age 15 years, interquartile range 2), a majority (70%) underwent imaging for nonendocrine symptoms, the most common being headache (n = 16, 36%). No significant increase in the size of the microadenoma or cysts or worsening of pituitary function was seen over the average clinical follow-up of 4.5 ± 2.6 years. Four cases of drug-induced hyperprolactinemia resolved with discontinuation of the offending medication. Conclusions Asymptomatic pituitary lesions representing cysts, microadenomas, or possible microadenomas follow a benign course in children. In the absence of new endocrine or visual symptoms, repeat MRI may not be needed, and if performed, should be done in no less than a year. When possible, it is prudent to discontinue hyperprolactinemia-inducing medications before imaging.

Cancer symptom scale preference: One size to fit all?

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 69-69
Author(s):  
Brenda O'Connor ◽  
Kirby Jeter ◽  
Siobhan Blackwell ◽  
Lucy Burke ◽  
Emma Victoria Conway ◽  
...  
Keyword(s):  
Clinical Utility ◽  
Clinical Care ◽  
Symptom Assessment ◽  
Symptom Scale ◽  
Appetite Loss ◽  
Prospective Survey ◽  
Systematic Assessment ◽  
Numerical Rating ◽  
Categorical Response ◽  
Assessment Scales

69 Background: Systematic assessment in cancer is conducted by a variety of instruments. Such assessment is important as comprehensive instruments detect more symptoms than casual clinical evaluation. In choosing assessment scales for polysymptomatic cancer patients one must consider the burden of assessment to ensure satisfactory completion rates. This study investigated patient preference and clinical utility of symptom assessment scales. Methods: A prospective survey was conducted in an Irish palliative medicine inpatient unit.Consecutive cancer admissions were recruited within 7 days. Patients’ preferences were elicited with regards to 3 symptom assessment scales; categorical response (CRS), numerical rating (NRS), and visual analogue (VAS), across 3 common symptoms; appetite loss, pain, and tiredness. Participants selected their preferred scale per symptom. We determined the clinical utility of each scale, defined by ease of completion as judged by an observer. Results: 100 participants wererecruited,aged 38-93 years (x̅ = 71 years; SD=11.6). Median European Cooperative Oncology Group (ECOG) score was 2 (range 0-4). Participants preferred CRS for appetite loss (48%) and tiredness (40%), and NRS for pain (44%). VAS was consistently the least preferred measure. Scale preference was fully consistent across symptoms for 52% of patients, with just 4% choosing a different scale per symptom. There was moderate agreement between participant scale preference and ease of completion as determined by observer (Pain: K=0.486; Fatigue: K=0.452; Appetite loss K=0.364). Conclusions: (1) Most participants had a specific scale preference which was consistent across symptoms, (2) CRS was preferred overall, (3) Participants did not need to experience a symptom to have a preference, (4) VAS should be used with caution in hospice clinical care or research, (4) Symptom assessment scales should be carefully selected for clinical and research purposes.

Emotional Intelligence Features at a Pathology of Corpus Callosum (CC)

2017 ◽  
Vol 41 (S1) ◽  
pp. S634-S634
Author(s):  
M. Kovyazina ◽  
F. Ksenia ◽  
N. Varako ◽  
O. Dobrushina ◽  
S. Martynov
Keyword(s):  
Emotional Intelligence ◽  
Corpus Callosum ◽  
Emotional Expression ◽  
Right Hemisphere ◽  
Emotional Expressions ◽  
Emotion Control ◽  
Frontal Zones ◽  
Competing Interest ◽  
Emotional Condition ◽  
Hemispheric Interaction

IntroductionDependents of human behavior on the hemispheric interaction quality is extremely interesting question. The СС impairments are observed at schizophrenia, autism, Tourette syndrome, ADHD, etc. Difficulties in the sphere of emotional intelligence are typical at not only frontal zones disorders and right hemisphere of brain.AimsAnalyze the emotional intelligence of the patients with CC pathologies.MethodsMethod for the recognition of facial expression (faces and gestures); Video test “estimation of another person emotional condition”; Survey for the estimation of emotional intelligence (EmIn); ten people with different CC pathologies participated.ResultsResults of the person with the CC pathologies were different from normative indexes of the first two methods. They did not recognize the shown emotion: the sign of emotional expression was not identified, the gestures were not distinguished and three positive characteristics out of 24 suggested for the designation of emotion modality were used. The emotions of heroes from video test were recognized mistakenly. The indexes were normative for all scales of EmIn survey. However quite noticeable negative correlation of“emotion control” and “interpersonal emotional intelligence” survey indexes with the index of emotional recognition video test was obtained.ConclusionsWeak emotional tone, leading to incorrect estimation of the emotional sign, is observed at CC pathology. This doesn’t exclude the violation of face emotional expressions analyze criteria. The situational context does not help the another person condition recognition. The answers on the EmIn test questions are based on subjective visions of the patient about themselves, those witnesses about the criticism reduction.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Neural modulations in processing of natural information in patients with schizophrenia and their unaffected siblings

2017 ◽  
Vol 41 (S1) ◽  
pp. s819-s819
Author(s):  
Y. Lerner ◽  
M. Bleich-Cohen ◽  
W. Madah ◽  
S. Solnik ◽  
G. Yogev-Seligmann ◽  
...  
Keyword(s):  
Information Processing ◽  
Response Time ◽  
Real Life ◽  
First Episode ◽  
Schizophrenia Group ◽  
Natural Information ◽  
Time Courses ◽  
Competing Interest ◽  
Information Comprehension ◽  
First Episode Schizophrenia

Recent studies in healthy populations have shown a hierarchical network of brain areas to process information over time. Specifically, we revealed that the capacity to accumulate information changes gradually from the early sensory areas toward high-order perceptual and cognitive areas. Previous research in schizophrenia pointed to impairment in comprehension of information. Yet, the neural mechanisms underlying the breakdown of information processing are poorly known. Better understanding of the neural circuits involved in information processing may assist in early identification of predisposition to the disease. Using fMRI, we examined different levels of information comprehension elicited by naturally presented stimuli. Healthy participants, patients with first episode schizophrenia and their undiagnosed siblings listened to a real-life narrated story and scrambled versions of it. To estimate the level of synchronization in response time courses, we calculated inter-subject correlation (inter-SC) across the entire stimuli within each group. The time-scale gradients found in healthy and siblings groups were consistent with our previous findings. Within the schizophrenia group, the reliability patterns obtained for the shortest and intermediate temporal scales were similar to patterns observed in healthy groups. However, the analysis of responses to story condition (long temporal scale) revealed robust and widespread disruption of the inter-SC. In comparison to healthy groups, the response time courses to the story were highly variable within the schizophrenia group, although some significant inter-SCs in the TPJ and precuneus were found. The hierarchical temporal deficit is a fundamental trait that may be a better target for the study of the etiology and pathophysiology of the disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Clinical presentation and course of bleeding events in patients with venous thromboembolism, treated with apixaban or enoxaparin and warfarin

2016 ◽  
Vol 116 (12) ◽  
pp. 1159-1164 ◽  
Author(s):  
Alexander T. Cohen ◽  
Harry R. Büller ◽  
Giancarlo Agnelli ◽  
Alexander S. Gallus ◽  
Gary E. Raskob ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Clinical Presentation ◽  
Clinical Course ◽  
Clinical Care ◽  
Bleeding Events ◽  
Reversal Agent ◽  
Warfarin Group ◽  
Severe Clinical Presentation ◽  
Direct Acting ◽  
Post Hoc

SummaryApixaban, a direct acting oral anticoagulant (DOAC), was found to be non-inferior to and safer as enoxaparin followed by warfarin for treatment of venous thromboembolism (VTE) in the AMPLIFY trial. Information is needed on how bleeding events with DOACs present and develop. In this post-hoc analysis, the clinical presentation and course of all major and clinically relevant non major (CRNM) bleeding events in the AMPLIFY trial were blindly classified by three investigators, using predesigned classification schemes containing four categories. Odds ratios (OR) for classifying as category three or four (representing a more severe clinical presentation and course) were calculated between apixaban and enoxaparin/warfarin. In total, 63 major and 311 CRNM bleeding events were classified. Of the major bleeds, a more severe clinical presentation occurred in 28.5% of apixaban versus 44.9% of enoxaparin/warfarin related recipients (OR 0.49, 95% confidence interval [CI] 0.14–1.78). A severe clinical course was observed in 14.3% and in 12.2%, respectively (OR 1.19, 95%CI 0.21–6.69). Of the CRNM bleeding events, a more severe clinical presentation and extent of clinical care was found in 25% of apixaban recipients compared to 22.7% in the enoxaparin/warfarin group (OR 1.13, 95%CI 0.65–1.97). The clinical presentation and course of major and CRNM bleeds were similar in apixaban and enoxaparin/warfarin treated patients. This finding should reassure physicians and patients that even in the absence of a specific reversal agent, apixaban is a convenient and safe choice for VTE.

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