Findings regarding impairments in quality of life of children and adolescents with short stature are not unequivocal. The present paper examines prevalence of such impairments, their mutual relationship, potential determinants and differences between patient self-report and parent report.

Children and adolescents (n=218) with short stature (idiopathic short stature and growth hormone deficit) and their parents provided assessments of psychological health (Strengths and Difficulties Questionnaire - SDQ) and health related quality of life (KIDSCREEN Questionnaire). Variance and regression analysis were used to identify group differences and potential determinants of quality of life.

Child-reported SDQ total score was in the normal range in over 80% of cases, while 7.8% were identified as borderline impaired and 8.2% were classified as abnormal. Parents ratings were 76% normal, 8.6% borderline and 17.8% abnormal. Impairments were found for young children, for boys and for very short patients. Analysis of variance showed higher KIDSCREEN scores in the SDQ normal group. SDQ and KIDSCREEN correlated significantly. Half of the variance in KIDSCREEN scores was explained by a combination of SDQ scores, clinical status and sociodemographic data in child and parent samples.

Parents reported higher impairments in psychological health than children. SDQ related differences in KIDSCREEN scores and the proportion of variance in QoL explained by the SDQ suggest that mental health should be routinely assessed in children with short stature as a part of the diagnostic process. Psychological interventions should be considered when clinically indicated.

Art and Religion have accompanied the history of human kind since primordial times, undergoing changes with evolution, being interconnected or separated in antithesis in some historical periods. Nevertheless both are eliciting the idea of “Sublime” affecting in a greater or lesser degree the life of individuals in our society. A curious interconnection with psychosis is seen in two peculiar conditions: Stendhal and Jerusalem syndromes.

Starting from the consideration of Art and Religion in the Idealistic philosophy the relationship between Stendhal and Jerusalem syndromes, which lead to acute transient psychotic episodes in tourists with psychic and somatic symptoms, is examined.

This work aims to spread the knowledge about the two syndromes, to highlight analogies between them, and finally to summarize and show a possible connection between the modern findings in neuroaesthetics and Stendhal syndrome.

The work is of qualitative type and mainly descriptive: all the existing evidence on the topic and with possible connections to it was brought together, summarised, and compared leading to new possible ideas for the future.

A hypothetical psycho-pathophysiological mechanism is proposed, based on the psychoanalysis, psychology, genetic, and the new findings in neuroaesthetic (especially connected to Stendhal syndrome), but more research is needed.

The influence of Art and Religion culminating in Stendhal syndrome and Jerusalem syndrome, based on their comparison, could be regarded as “tourist syndromes” or as a “tourist's transient psychotic episode” differentiating the object of psychosis as Art in the first and Religion in the second.

Of this study were to analyze the frequency of involuntary admission into psychiatric hospitals in Moscow through the Emergency Medical Service during a 2 -year period. As well as distinguish clinical, social and legal particularities associated with compulsory hospitalization.

The analysis of the database records of Psychiatric Department of the Station of Emergency Medical Service named after A.S. Puchkov for the period from July 2010 till June 2012.

General population of Moscow city consists of 11,5 millions people. 200 thousands individuals receive psychiatric care. Every year about 42,000 mentally ill people get admitted to the psychiatric hospitals in Moscow through emergency medical service. Around 60% (25 000) of the patients went through involuntary hospitalization. 82% of them were due to the autoagressive or aggressive behavior, including suicidal behavior and suicide attempts. 18% of involuntary hospitalization happened due to the psychiatric helplessness and risk for the health and well being of an individual in case of absence of psychiatric help. The numbers of involuntary admission remained stable over the two-year period. The most common entry diagnoses were unspecified schizophrenia and delirium tremens.

The primary Sjögren's Syndrome (SS) - a chronic, systemic autoimmune disease, characterized by lymphocytic infiltration of endocrine glands, functional impairment of the salivary and lachrymal glands, which has some common pathogenic links with stress-related mental disorders (MD).

To evaluate the occurrence rate/severity of MD and the influence of stress factors in SS patients.

50 inpatient women (mean age 46+13.16 yrs) suffering SS were enrolled in the study. MD were diagnosed in accordance with ICD-10 criteria. The severity of depression, anxiety and stress load were measured with MADRS, HAM-A and PSS.

MD were diagnosed in 42 (84%) of SS patients: depressive episode (mild/moderate; single/recurrent, n=9;18%); dysthymia (n=9;18%); generalized anxiety disorder (n=7;14%); adjustment disorder (n=8;16%); schizotypal disorder (n=9;18%). Mean severity levels of anxiety, depression and stress were 16.5+6.5; 17.2+7.9 and 16.9+6.0 accordingly. The acute stress factors and reactions were preceded the SS symptoms in most cases (n= 27, 54%). MD had the significant precipitating chronic stress factors in 36 (72%) patients. The adverse experience in childhood (parental deprivation mostly) had 32 (64%) of SS patients (recurrent events - 48%).

The study revealed high occurrence rate of MD, precipitating stress factors and childhood adverse experience in SS patients. The results support the stress-diathesis model of mental disorders in patients suffering rheumatic disease.

Patients with mental illness receive psychotropic medicine in high dosages and from more than one drug. Additionally the patients have high level of obesity which is a contributing factor to increased physical morbidities and premature death.

Quantify the use of psychotropic medicine in patients with severe mental illness. Measure the effect of an intervention to reduce psychotropic medicine.

Intervention study with six facilities for patients diagnosed with mental illnesses. The intervention period was one year.

At index many patients had obesity and waist circumference were in average 109 cm. Mean values of antipsychotic daily doses/ defined daily doses PDD/DDD was 2.5. The rate of antipsychotic excessive dosing was 65% and 88% of the patients were treated with psychotropic poly-pharmacy. The intervention didn’t show any effect as there were no difference between the changes in the intervention group and the control group.

The patients were treated with antipsychotic poly-pharmacy in high dosages. The intervention did not show any effect. We must think of new ways to restrict the treatment with psychotropics to this group of patients.

Despite growing interest in internet addiction (IA), there is still no consensus in perceiving it as a distinct clinical disorder. Proposals of including IA in the DSM-V and possibly also ICD-11 have strengthened the notion that it has a lot of features justifying its nosological classification as a primary disorder.

Besides a large number of epidemiological surveys, clinical examinations investigating psychopathological symptoms and co-morbidity in a standardized way are still missing. Hence, clinical data is very important in the research on IA as it might support data gained in representative studies.

The purpose of the study was to provide further clinical characterisation of IA.

A clinical sample from a specialized outpatient clinic in Germany was examined by clinical ratings (GAF; psychiatric co-morbidity) and questionnaires (SCL-90R, PHQ). Two clinical groups were included: Patients meeting criteria for IA (n=80) and patients with pathological gambling (n=80). For further statistical comparison, healthy controls (n=80) were recruited too.

Both clinical groups scored significantly higher in SCL-90R and PHQ than the controls. Patients with IA showed similar profiles in SCL-90R as pathological gamblers with no significant differences in any sub-scale. Also, scores of GAF were similar. Expert ratings on co-morbidity indicate that depression is associated with both disorders. In IA also social phobia is common.

Patients with IA and pathological gamblers display comparable levels of psychopathological symptoms and impairment. IA seems to cause significant psychopathological strain similar to pathological gambling that is accepted as a clinical disorder since the 1980ies.

Scarce studies have reported a relationship between Attention Deficit-Hyperactivity Disorder (ADHD) and atopic symptoms (i.e. rhinitis, eczema), food allergy and asthma in children and adults. Results of the studies show a trend toward a positive relationship.

This study aims to explore the relationship between ADHD and atopy in treatment-naïve children referred to an ADHD consultation.

For 12 consecutive months, all children diagnosed with impairing ADHD and for who a psychopharmacological treatment was indicated were blood tested for the presence of a mixture of specific IgE (PHADIATOP® test). An allergist subsequently performed prick-tests on only those with positive tests.

63 children out of 102 included (61.8%) had a positive blood test. Age, gender and Body Mass Index did not differ between positive and negative groups. Children were more likely to have ADHD Combined (66/102). Rates of Opponent Defiant Disorder (ODD, 40/102) and Conduct Disorder (CD, 14/102) were similar between groups. Atopy is not with ODD or CD. Familial history of ADHD (36/102) or atopy (39/102) is significant. Prick tests confirmed the blood test in all cases. Rhinitis was most frequent (40/63) with moderate to severe intensity in 23 cases (67.7%), associated with a history of conjunctivitis in 21 cases (61.8%). Most youths had never been referred to an allergist although some of them had a persistent and severe symptomatology.

This is the larger study reporting a strong relationship between ADHD and atopy. All children referred for ADHD shall be screened for atopy and vice versa.

The aim of this study was to understand the early stage of illness recovery experiences and related needs of patients who underwent emergency cardiac surgery.

A qualitative approach was used. Patients who had been transferred from intensive care units to a general ward for least 6 days and were expecting to be discharged within one week were interviewed at a medical center in northern Taiwan.

A total of 9 patients participated in this study. Two themes emerged from the analysis related to their illness experiences. Patients felt ‘shock’ when they were informed to have emergency surgery or when they woke up to know surgery had been done on them, including unbelieving and suspicious. They also described various degree of ‘psychiatric symptoms’, such as fragment of memory or memory loss related to the medical procedure, nightmares, insomnia,hallucinations, derealization, daze, sluggish response, and attention deficit. Three themes emerged from the analysis looking at their needs. Patients described the needs for ‘reassurances,’ ‘support,’ and ‘more information about subsequent treatment and care’ to rebuild their new life in the future.

This study has shown that these patients had many of symptoms related to acute stress and their related needs in the early recovery stage. The findings would enhance the health professions can design early interventions to treat acute stress symptoms in critical care units. It would help patients in the restore their social and occupational functions, and prevent the development of PTSD. It is suggested integrated interdisciplinary care and support are crucial helping patients recovery.

Burning mouth syndrome (BMS) is an unremitting oral burning in the absence of detectable changes of the oral mucosa, whose prevalence ranges from 3.7% to 18% in the older age groups, particularly among postmenopausal women. This condition is often under-diagnosed, and rarely treated when diagnosed.

1. (i) To make a synthesis of clinical and pathophysiological data

2. (ii) to provide a review on therapeutic evaluated in BMS.

We conducted a systematic review of the literature using the criteria according to the PRISMA research paradigm “glossodynia OR burning mouth syndrome OR stomatodynia OR stomadynia OR stomatopyrosis OR glossodynia OR oral dysesthesia OR persistent idiopathic orofacial pain”.

(i) BMS is described as burning pain, tingling or numbness sensations in the oral mucosa, most often affecting the tongue, anterior palate and/or lips. The pain increases during the day, is relieved when the patient is eating or drinking, and is exacerbated by speeching.

BMS has a multifactorial origin, involving peripheral nerve dysfunction (peripheral small fibre neuropathy of intraoral mucosa ; subclinical lingual, mandibular, or trigeminal neuropathy) and central (striatal dopaminergic dysfunction); hormonal dysfunction (impaired production of neuroactive steroids in the skin) and psychological (neuroticiste personality with somatization).

(ii) Literature can recommend systemic alpha-lipoic acid, topical or systemic clonazepam, and psychotherapy. Efficacy data and the risk / benefit ratio of the tongue protectors allow to recommend their use.

We have explained current clinical, physiopathologic, and therapeutic data of BMS whose understanding is necessary to improve these patients’management.

Care giving for the HIV/AIDS individual in developing countries has become the responsibility of the family, and an identified primary care giver amongst them, who is subjected to enormous stress in fulfilling that role. Those who adopt healthy coping strategies, render better care to their wards, improving their quality of life.

To study the coping styles among primary caregivers of HIV/AIDS patients.

To assess patterns of coping among primary caregivers of patients infected with HIV/AIDS.

A cross sectional study design was employed. 60 consecutive patients were recruited for the study after consent, from the ART centre of a tertiary care hospital. Socio demographic details were collected, and coping strategies assessed using Active behavioral, Active cognitive and Avoidance coping strategies Scale (Billings & Moos, 1984).

Three patterns of coping were used. Avoidance as a strategy was predominant in older care givers, males, bread winners, influenced by their age, gender and financial independence, respectively. Professionally employed individuals used more coping strategies while those with lower levels of education and employment used fewer strategies, probably an indication of their access to information regarding the illness. Primary carers, for less than a year, used more avoidance; those for more than five years used more cognitive strategies, those between these groups used more behavioral ones.

Intervention for those primary care givers who employ fewer coping strategies, predominantly avoidance would help improving the quality of care rendered to the afflicted individuals and thereby their quality of life.

On the eve of its entry into the DSM-V, hebephilia is a sexual deviance under debate. Few studies describe hebephiles, then who are these sex offenders?

Assess the profile of adolescents sex offenders and their victims, and the characteristics of their penal treatment.

This is a retrospective study carried out from the court records of adolescents sex offenders followed by the State Department on the Enforcement of Sentences of Tours and Chateauroux (France).

31 offenders and 57 victims have been identified.

1. - Concerning offenders: the average age was 37.8 ± 9.4 years. 71% had a job and 51.6% lived in couple. 87.1% had normal or borderline intellectual level. 38.7% had been victimized in childhood, of which 58.3% had experienced sexual violence.

2. - Regarding penal treatment: 42% of subjects were judged by a correctional court, and 58% by a criminal court. 22.6% of subjects were in recidivism. The average length of imprisonment was 7.5 ± 4.2 years. 67.8% of subjects were sentenced to treatment with 48.4% imposed an injunction care. The average duration of treatment was 4.4 ± 3.1 years.

3. - Concerning victims: 57 victims were identified of which 86% were female. The mean age was 14.1 ± 2.1 years. 58.1% of violences experienced were rapes in with 48.4% of intrafamilial. 67% of violence had repeated character.

This French study in which data are comparable to those of the North American literature, provides details on the characteristics of hebephiles that are passed to the act.

To evaluate the efficacy of paliperidone ER in patients with psychotic symptoms, assessing the improvement of positive and negative symptoms and functioning.

An observational, prospective and multicentre study was carried out, collecting in a systematic way all the information after the prescription of paliperidone ER in patients with psychotic symptoms with a 12 weeks follow up. Baseline visit (V0), 15 day visit (V1), one month visit (V2), two month visit (V3) and three month visit (V4).The primary variable of efficacy used was the assessment of severity in symptoms with the ICG-S scale. Other variables of efficacy used were PANSS and ICG-C scales in all visits and PSP scale at baseline visit and final visit. At baseline visit medical and psychiatric history were collected.

Paliperidone ER treatment was initiated in 26 patients with a mean age of 35.6 years old (SD 11.62). The main reason of treatment initiation with paliperidone ER was the lack of efficacy of other previous treatments in 12 patients (46.15%), followed by lack of tolerability in 5 patients (19.23%). The used dosage ranged between 3 and 18 mg/day, mean dosage of 8.28 (SD 3.16). There was a statistically significant decrease of the PANSS scores throughout the study in positive, negative and global symptoms .There was also a statistically significant reduction of ICG and PSP scores throughout the study.

Paliperidone ER was effective in the treatment of the psychotic symptoms on both positive and negative symptoms and also in functioning.

Stigma of mental illness can be defined as a set of stereotypes and prejudice established in the society that leads to discriminatory behavior against people who suffer from a psychiatric condition. Mental illness stigma is widely spread in community and reaches not only general population but also health professionals. The impact of these negative attitudes in mental ill people is severe and is becoming more relevant as mental illness gets more prevalent.

To characterize and evaluate attitudes and prejudicial reactions adopted by a population of medical students and doctors from psychiatry, internal medicine and surgery that study/work in Braga's region (North of Portugal).

Students and professionals were surveyed using a socio-demographic questionnaire and AQ27 questionnaire - Portuguese version, a validated questionnaire to measure stigmatizing attitudes and reactions. A total of 353 questionnaires were collected. Response rate was 68,8% among doctors (n=150) and 32,6% among medical students (n=203). Scores between groups and contributes of age, sex and past experience were analyzed with linear regression modeling.

High scores in several stigmatizing attitudes were found in both medical students and professionals. Psychiatrists displayed lower levels of stigmatizing attitudes in all categories analyzed, except “pity” which was dependent on age of responders. Interestingly, students showed significantly lower stigmatizing attitudes in help, pity and avoidance. No differences were found between groups among coercion and segregation.

The results show that both medical students and professionals, including psychiatrists, exhibit stigmatizing attitudes, which should be specifically addressed in order to improve care.

The conventional two-class psychiatric conceptualization of PTSD has been criticized for ignoring the existence of “trauma without symptoms” and “symptoms without trauma”.

To present and test a new four-class conceptualization of the relationship between trauma and symptoms that responds to the above criticism. The proposed four classes are: PTSD (high trauma and high symptoms); Resilient (high trauma but low symptoms); Stress Prone (low trauma but high symptoms); and Ideal Norm (low trauma and low symptoms).

To demonstrate fit between new conceptualization and empirical data.

Sample: 673 adults age 18-19. Measures: a trauma index incorporating five types of frequently experienced potentially traumatic events; a standardized 16 item measure of posttraumatic stress symptoms; multi-item scales of two protective factors (social support and self efficacy). Statistical procedures: cluster analysis and ANOVA.

Statistical cluster analysis produced four classes of individuals: 19% of sample had high trauma and high symptoms (PTSD); 23% had high trauma and low symptoms (Resilient); 21% had low trauma and high symptoms (Stress Prone); and 36% had low trauma and low symptoms (Ideal Norm). “Resilient” and “Norm” groups also had high “protection”. Four-class model was a better fit to data than two-class model.

The proposed re-conceptualization, using four classes and incorporating protective factors, better describes the empirical trauma-symptom relationship than the conventional two-class psychiatric conceptualization of PTSD; and begins to clarify the psycho-social dynamics of the trauma-psychopathology relationship.

Capgras syndrome is a misidentification syndrome typically characterized by the delusional belief that a close relative has been replaced by an impostor. This monothematic delusion can be found in numerous disorders such as paranoid schizophrenia, schizoaffective disorder, affective disorders, Alzheimer's disease, Lewy body dementia, head trauma, epilepsy, cerebrovascular disease and dementia, pituitary tumor, multiple myeloma, multiple sclerosis, viral encephalitis, frontal lobe pathology and AIDS. We present a case of a patient that presents Capgras Syndrome at the first psychiatric evaluation in the context of three-decades untreated paranoid schizophrenia.

A 56-year-old woman was brought to the psychiatric department for evaluation for aggressive behavior directed to relatives. She has a history of auditory hallucinations, experiences of self-reference and paranoid delusions with more than 30 years of evolution. More recently, she started becoming aggressive with relatives, saying her real family members had been taken by strangers to an unknown hospital. She also said that her ID photo had been replaced by another person's photo. After detailed psychiatric evaluation, blood analysis and imaging study, the diagnosis of Paranoid Schizophrenia was established. She was treated with olanzapine 20mg/day with behavioral improvement.

Although Capgras Syndrome is not a psychiatric diagnosis but a feature of several different conditions, psychiatrists should be aware of this syndrome as it can signalize underlying psychiatric disorders and is usually associated with violent behaviors that should be managed.

Musicians are a population often stereotypically linked to a wide range of substance use behaviors. A number of convenience studies provide support for the perception of disproportionately high substance use rates by musicians.

An association between alcohol and substance abuse and musical activity has been reported previously. However, up until now, no study has been carried out on the relationship between Internet overuse and musical activity.

The aim of this study was to evaluate Internet addiction among adolescents and to examine the correlation between problematic Internet use and musical activity.

The study was conducted among 1905 students, aged between 14 and 18 years. Internet Addiction Test (IAT) and a sociodemographic query form were used in the collection of data. Students were also asked if they were regularly engaging in a musical activity.

The students with problematic Internet use and Internet addiction were more likely to engage in musical activity than students with avarage Internet use (p<0.001). Adolescents who regularly engage in a musical activity scored higher on IAT than adolescents who do not (36.3±17.5, 28.9±14.9, respectively; p<0.001). Additionally, students who regularly engage in a musical activity were found to spend more time on Internet when compared to those who do not (p<0.001).

These results indicate an association between the Internet addiction and musical activity. We hope that future studies will fruitfully draw upon our exploratory findings in order to generate a more nuanced understanding of the nature and implications of Internet addiction among musicians.

Paraphrenia is a disorder similar to paranoid schizophrenia characterized by phantastic, paralogical and extraordinary imaginative delusions, with better-preserved affect and rapport and much less personality and cognitive deterioration. Most affected patients are women, with onset of symptoms in late adulthood. It was firstly systematically described by Kraepelin in 1913 in order to define a group of psychotic patients who exhibited characteristic symptoms of dementia praecox, but with minimal disturbances of emotion and volition, and marked delusions. Later, it was considered to be unfounded and the term paraphrenia was not included in the current DSM-IV-TR and ICD-10 diagnostic criteria. However, several authors suggest that the concept of paraphrenia has not lost its usefulness and it seems to be that some psychiatrists recognize the illness, but labelled it as atypical psychosis or delusional disorder for the lack of a better diagnostic category.

The aim of this poster is to underline the modernity of Kraepelin's paraphrenia concept, suggesting that it could be possible to define and recognize the illness if practitioners would be induced to use a viable diagnostic entity.

Herein we report a case of a 51-year-old woman who presented three years ago with a psychotic disorder whose clinical features resemble de classical description of paraphrenia.

Very few systematic studies on paraphrenia have been carried out in the past 70 years. Further research in this field is needed in order to recognize the viability of this diagnosis and provide patients a better care and therapeutic management.

Self-image is developed by the way in which adolescents think, feel and behave and it arises from the person's body image during preadolescence. problematic A considerable amount of literature published so far on Internet addiction reveals that it is a worldwide phenomenon.

Internet use involves an individual's inability to control his or her use of the Internet, negative consequences (e.g., failing in school, decreased productivity), and marked distress and/or functional impairment Until now, no studies were performed to investigate the relationship between Internet addiction and self-image.

The aim of this study was to evaluate Internet addiction among adolescents and to examine the correlation between problematic Internet use and self-image.

We assessed 1912 high school students, aged between 14 and 18 years. Internet Addiction Test (IAT), Offer Self- Image Questionnaire (OSIQ), and a sociodemographic query form were used in the collection of data.

According to the IAT, 201 students (10.5%) were found to be a ‘problematic Internet user’ or an ‘Internet addict’. The students with Internet addiction scored lower on all subscales of OSIQ (impulse control, emotional tone, body image, social Relations, vocational and educational goals, family relations, mastery of the external world, emotional health and superior adjustment), except sexual attitudes. A significant negative correlation between daily OSIQ subscales and IAT and weekly Internet use was found.

The results of this study showed that Internet addiction was related to the development of the self-image, which is a crucial psychological structure gained in adolescence.