A non-smoking program in the psychiatric clinic: Eradicating tobacco from the therapeutic space

2016 ◽  
Vol 33 (S1) ◽  
pp. S633-S633
Author(s):  
J. Jaber ◽  
A. Tomé ◽  
B. Reys
Keyword(s):  
Rio De Janeiro ◽  
Psychiatric Hospitalization ◽  
Behavioral Therapy ◽  
Pharmacological Therapy ◽  
Hospital Treatment ◽  
Psychiatric Clinic ◽  
Moderate Physical Activity ◽  
Therapeutic Space ◽  
Competing Interest

IntroductionThe work describes the well-succeeded experience of the Non-Smoking Program developed in a psychiatric clinic in Rio de Janeiro city, Rio de Janeiro, Brazil.ObjectiveTo treat the tobacco dependence in patients with disorders for the use of substances and other psychiatric disorders. To transform the clinic therapeutic space in a free tobacco environment.AimsTo promote the restoring of the patients’ health integrally, considering the use of tobacco is responsible for a large number of avoidable deaths, in addition to much harm to health.MethodsIn a clinic of hospitalization for diverse mental disorders treatment, especially disorders for the use of substances, in the city of Rio de Janeiro, Rio de Janeiro, Brazil, was simultaneously established a non-smoking treatment program. It was used the pharmacological therapy, associated with cognitive-behavioral therapy, occupational therapy and moderate physical activity. The average time of permanence in the non-smoking program was on average 90 days.ResultsThere was significant acceptance to the proposed program. In the long-term monitoring, over 12 months, it was evidenced that most patients found themselves in tobacco abstinence.ConclusionThe project achieved its objectives, promoting the tobacco abstinence in patients with comorbidities in hospital treatment. The study proved that it is possible to remove tobacco in patients dependent on this substance during a psychiatric hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Evaluation of a nonsmoking program in psychiatric clinic

2017 ◽  
Vol 41 (S1) ◽  
pp. S330-S330
Author(s):  
J. Jaber ◽  
A. Tomé ◽  
F. Castro ◽  
A. Hollanda ◽  
B. Reys
Keyword(s):  
Rio De Janeiro ◽  
Psychiatric Hospitalization ◽  
Tobacco Dependence ◽  
Psychiatric Clinic ◽  
Moderate Physical Activity ◽  
Number Of Patients ◽  
Therapeutic Space ◽  
Competing Interest ◽  
Free Environment ◽  
The City

IntroductionThe work evaluates the nonsmoking program successful experience, carried out between the years of 2008 and 2015 in a psychiatric clinic in the city of Rio de Janeiro, Rio de Janeiro, Brazil.ObjectivesThe program has as objectives to evaluate the treatment of tobacco dependence in patients with disorders for the use of substances and other psychiatric disorders and the experience of transforming the therapeutic space of the clinic in a tobacco-free environment, considering that the use of tobacco is responsible for a large number of avoidable deaths and other aggravations to health.MethodsThe program achieved the objectives, assessing the promotion of the tobacco abstinence in a large number of patients, through the utilization of pharmacological treatment, cognitive behavioral psychotherapy, occupational therapy, art therapy and moderate physical activity.ResultsIn a 12-month period, after carrying out the program, 48% of the assessed patients kept in tobacco abstinence.ConclusionsThe study showed the percentage of patients who were discharged on tobacco abstinence and the percentage of those who kept abstemious after 12 months, demonstrating that the nonsmoking program is an efficient tool in the tobacco dependence treatment and can be used over a psychiatric hospitalization with promising results.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Management of Late-life Insomnia

2016 ◽  
Vol 33 (S1) ◽  
pp. S468-S469
Author(s):  
S. Bravo Herrero ◽  
C. Moreno Menguiano ◽  
R. Martín Aragón ◽  
M. Gutiérrez Rodríguez ◽  
J.F. Cruz Fourcade ◽  
...  
Keyword(s):  
Elderly People ◽  
Behavioral Therapy ◽  
Late Life ◽  
The United States ◽  
Pharmacological Therapy ◽  
Current State ◽  
Behavioral Therapies ◽  
Sedative Hypnotics ◽  
Competing Interest

IntroductionInsomnia is the most frequent sleep disorder in late life. Forty-two percent of elderly people in the United States often complain about difficulties to get or maintain sleep, or awakening too early. Insomnia is frequent in old people greatly due to frequency of concomitant medical illnesses and polypharmacy, rather than because of age.ObjectivesThe objective of our research was to revise the current state of knowledge about management of insomnia in people above 65 years of age.MethodologyFor that, a bibliographical search through PubMed.gov has been made. From the obtained results, the 14 which best suited for our goals were selected, 10 of them dealing with people above 65 years and the rest with people above 75 or 80 years of age.ResultsBased on the literature reviewed, the current options of management of late-life insomnia are based on behavioral or pharmacological therapy. The combination of behavioral therapies shows results and is currently considered as an option, especially given the possibility of medicine interaction and the secondary effects hypnotic and sedative medicines might produce. There is a paucity of long-term safety and efficacy data for the use of non-benzodiazepine sedative-hypnotics. There are no criteria for the use of antidepressant sedatives in elderly people without diagnosed depression, although they are still used in practice.ConclusionPossibility of using behavioral therapy as first option. In case of polymedicated or multi-pathological patients, pay special attention when starting a pharmacological treatment, choose the most suitable one and supervise it closely.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Definition, Epidemiology, Clinical Course and Outcomes in Treatment-resistant Schizophrenia

2017 ◽  
Vol 41 (S1) ◽  
pp. S67-S67
Author(s):  
J. Seppala ◽  
J. Miettunen ◽  
E. Jääskeläinen ◽  
M. Isohanni ◽  
A. Seppälä ◽  
...  
Keyword(s):  
Brain Structure ◽  
Cognitive Rehabilitation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Behavioral Therapy ◽  
Hospital Treatment ◽  
Younger Age ◽  
Competing Interest ◽  
Definition Of

Based on a systematic review on TRS 285 studies were included regarding definitions of TRS (n = 11), genetics (18), brain structure and functioning (18), cognition (8), other neurobiological studies (16), medication (158), psychotherapy and cognitive rehabilitation (12), electroconvulsive therapy (ECT) and repetitive transcranial magnetic stimulation (rTMS) (15), prognosis (21), and other miscellaneous studies (8). Definitions of TRS varied notably. TRS was associated with 3 to 11-fold higher healthcare costs than schizophrenia in general. One-fifth to one-third of all patients with schizophrenia were considered to be resistant to treatment. Based on limited evidence of genetics, brain structure and functioning and cognition, TRS may present as a different disorder with different etiology compared to non-TRS. Clozapine, olanzapine, risperidone, ECT and cognitive-behavioral therapy have shown effectiveness, although the number of studies and quality of research on interventions is limited. About 40% to 70% of TRS patients had an unfavorable prognosis. Younger age, living in a rural or less urban area, primary education level, more psychiatric hospital treatment days in the year before first schizophrenia diagnosis, inpatient at first schizophrenia diagnosis, paranoid subtype, comorbid personality disorder and previous suicide attempt may be risk factors associated with TRS.TRS is a poorly defined, studied and understood condition. To create a framework of knowledge for TRS, as a basis to develop innovative studies on treatment, there is a need for a consensus on the definition of TRS. Prospective long-term prognostic and novel treatment intervention studies are needed [1].Disclosure of interestThe authors have not supplied their declaration of competing interest.

Voluntary and involuntary admission to a subacute psychiatric hospitalization unit

2016 ◽  
Vol 33 (S1) ◽  
pp. S567-S567
Author(s):  
O. Orejas ◽  
P. Flores Martínez ◽  
C. Macías Castellví ◽  
M.T. Campillo Sanz ◽  
M. Vallvé Elias ◽  
...  
Keyword(s):  
Psychiatric Hospitalization ◽  
Psychiatric Treatment ◽  
Involuntary Hospitalization ◽  
Short Term ◽  
Psychotherapeutic Relationship ◽  
Controversial Topic ◽  
Spss Software ◽  
Competing Interest ◽  
Transversal Study

IntroductionInvoluntary admissions continue to be a controversial topic in psychiatry. However, it is well known that psychosocial rehabilitation treatment is more successful when the patient is involved in it improving awareness and adherence to treatment.ObjectivesThis study examined admissions patterns, including voluntary, involuntary, and partly voluntary admissions to a subacute psychiatric hospital.MethodsThis is a transversal study. All patients admitted for a medium-term psychiatric treatment since 01/06/2014 to 30/11/2015 were included. Patients's basic sociodemographic and clinical data were collected and compiled in a database. Descriptive statistics were performed using SPSS Software.ResultsA total of 88 patients (52% men; mean age: 48.6 years) composed the sample. In 58% of cases, schizophrenia and schizoaffective disorder were the diagnoses motivating the admission. Among 88 patients, 44 (50%) had voluntary admissions, 16 (18.2%) had involuntary admissions, 27 (30.7%) had partly voluntary admissions and just one patient (1.1%) had partly involuntary admissions. Seventy-one (80.1%) patients had voluntary admissions at discharge, and only one of them escape from hospital and did not finish the treatment.ConclusionsIn the short term involuntary hospitalization has benefits, however also can have adverse long-term consequences for the patient-therapist allegiance, breaking the psychotherapeutic relationship and making the patient abandon treatment. It's important to reassess the condition of admission and work with the patient the need to engage in treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A Creative Experience in the Treatment of Patients in Mental Health

2016 ◽  
Vol 33 (S1) ◽  
pp. S519-S519
Author(s):  
J. Jaber ◽  
S. Humel ◽  
B. Reys
Keyword(s):  
Art Therapy ◽  
Rio De Janeiro ◽  
Psychiatric Treatment ◽  
Psychological Treatment ◽  
Well Being ◽  
Psychiatric Clinic ◽  
Psychoactive Substances ◽  
Hospital System ◽  
Creative Processes ◽  
Therapeutic Space

IntroductionThe work describes a well-succeeded experience in the utilization of art therapy in a psychiatric clinic in the city of Rio de Janeiro, Rio de Janeiro, Brazil. The clinic is concentrated on the treatment of diverse mental disorders, in special, the disorder due to the use of psychoactive substances.ObjectiveTo present new and creative therapeutic ways inside the hospital for the treatment of patients having diverse psychiatric disorders, especially disorders due to the use of psychoactive substances.AimsDemonstrate the decrease of resistance to the treatment under the hospital system, the strengthening of the therapeutic alliance, the appreciation of the therapeutic space and the well-being promotion during the treatment.MethodsOne hundred and twenty patients, in a clinic for psychiatric treatment, participated in this therapeutic project, which offered psychological treatment through artistic and creative processes, promoting the possibility of experiencing their recovery through the realization of a Carnival programming inside the therapeutic setting.ResultsAll patients showed good acceptance to the workshops and participated in the presentations. Over the workshops, the patients also received therapeutic approaches and worked personal difficulties, which came up along the therapeutic process.ConclusionsThrough the project development, the patients showed excellent investment and appreciation of the alliance and therapeutic space, demonstrating the great potential of the psychological treatment, through the creative processes of art therapy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Cognitive behavioral approaches to coping with suffering and hardship

2016 ◽  
Vol 33 (S1) ◽  
pp. S560-S560
Author(s):  
J. Vyskocilova ◽  
J. Prasko ◽  
M. Ociskova ◽  
Z. Sedlackova ◽  
M. Slepecky ◽  
...  
Keyword(s):  
Behavioral Therapy ◽  
Psychological Disorder ◽  
Cognitive Behavioral ◽  
Permanent Disability ◽  
Acceptance And Commitment ◽  
Compassion Focused Therapy ◽  
Competing Interest ◽  
Cognitive Behavioral Approaches

IntroductionLow level of ability to endure discomfort, hardship and distress, which are integral parts of adverse life events, may lead to loss of mental stability and maintenance of psychological disorder.MethodReview of literature and case descriptions.ResultsThe patient often tries to cope with their suffering through avoidance and compensatory behavior which may relieve his suffering immediately; however, in the long term, it leads to the deterioration in the quality of his life and the persistence of suffering. Cognitive behavioral approaches focused on increasing the ability to endure unpleasant and distressful life experiences, allow the patient to better bear the inevitable losses in life, which he is exposed to, endure his anxiety, sadness, and the urge to impulsive action or escape; so the patient have more possibilities to act more freely, functionally and purposefully. Modern cognitive behavioral approaches, such as Dialectic Behavioral Therapy, Mindfulness Based Cognitive Therapy, Acceptance and Commitment Therapy and Compassion Focused Therapy developed and applied therapeutic methods designed to increase the patient's resistance to suffering and his ability to cope it better. These approaches are applied not only in patients with chronic psychiatric disorders, but also in patients with chronic physical illnesses and permanent disability.ConclusionsThe modern CBT strategies can help patients to increase his/her resistance to the distress, discomfort and suffering.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Positive Emotion in Generalized Anxiety Disorder

2019 ◽  
pp. 297-311
Author(s):  
Ilana Seager ◽  
Douglas S. Mennin ◽  
Amelia Aldao
Keyword(s):  
Anxiety Disorder ◽  
Positive Affect ◽  
Generalized Anxiety Disorder ◽  
Positive Emotion ◽  
Behavioral Therapy ◽  
Generalized Anxiety ◽  
Emotional Dysfunction ◽  
Wide Range ◽  
Future Work

Generalized anxiety disorder (GAD) is a debilitating condition characterized by excessive, pervasive, uncontrollable, and paralyzing worries about a wide range of future situations. Individuals with this condition frequently find themselves stuck in worry and tension cycles in futile attempts at reducing uncertainty and increasing control. GAD has been associated with substantial impairments in functioning and reduced quality of life. GAD remains poorly understood, and the long-term efficacy and end-state functioning resulting from treatment are weaker compared to other anxiety disorders. Some treatments (e.g., emotion regulation therapy, acceptance-based behavioral therapy) have improved efficacy, partly by targeting emotional dysfunction. Basic psychopathology research has focused on identifying the role of negative affect in GAD, so little is known about how positive affect is experienced and regulated in this disorder. This is particularly important in light of the overlap of this condition with major depressive disorder, which is characterized by low or suppressed positive emotion. Developing such an understanding is essential to further improve the efficacy of emotion-based treatments. This chapter reviews current and future directions in the study of positive affect in GAD. The chapter reviews the nascent research on positive affect and GAD, then illustrates dimensions of future work.

The role of personality traits in initiating and maintaining addictive behavior

2016 ◽  
Vol 33 (S1) ◽  
pp. S307-S307
Author(s):  
M. Manea ◽  
B. Savu
Keyword(s):  
Substance Abuse ◽  
Anxiety Disorders ◽  
Personality Traits ◽  
Trait Anxiety ◽  
Psychiatric Clinic ◽  
Strongly Correlated ◽  
Addictive Disorder ◽  
Substance Disorders ◽  
Competing Interest

IntroductionIt is well known that certain personality traits are more linked to drug abuse than others. Psychiatrists are more likely to emphasize the importance of impulsivity in the connection with substance disorders but in the following study we found an important percentage of patients that have a substance abuse were linked to anxiety through impulsiveness as a personality trait.ObjectivesMost youths admitted for a substance abuse are highly impulsive. Our quest was to differentiate what component of impulsivity was more frequently linked to a substance use disorder.MethodsIn the study were included 50 patients admitted in the 3rd Psychiatric Clinic, Substance Dependences Department, Cluj-Napoca. For the identification of the drug abused we used the multitest screening kit in correlation with the results from the Forensic Medicine Institute of Cluj-Napoca. Each patient completed the Barratt Impulsivity Scale and the Swedish Universities Scales of Personality.ResultsHigh scores on BIS-11 strongly correlated with attentional impulsiveness (Pearson's r correlation = .838) which means high inattention and cognitive instability this being linked with anxiety disorders. Cognitive Instability was correlated with Psychic Trait Anxiety (r = 0.29) and Motor Impulsiveness with Somatic Trait Anxiety (r = 0.3). Normal 0 false false false EN-US X-NONE X-NONE.ConclusionsThe underrecognized anxiety disorders in young adults whom are admitted for an addictive disorder prefrontal cortex is known to be the source of both impulsivity and could be linked to anxiety as well (valence asymmetry hypothesis). Normal 0 false false false EN-US X-NONE X-NONE.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Do Improvements After Inpatient Dialectial Behavioral Therapy Persist in the Long Term?

2008 ◽  
Vol 196 (11) ◽  
pp. 847-851 ◽  
Author(s):  
Nikolaus Kleindienst ◽  
Matthias F. Limberger ◽  
Christian Schmahl ◽  
Regina Steil ◽  
Ulrich W. Ebner-Priemer ◽  
...  
Keyword(s):  
Behavioral Therapy
Sign in / Sign up

Export Citation Format

Share Document