Ελληνική Ψυχιατρική Βιβλιογραφία

Εργασίες από Ελληνικά Ιδρύματα - Μέρος 3



< 124>
Accession Number Journal Article: 80-13954.
Author : Kokkevi, Anna; Stefanis, Costas.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : The epidemiology of licit and illicit substance use among high school students in Greece.
Source: American Journal of Public Health. Vol 81(1) 48-52, Jan 1991.
Abstract:
Examined self-reported adolescent licit and illicit substance use of 11,058 Greek adolescent students (aged 14-18 yrs). Regular smoking and use of alcohol in the 30 days prior to this 1984 survey were reported by 22.3% and 82.3% of Ss, respectively. 30.3% of Ss reported lifetime use of psychotropic drugs without prescription, without ever having used any illicit drug. Regular use of tobacco, alcohol, and illicit drugs was more common in males ( n = 5,354), while unprescribed use of licit psychotropic drugs prevailed in females ( n = 5,359). In an Athenian subsample of 1,961 Ss, there was a 20% increase in illicit drug use among males between 1984 and 1988. Use of psychotropic drugs without prescription decreased much more than use of tobacco and alcohol over the 4-yr period.

< 125>
Accession Number Journal Article: 80-13790.
Author : Markianos, Manolis; Botsis, Alexander; Arvanitis, Yannis.
Institution : Athens U Medical School, Eginition Hosp Psychiatric Clinic, Greece.
Title : Biogenic amine metabolites in plasma of drug-naive schizophrenic patients: Associations with symptomatology.
Source: Biological Psychiatry. Vol 32(3) 288-292, Aug 1992.
Abstract:
Estimated the main metabolites of dopamine, noradrenaline, and serotonin (5-hydroxytryptamine (5-HT)), which are homovanillic acid, 3-methoxy-4-hydroxyphenylglycol (MHPG), and 5-hydroxyindoleacetic acid (5-HIAA), respectively. Ss were 20 drug-naive male schizophrenic (SCZ) patients (aged 19-24 yrs) and 21 healthy controls. Although there were no significant differences between the 2 groups, there were strong associations between SCZ Ss' 5-HIAA and MHPG plasma levels and their scores on Brief Psychiatric Rating Scale items. 5-HIAA levels were mainly related positively to hostility and negatively to somatic concern, and MHPG levels were related positively to disorientation and negatively to emotional withdrawal and uncooperativeness. Levels of the neurotransmitter metabolites may be related to certain psychological dysfunctions of the patients rather than to disease entities.

< 126>
Accession Number Journal Article: 80-13730.
Author : Madianos, M G; Stefanis, C N.
Institution : U Athens, Community Mental Health Ctr, Greece.
Title : Changes in the prevalence of symptoms of depression and depression across Greece.
Source: Social Psychiatry & Psychiatric Epidemiology. Vol 27(5) 211-219, Oct 1992.
Abstract:
Examined the regional prevalence of symptoms of depression and clinical depressive episodes in Greece in the years 1978 and 1984 with the Center for Epidemiologic Studies Depression Scale. Surveys of 4,083 adults in 1978 and 3,706 in 1984 on psychosocial issues and health were carried out in 4 geographical areas: the Greater Athens area, the Greater Thessaloniki area, the rest of the urban areas, and rural areas. Within the 6-yr period a substantial increase in the prevalence of symptoms of depression in all geographic areas was observed, with the Athenian respondents expressing a higher number of symptoms of depression than their counterparts from the other areas. The prevalence of current major depressive episodes increased in 1984 in Athens and in the rural areas only. It is suggested that economic instability between 1978 and 1984 probably contributed to the changes in the rates of depressive disorders.

< 127>
Accession Number Journal Article: 80-11987.
Author : Malikiosi-Loizos, Maria; Anderson, Lynn R.
Institution : U Athens, Greece.
Title : Reliability data on a Greek translation of the Revised Self-Monitoring Scale.
Source: Psychological Reports. Vol 71(2) 544-546, Oct 1992.
Abstract:
Scores on a Greek translation of the Self-Monitoring Scale-Revised were very highly correlated with those on the English version among 36 bilingual undergraduate Greek university students. For 127 female undergraduates in Greece, the alpha reliability was .63 for Factor A (Ability to Modify Self-Presentation) and .65 for Factor B (Sensitivity to the Expressive Behavior of Others) when Item 4 was deleted. There were no significant differences between mean scores of the Greek Ss and mean scores of 104 women at an American university for either factor.

< 128>
Accession Number Journal Article: 80-09941.
Author : Lykouras, Lefteris; Papadimitriou, George; Kontea, Maria; Stefanis, Costas.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : A family with suicidal and homicidal members.
Source: European Journal of Psychiatry. Vol 6(2) 69-73, Apr-Jun 1992.
Abstract:
Reports a 4-generation family pedigree of a bipolar proband (a 61-yr-old mother) who attempted suicide; 4 members of the pedigree had committed suicide. All were males on the paternal side of the proband, and all used different violent means. A 5th male member of this family committed homicide, and another male was murdered, thus indicating a familial component of aggressive behavior characterizing certain members of this family. Two members who committed suicide were diagnosed as having major depression and committed suicide during a depressive episode.

< 129>
Accession Number Journal Article: 80-02920.
Author : Madianos, Michael G; Madianou, Dimitra.
Institution : U Athens Faculty of Medicine, Community Mental Health Ctr, Greece.
Title : The effects of long-term community care on relapse and adjustment of persons with chronic schizophrenia.
Source: International Journal of Mental Health. Vol 21(1) 37-49, Spr 1992.
Abstract:
34 Greek adults with chronic schizophrenia, who had been psychiatric inpatients or had requested ambulatory psychiatric service, received care at a community mental health center (CMHC) that included medication maintenance, problem-solving, supportive psychotherapy, group social and recreational activities, and social-work intervention. 72 matched controls received routine care at an outpatient facility that focused mainly on prescription of medication. The average follow-up period was 54 mo. There were 1 initial and 2 subsequent assessments. Social adjustment was assessed by the Community Adjustment Scale that covered 12 dimensions of social adjustment, including compliance with aftercare, housing conditions, and the ability to be or live alone. Ss who received aftercare by the CMHC were better reintegrated into the community and functioned more effectively than those who were treated by standard outpatient services.

< 130>
Accession Number Journal Article: 80-01733.
Author : Molvaer, Janitha; Hantzi, Alexandra; Papadatos, Yannis.
Institution : Ctr for Mental Health, Zante, Greece.
Title : Psychotic patients' attributions for mental illness.
Source: British Journal of Clinical Psychology. Vol 31(2) 210-212, May 1992.
Abstract:
Examined the attributions concerning mental illness of 50 male and 33 female adult psychotic outpatients participating in a rehabilitation program. Ss replied to a personally administered questionnaire, designed to obtain ratings of importance for several causes of mental illness, and a measure of how optimistic they felt about their future psychological health. Factor analysis revealed 3 factors (Family/Relationships, Personal Inadequacy, and Chance), accounting for 48% of the variance. Except for gender, demographic variables and variables specific to the sample in question did not differentiate Ss' beliefs about their illness. However, findings suggest that lower rating of personal inadequacy may be associated with increased optimism about Ss' future mental health.

< 131>
Accession Number Journal Article: 80-00680.
Author : Anagnostakis, Yannis; Zis, Vassilis; Spyraki, Christina.
Institution : U Crete Medical School, Lab of Pharmacology, Heraklion, Greece.
Title : Analgesia induced by morphine injected into the pallidum.
Source: Behavioural Brain Research. Vol 48(2) 135-143, Jun 1992.
Abstract:
Bilateral microinjections of morphine HCl or saline were aimed at 3 regions of the male rat globus pallidus: dorsal, medial, and ventral. Before and at various intervals after intrapallidal morphine (15-180 min), estimation of pain threshold was made by the hot-plate procedure and tailflick test. Dose-dependent morphine analgesia was elicited from all 3 regions injected. Differences between the pallidal areas as to the intensity and duration of the drug's effect were found. Pretreatment with naloxone inhibited the morphine analgesia elicited from the medial and dorsal pallidum; it decreased and delayed the effect of morphine injected into the ventral pallidum. Results suggest that the 3 pallidal areas are involved to a different degree in the morphine analgesia mediated by opiate receptors.

< 132>
Accession Number Journal Article: 79-44195.
Author : Couroucli-Robertson, Katerina.
Institution : Theatre & Therapy Ctr, Athens, Greece.
Title : Cultural differences and similarities in drama therapy. Special Issue: European perspectives on the creative arts therapies.
Source: Arts in Psychotherapy. Vol 19(2) 117-121, 1992.
Abstract:
Describes the activities of the Greek Association of Theater and Therapy (GATT) and offers specific recommendations regarding curricula and supervision for the training of drama therapists. Theater, it is noted, has always played an important part in Greek culture and society; the beneficial effects on the psyche of theatrical performance were a recognized part of ancient Greek theater. The training course structure and content of GATT is described. Case examples with 3 different groups of adults illustrate the effectiveness of drama therapy with psychotic patients. Additionally, a group is described for children (aged 3-7 yrs) who were in an institution for abused and neglected children. The group was able to establish closer relationships by working together through myth, mask, theater games, stories, drawing, and movement. The main goal was to offer the children a space and a structure within which they could express themselves.

< 133>
Accession Number Journal Article: 79-44181.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Malliaras, Dimitris; et al.
Institution : Athens U Medical School, Psychiatric Clinic, Greece.
Title : Thyrotropin responses to TRH and MHPG excretion before and after an electroconvulsive therapeutic course in depressed patients.
Source: Progress in Neuro-Psychopharmacology & Biological Psychiatry. Vol 16(4) 495-500, Jul 1992.
Abstract:
Examined thyrotropin stimulating hormone (TSH) response to thyrotropin releasing hormone and urinary 3-methoxy-4-hydroxyphenylglycol (MHPG) before and after a therapeutic course of ECT in 12 female patients (aged 26-63 yrs) with endogenous depression. The changes caused by ECT treatment on these parameters were not significant. A positive correlation was found between the changes in TSH response and the changes in urinary MHPG excretion.

< 134>
Accession Number Journal Article: 79-43821.
Author : Natsopoulos, Dimitris; Katsarou, Z; Bostantzopoulou, S; Grouios, George; et al.
Institution : U Thessaloniki, Greece.
Title : Strategies in comprehension of relative clauses by parkinsonian patients.
Source: Cortex. Vol 27(2) 255-268, Jun 1991.
Abstract:
Tested 20 patients (aged 46-69 yrs) with Parkinson's disease (PD) and 20 age-, sex-, and socioeconomic status (SES)-matched normal controls (CTLs) for comprehension of 4 types of relative clauses with complex thematic roles (syntax) and no semantic and pragmatic constraints (reversible) in a sentence-picture matching task. A clear language impairment was found for PD Ss compared to CTLs. Additional evidence from testing school children in Grade 1 (G1) and Grade 6 (G6) indicate that G1 Ss performed similar to PD Ss and G6 Ss performed as high as CTLs. Findings suggest that PD Ss process sentences with complex thematic roles and semantic reversibility on a heuristic and not on an algorithmic basis. PD Ss also display some patterns of language behavior similar to those observed in aphasics. Similarities in language behavior between PD Ss and G1 Ss are discussed with regard to R. Jacobson's (1968) regression hypothesis.

< 135>
Accession Number Journal Article: 79-27525.
Author : Mavreas, V G; Tomaras, V; Karydi, V; Economou, M; et al.
Institution : Athens U Medical School, Eginition Hospital Dept of Psychiatry, Greece.
Title : Expressed emotion in families of chronic schizophrenics and its association with clinical measures.
Source: Social Psychiatry & Psychiatric Epidemiology. Vol 27(1) 4-9, Jan 1992.
Abstract:
Conducted a baseline assessment of the effect of expresed emotion (EE) on the households of 75 chronic schizophrenic patients living in the community. A considerable proportion of overinvolved rather than critical relatives was found. The EE status of the family was significantly associated with measures of psychopathology and social functioning. Ss from low/partially high EE families could be clearly distinguished from totally high EE families on the basis of 4 variables: Brief Psychiatric Rating Scale score, total number of hospitalizations, living in a 1-relative household, and Disability Assessment Global score. A high EE environment may be deleterious to the patient's mental state.

< 136>
Accession Number Journal Article: 79-24573.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Stefanis, Costas.
Institution : Athens U Medical School Psychiatric Clinic, Eginition Hosp, Greece.
Title : Effects of ECT course on TSH and prolactin responses to TRH in depressed patients.
Source: Journal of Affective Disorders. Vol 23(4) 191-197, Dec 1991.
Abstract:
Studied the thyrotropin-stimulating hormone (TSH) and prolactin (PRL) responses to thyrotropin-releasing hormone (TRH) in 15 female depressed patients (aged 26-63 yrs) with melancholia during an electroconvulsive shock therapy (ECT) course. The test was performed before initiation of treatment, 5 days after the final ECT session, and 1 mo later, when the Ss were on medication with heterocyclic antidepressants (HCAs). The maximal hormonal responses were not altered 5 days after the final ECT, but both increased significantly 1 mo later. The 8 responders and 7 nonresponders to ECT did not differ significantly with regard to changes in Deltamax TSH and PRL. The 7 nonresponders to ECT improved markedly after 1 mo of treatment with HCAs.

< 137>
Accession Number Journal Article: 79-24081.
Author : Kokkevi, Anna; Alevizou, Stavroula; Arvanitis, Yannis; Liappas, John; et al.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : AIDS-related behavior and attitudes among IV drug users in Greece.
Source: International Journal of the Addictions. Vol 27(1) 37-50, Jan 1992.
Abstract:
Investigated risk-taking behavior in 140 iv drug users (IVDUs) to identify possible factors accounting for the low human immunodeficiency virus (HIV) seroprevalence rate in Greek IVDUs. High-risk drug using and sexual practices were reported by the majority. Awareness of the risk of HIV infection was low. 30.3% claimed to have changed risk behaviors in both drug use and sexual practices after the appearance of acquired immune deficiency syndrome (AIDS). Several drug use, mental health, criminal behavior, and sociodemographic factors were correlated with high risk behavior and reported change. Low HIV seroprevalence appears to be due to delayed invasion of the virus and not to the behavior of IVDUs.

< 138>
Accession Number Journal Article: 79-24063.
Author : Triantafyllou, N I; Voumvourakis, K; Zalonis, I; Sfagos, K; et al.
Institution : Eginition Hosp, Athens, Greece.
Title : Cognition in relapsing-remitting multiple sclerosis: A multichannel event-related potential (P300) study.
Source: Acta Neurologica Scandinavica. Vol 85(1) 10-13, Jan 1992.
Abstract:
Elicited auditory event-related potentials (AERPs) in 47 patients (aged 17-54 yrs) with relapsing-remitting multiple sclerosis (MS) and 24 right-handed normal controls (aged 21-54 yrs). MS Ss had significantly prolonged N2 and P3 latencies as well as low P3 amplitude compared with controls. The observed N2 and P3 alterations were associated with the Ss' disability status as it was defined an expanded disability status scale, but were not related to the duration of the disease. A possible cognitive decline was reflected in the observed AERP component alterations in MS Ss.

< 139>
Accession Number Journal Article: 79-16570.
Author : Christodoulou, George N.
Institution : Athens U, Eginition Hosp, Greece.
Title : The delusional misidentification syndromes.
Source: British Journal of Psychiatry. Vol 159(Suppl 14) 65-69, Nov 1991.
Abstract:
Asserts that the basic concept characterizing the delusional misidentification syndromes (DMSs), particularly the Capgras variety, is the concept of the double or its equivalents. Within the framework of the DMSs, 4 basic syndrome subtypes are included: Capgras, Fregoli, intermetamorphosis, and doubles of the self or subjective doubles. A distinction is made between misidentification syndromes in general and the DMSs, which occur in various nosological settings, but most are schizophrenic patients. The clinical picture is dominated by a marked paranoid component. Depersonalization and derealization symptoms may evolve into DMSs under conditions such as paranoid element, organic cerebral dysfunction, and charged emotional relationship to the principal misidentified person. The author's own work with 5 DMS patients implicates cognitive dysfunction in DMS.

< 140>
Accession Number Journal Article: 79-14372.
Author : Kasvikis, Yiannis; Bradley, Brendan; Powell, Jane; Marks, Isaac; et al.
Institution : Ctr for Mental Health, Behavior Treatment Unit, Athens, Greece.
Title : Postwithdrawal exposure treatment to prevent relapse in opiate addicts: A pilot study.
Source: International Journal of the Addictions. Vol 26(11) 1187-1195, Nov 1991.
Abstract:
Examined whether cue-exposure treatment to drug-related cues, in the hospital and real life might reduce relapse. 14 British opiate addicts (aged 19-30 yrs) Ss were withdrawn on clonidine over 6 days, and 10 of those were exposed to drug-related cues in the hospital for 1 wk and in real life for another. Ss were then followed as outpatients up to 6 mo. Craving was elicited in half of the 10 patients exposed to drug cues who showed within- and between-session habituation. Four cases were opiate-free at 6 mo follow-up and 1 at 3 mo. Half of the cases had relapsed to heroin at various times up to 6 mo. Habituation to craving responses was not obviously related to outcome whereas vocational factors were. Any complete addiction treatment and relapse prevention program must take such factors into account.

< 141>
Accession Number Journal Article: 79-13419.
Author : Kokkevi, Anna; Hatzakis, Angelos; Maillis, Antony; Pittadaki, Jane; et al.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : Neuropsychological assessment of HIV-seropositive haemophiliacs.
Source: AIDS. Vol 5(10) 1223-1229, Oct 1991.
Abstract:
Compared neuropsychological findings from 46 asymptomatic human immunodeficiency virus (HIV)-seropositive hemophiliacs (AHHs), 14 symptomatic HIV-seropositive hemophiliacs without acquired immune deficiency syndrome (AIDS)-related complex (ARC) or AIDS (SHHs) and with known duration of HIV seropositivity, and 29 seronegative controls. Ss were assessed using a battery of tests that included a brief form of the Wechsler Adult Intelligence Scale (WAIS), the Profile of Mood States, and an assessment of cognitive functions such as attention and choice reaction time (RT). The SHHs showed statistically significant decreased performances compared with controls in choice reaction, visuomotor coordination, and global attentional performance. The AHHs gave lower performances than controls in all tests, but the differences were not statistically significant.

< 142>
Accession Number Journal Article: 79-13044.
Author : Beratis, Stavroula.
Institution : U Patras, Medical School, Greece.
Title : Suicide among adolescents in Greece.
Source: British Journal of Psychiatry. Vol 159 515-519, Oct 1991.
Abstract:
The mean suicide rate among 10-19 yr olds in Greece (1980-1987) was 0.98/100,000/yr. Girls and boys demonstrated the greatest suicide rate at age 16 and 19 yrs, respectively. The combined suicide rate was significantly higher in the rural areas (1.48) than in Athens (0.48) and the other urban areas (0.98). Boys committed suicide more frequently than girls in Athens and other urban areas, whereas girls did so in the rural areas. The suicide rate declined during the last 3 yrs of the study. Differences in the methods used and the reported reasons for suicide were observed among the adolescents in Athens, other urban areas, and the rural areas.

< 143>
Accession Number Journal Article: 79-11972.
Author : Antoniou, K; Kafetzopoulos, E.
Institution : U Ioannina Medical School, Greece.
Title : A comparative study of the behavioral effects of d-amphetamine and apomorphine in the rat.
Source: Pharmacology, Biochemistry & Behavior. Vol 39(1) 61-70, May 1991.
Abstract:
Administered a range of doses of d-amphetamine (d-AMP) and apomorphine (AP) to male rats to characterize and compare dopaminergic agonist-induced behavioral effects. A computerized technique for the quantification and analysis of behavioral elements was used. Although both drugs increased motor activity and provided dose-dependent stereotyped responses, the whole pattern of behavior in the open field showed a different structure. d-AMP in doses that did not produce stereotyped responses induced varied behavioral elements with increased frequency but decreased mean duration, while AP induced a more restricted behavioral profile. Both drugs in high doses elicited a similar stereotyped syndrome characterized by repetitive movements of great duration, but at low doses the behavioral pattern was completely different. The mechanism of differences between the drugs may be attributed to different modes of action.

< 144>
Accession Number Journal Article: 79-11348.
Author : Garyfallos, George; Karastergiou, A; Adamopoulou, A; Moutzoukis, C; et al.
Institution : Community Mental Health Ctr, Salonika, Greece.
Title : Greek version of the General Health Questionnaire: Accuracy of translation and validity.
Source: Acta Psychiatrica Scandinavica. Vol 84(4) 371-378, Oct 1991.
Abstract:
Examined the accuracy of translation to the Greek version of the General Health Questionnaire (GHQ) by administering English and Greek versions to 50 bilingual respondents (aged 17-55 yrs). The internal consistency, item-by-item, and S-by-S analysis showed that the 2 versions were equivalent. In the validity study, 100 patients (aged 15+ yrs) attending an internal medicine outpatient clinic completed the Greek version of the GHQ--60 and were interviewed independently using the Present State Examination (PSE). Validity indices were estimated for the GHQ--60, GHQ--30, and GHQ--28. The correlations obtained between the GHQ scores and the PSE ratings, as well as all the validity indices were satisfactory for all GHQ forms, thus confirming the validity of the questionnaire in its Greek version. Psychological

< 145>
Accession Number Journal Article: 79-10305.
Author : Agorastos, I; Akriviadis, E; Goulis, G.
Institution : Aristotelian U of Thessaloniki, Salonika, Greece.
Title : Effect of cisapride in nonulcer dyspepsia: A placebo-controlled trial.
Source: Current Therapeutic Research. Vol 49(5) 870-877, May 1991.
Abstract:
After a single-blind placebo washout period of 2 wks, 40 nonulcer dyspepsia patients (mean age 47 yrs) were treated for 4 wks with cisapride (taken before each of the 3 main meals) or placebo. The results of treatment were evaluable in 36 Ss. These Ss' global condition, as indicated on a visual analog scale, and specific symptoms significantly improved in both the cisapride and the placebo groups (except vomiting). Overall, cisapride Ss responded better than placebo Ss. Ss who reported nervous tension (stress) as the sole factor inducing the symptoms responded better than other Ss, and Ss with milder symptomatology showed a higher placebo response.

< 146>
Accession Number Journal Article: 79-10196.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Malliaras, Dimitris; et al.
Institution : U Athens, Eginition Hosp, Greece.
Title : Hormonal responses to clonidine and urinary MHPG in delusional and nondelusional melancholic patients: A placebo-controlled study.
Source: European Archives of Psychiatry & Clinical Neuroscience. Vol 241(2) 77-81, Sep 1991.
Abstract:
Examined the growth hormone (GH) and cortisol responses to iv clonidine treatment of 25 melancholic patients (aged 32-65 yrs), 12 with and 13 without delusions, using placebo control. The baseline concentrations of the main noradrenaline metabolite, 3-methoxy-4-hydroxyphenylglycol (MHPG), were also estimated in urine. Cortisol plasma levels decreased significantly and equally after both placebo and clonidine. Baseline cortisol levels correlated positively with urinary MHPG. Clonidine did not increase GH levels significantly over time compared with placebo. Delusional melancholic patients tended to have smaller GH responses to clonidine than nondelusionals. There were no differences in GH response to clonidine between high and low MHPG excretors.

< 147>
Accession Number Journal Article: 79-09311.
Author : Michelogiannis, Sifis; Paritsis, Nikos; Trikas, Panayotis.
Institution : U Crete Div of Medicine, Iraklion, Greece.
Title : EEG coherence during hemispheric activation in schizophrenics.
Source: European Archives of Psychiatry & Clinical Neuroscience. Vol 241(1) 31-34, Jul 1991.
Abstract:
Studied the change of EEG alpha-band coherence between resting and motor performance in 18 chronic schizophrenic patients (aged 26-42 yrs) and 30 normal controls (aged 18-56 yrs) by examining differences between left (LH) and right hemisphere (RH) tasks. Three coherences were examined for each hemisphere. The central-parietal (CP) coherence in normals increased on the left for LH tasks and decreased on the right for RH tasks, whereas the patients showed a decrease of both measures, more on the left side. Thus, the interhemispheric difference of CP coherence reactivity was reversed for the schizophrenics and suggested a left-sided deviation. The lateral-precentral and precentral-central coherences showed no left-right deviations of reactivity in the patients. Overall, findings implicate a decreased synchronization of the left parietal lobe in the pathophysiology of schizophrenia.

< 148>
Accession Number Journal Article: 79-07605.
Author : Doganis, George; Theodorakis, Yannis; Bagiatis, Konstantinos.
Institution : Aristotelian U of Thessaloniki, Sport Psychology Lab, Salonika, Greece.
Title : Self-esteem and locus of control in adult female fitness program participants.
Source: International Journal of Sport Psychology. Vol 22(2) 154-164, Apr-Jun 1991.
Abstract:
Tested the factor structure and psychometric properties of the Exercise Objectives Locus of Control (EOLOC) scale in order to adapt it for use with Greek populations and examined its relationship with self-esteem. 96 women (aged 18-40 yrs) in physical fitness programs participated. Results confirm the reliability and structural validity of the EOLOC. Results also showed a positive relationship between self-esteem and EOLOC Internal subscale and negative relationships between self-esteem and EOLOC External and Chance subscales; persons with positive attitudes toward the self are those who believe they are able to control the exercise outcomes. (French, Spanish, German & Italian abstracts) 1992

< 149>
Accession Number Journal Article: 79-01841.
Author : Papadimitriou, George N; Linkowski, P; Delarbre, C; Mendlewicz, J.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : Suicide on the paternal and maternal sides of depressed patients with a lifetime history of attempted suicide.
Source: Acta Psychiatrica Scandinavica. Vol 83(6) 417-419, Jun 1991.
Abstract:
Investigated the possible modes of transmission of suicidal behavior in 549 depressed patients (aged 17-80 yrs) with a lifetime history of suicidal behavior, applying the computational model of E. Slater (1966). This model is based on the analysis of ancestral secondary cases on the paternal and maternal sides of the Ss. 15 Ss were found to have 2 or more ancestral secondary cases (ASCs) who committed suicide. The lack of a significant excess of unilateral pairs of ASCs is compatible with polygenic inheritance of suicidal behavior in depressed patients who attempt suicide.

< 150>
Accession Number Journal Article: 79-01818.
Author : Gabriel, Joanna; Paschalis, Christos.
Institution : U Patras Medical School, Greece.
Title : The psychopathology of suicide in the north western Peloponnesus.
Source: Psychopathology. Vol 24(2) 82-87, Mar-Apr 1991.
Abstract:
Conducted a postmortem inquiry of 105 legal documents concerning suicide deaths for the 15-yr period 1970-1984. The suicides were classified into 2 groups: Group A consisting of 63 suicides (with a history of psychiatric illness) and Group B consisting of 42 suicides (with no history of psychiatric disturbance). Group A Ss appeared to be disorganized in their personal and social life, with frequent previous suicidal attempts. Group B seemed to commit suicide under outside pressures that dislocated their lives progressively or abruptly.

< 151>
Accession Number Symposium & Conference Presentations: 78-34228.
Author : Raya, A; Mantas, J; Priami, M; Andrea, S; et al.
Institution : U Athens, Maroussi, Greece.
Title : Psychosomatic nursing assessment of psychiatric patients. 18th European Conference on Psychosomatic Research (1990, Helsinki, Finland).
Source: Psychotherapy & Psychosomatics. Vol 56(1-2) 5-11, 1991.
Abstract:
A study of 547 mental patients tested a form of nursing assessment in psychiatric and in general hospitals as a means of determining the patients' nursing needs and as a basis for planning, implementation, and evaluation of their personalized holistic nursing care. More depressive than schizophrenic Ss went to the general hospital for help; the reverse was observed in the psychiatric hospital. The psychological nursing needs of the Ss were significantly correlated with their somatic nursing needs. The psychological as well as the somatic nursing needs of the Ss were significantly correlated with sex, age, somatic health state, and mental health state in general. Psychiatric nursing assessment should be oriented toward the investigation of patients' psychosomatic nursing needs rather than being based on their medical diagnosis.

< 152>
Accession Number Symposium & Conference Presentations: 78-31365.
Author : Voulgari, Argyro; Lykouras, Lefteris; Papanikolaou, Metaxia; Tzonou, Anastasia; et al.
Institution : U Athens, Greece.
Title : Influence of psychological and clinical factors on postoperative pain and narcotic consumption. 18th European Conference on Psychosomatic Research (1990, Helsinki, Finland).
Source: Psychotherapy & Psychosomatics. Vol 55(2-4) 191-196, 1991.
Abstract:
Studied demographic, psychological, and clinical factors influencing postoperative pain (PP) and narcotic analgesic requirements in 162 patients (aged 18-60 yrs) undergoing elective operations under general anesthesia. The Eysenck Personality Questionnaire, the Hostility Questionnaire by G. A. Fould (1965), the self-rating depression and anxiety scales by W. K. Zung (1971), and the 43-item Life Events Inventory by T. Holmes and R. Rahe (1967) were used. Using multiple regression analysis the following results were obtained: PP levels increase with higher score of extraverted hostility, abdominal surgery, longer stay at hospital postoperatively, and higher educational status. Postoperative narcotic requirements increased with increased PP levels and preoccupation with pain postoperatively, preoperative analgesic drug use, abdominal surgery, and longer stay at hospital preoperatively.

< 153>
Accession Number Symposium & Conference Presentations: 78-31014.
Author : Christodoulou, George N.
Institution : U Athens, Eginition Hosp, Greece.
Title : Prevention of psychopathology with early interventions. 18th European Conference on Psychosomatic Research (1990, Helsinki, Finland).
Source: Psychotherapy & Psychosomatics. Vol 55(2-4) 201-207, 1991.
Abstract:
Early interventions aiming at prevention from future psychopathology are critically evaluated. These interventions include genetic psychiatric counseling, family planning, improvement of the physical health of the population, prenatal care, intervention in childhood, improvement of the physical health of the child, improvement of the home environment, and improvement of the school environment. It is pointed out that early preventive interventions are particularly indicated in predisposed individuals (e.g., persons with hereditary predisposition for schizophrenia) or high-risk groups (e.g., the siblings of battered children who have a greater probability of being abused by their parents, or battered children who, when becoming parents, have a raised probability of abusing their own children).

< 154>
Accession Number Journal Article: 78-30919.
Author : Natsopoulos, Dimitris; Mentenopoulos, G; Bostantzopoulou, S; Katsarou, Z; et al.
Institution : Aristotelian U of Thessaloniki, AHEPA Hosp, Salonika, Greece.
Title : Understanding of relational time terms before and after in parkinsonian patients.
Source: Brain & Language. Vol 40(4) 444-458, May 1991.
Abstract:
Investigated the role of the relational time terms before and after in language comprehension using 20 patients with Parkinson's disease (PD) and 20 normal controls (NC) in Greek. Ss were aged 55-65 yrs. Comprehension by PD patients of before and after constructions displaying syntactic, semantic, and cognitive constraints equivalent to those of English was significantly different from that of NC matched on chronological age, sex, education, and socioeconomic status (SES). Before was better understood than after. Syntactic variables, when semantic effects were partialed out, did not affect performance. The same was true of semantic effects when syntactic variables were partialed out. Order of mention of events was a predominant source of errors when syntax and semantics were controlled. Data are discussed in relation to findings with aphasics and to developmental results on the same time terms.

< 155>
Accession Number Journal Article: 78-30408.
Author : Skodra, Eleni.
Institution : U Patras, Greece.
Title : Ageism and psychological testing with elderly immigrant women.
Source: Counselling Psychology Quarterly. Vol 4(1) 59-63, 1991.
Abstract:
Discusses the consequences for elderly immigrant female clients of discriminatory attitudes and practices of psychologists, especially the assumption that psychological testing with the elderly is necessary. Psychologists working with elderly immigrant women should first learn as much as possible about the client's cultural background. Problems related to psychological testing with this population are outlined. It is suggested that concerns created by attempts to develop psychological tests focusing on the cognitive functioning of elderly patients should be reconsidered, since these proposed tests have raised concerns about cultural bias.

< 156>
Accession Number Journal Article: 78-28175.
Author : Potamianou, Anna.
Institution : Greek Psychoanalytic Study Group, Greece.
Title : Somatization and dream work.
Source: Psychoanalytic Study of the Child. Vol 45 273-292, 1990.
Abstract:
Discusses somatization processes, which correspond to organic disorders in the body or illness, and their relation to dream production. Dream production development can be used to follow the course of psychoanalytic treatment, as positive and negative changes are reflected in the form, texture, and content of dreams. These points are illustrated by clinical material from the 1st 2 yrs of analysis with a 28-yr-old male diabetic homosexual.

< 157>
Accession Number Journal Article: 78-28065.
Author : Papakostas, Yiannis; Markianos, Manolis; Papadimitriou, George; Lykouras, Lefteris; et al.
Institution : Athens U Medical School, Psychiatric Clinic Eginition Hosp, Greece.
Title : Thyrotropin and prolactin responses to ECT in schizophrenia and depression.
Source: Psychiatry Research. Vol 37(1) 5-10, Apr 1991.
Abstract:
Examined the effect of electroconvulsive shock therapy (ECT) on plasma prolactin (PRL) and especially on thyroid stimulating hormone (TSH) in 5 female schizophrenic patients (aged 25-35 yrs) in a simulated ECT-controlled experiment, and compared the findings with those obtained from studies with 10 female unipolar depressed patients (aged 47-70 yrs) treated with ECT. In the schizophrenic group, both PRL and TSH increased significantly during ECT compared with simulated ECT, as they did in the depressive group during ECT. Thus, the hormonal TSH and PRL profile during ECT is similar in schizophrenia and depression. It is concluded that the changes in TSH and PRL induced by ECT are specifically linked to the current or the seizure, and are not related to the type of psychopathology.

< 158>
Accession Number Symposium & Conference Presentations: 78-24692.
Author : Hyphantis, T; Koutras, V; Liakos, A; Marselos, M.
Institution : U Ioannina Medical School, Greece.
Title : Alcohol and drug use, family situation and school performance in adolescent children of alcoholics. 13th World Conference of Therapeutic Communities (1990, Athens, Greece).
Source: International Journal of Social Psychiatry. Vol 37(1) 35-42, Spr 1991.
Abstract:
3,621 9th-grade and 4,283 12th-grade students were given a self-rating multiple choice questionnaire to examine the consequences of parental alcoholism on the functional structure of the family as well as alcohol and drug use by the adolescent members of these families. In 3.3% of the sample, parental alcoholism was reported. The results indicate that parental alcoholism was a strong predictor variable for the Ss' alcohol and drug use. Predictability of the Ss' alcohol and drug use was increased when relatives' and friends' alcoholism was taken into account. School performance was worse in children of alcoholics, and family situations (e.g., divorces) as well as family dynamics were disturbed, compared with families of Ss with nonalcoholic parents.

< 159>
Accession Number Journal Article: 78-23254.
Author : Theodorakis, Yiannis; Doganis, George; Bagiatis, Konstantinos.
Institution : Aristotlian U of Thessaloniki, Sport Psychology Lab, Athens, Greece.
Title : Age differences and structural validity for the Greek version of the Body Cathexis Scale.
Source: Psychological Reports. Vol 68(1) 43-49, Feb 1991.
Abstract:
152 women (aged 18-45 yrs) participating in a physical fitness program completed the Greek version of the Body Cathexis Scale. Results show high internal consistency. Item analysis r s were .29-.68, split-half r was .89, and Cronbach alpha was .92. Factor analysis revealed 6 factors that explained 52.5% of the total variance: Physical Fitness, Total Appearance, Health and Skills, Face, Ears and Chin, and Extremities. Higher body satisfaction was observed on Health and Skills, Ears and Chin, and Extremities. Age group was not associated with overall body satisfaction.

< 160>
Accession Number Journal Article: 78-23223.
Author : Mavreas, Venos; Bebbington, Paul; Der, Geoff.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : The structure and validity of acculturation: Analysis of an acculturation scale.
Source: Social Psychiatry & Psychiatric Epidemiology. Vol 24(5) 233-240, Sep 1989.
Abstract:
Presents data from a study of acculturation in 291 1st and 2nd generation Greek Cypriot immigrants from the general population of Camberwell, South London. Factor analysis using oblique rotation yielded 2 highly correlated factors: Cultural Identification and Language Mastery/Ethnocentricism. First-generation Ss adhered more to Greek culture, while 2nd-generation Ss were more acculturated. Issues concerning the measurement of acculturation are discussed.

< 161>
Accession Number Journal Article: 78-22274.
Author : Sakkas, Paul; Davis, John M; Hua, Jin; Wang, Z.
Institution : Athens U Medical School, Greece.
Title : Pharmacotherapy of neuroleptic malignant syndrome.
Source: Psychiatric Annals. Vol 21(3) 157-164, Mar 1991.
Abstract:
Conducted a case-control analysis for neuroleptic malignant syndrome (NMS) based on 734 cases. Data were gathered on clinicians' opinions, relapse with discontinuation, and mortality rate. Dantrolene, bromocriptine, and amantadine seemed to be the most effective drugs for treating NMS specifically. The first drug acts peripherally on the muscle rigidity (subsequently reducing fever and other symptomatology), and the latter 2 drugs are believed to act centrally to restore the dopamine blockade that may cause NMS.

< 162>
Accession Number Journal Article: 78-22241.
Author : Kasvikis, Yiannis; Bradley, Brendan P; Gossop, Michael; Griffiths, Paul; et al.
Institution : Ctr of Mental Health & Research, Athens Behavioral Treatment Unit, Greece.
Title : Clonidine versus long- and short-term methadone-aided withdrawal from opiates: An uncontrolled comparison.
Source: International Journal of the Addictions. Vol 25(10) 1169-1178, Oct 1990.
Abstract:
12 heroin addicts and 1 methadone addict (aged 19-30 yrs) began withdrawal from street opiates, under clonidine cover, in a general psychiatric ward. 10 Ss completed it within 6 days. Clonidine doses used were lower than usual, and all patients were alert and mobile throughout withdrawal. Two other groups of opiate addicts, of similar age and sex, were withdrawn on standard methadone regimens. Clonidine and methadone withdrawal had similar acceptability and attrition rates. Self-reports of subjective discomfort were higher in the clonidine group without affecting compliance with treatment.

< 163>
Accession Number Symposium & Conference Presentations: 78-21986.
Author : Tsiantis, J.
Institution : "Aghia Sophia" Children's Hosp, Dept of Psychological Paediatrics, Athens, Greece.
Title : Family reactions and relationships in thalassemia. Sixth Cooley's Anemia Symposium of the New York Academy of Sciences and the Cooley's Anemia Foundation (1990, New York, New York).
Source: Annals of the New York Academy of Sciences. Vol 612 451-461, Dec 1990.
Abstract:
Describes the relationships and family reactions of patients with thalassemia (a severe chronic anemia), focusing on the psychological consequences of chronic illness. Observations are derived from (1) a study of 40 children (aged 7-12 yrs ) with thalassemia, (2) a program of weekly meetings addressed to parents of patients with thalassemia, and (3) liaison-consultation psychiatry in thalassemia units of a children's hospital and at a center for vocational training of youngsters with chronic illnesses.

< 164>
Accession Number Journal Article: 78-21869.
Author : Kapaki, E; Libidaki, G; Segditsa, J; Tegos, S; et al.
Institution : Aeginition Hosp, Athens, Greece.
Title : Determination of cerebrospinal fluid amino acids in patients with Alzheimer's disease.
Source: Medical Science Research. Vol 19(2) 35-36, Jan 1991.
Abstract:
Compared cerebrospinal fluid (CSF) concentrations of 16 amino acids in 13 Ss (aged 52-69 yrs) with Alzheimer's disease (AD) and 18 neurologically normal controls. Only 2 amino acids, glycine and valine, were found to be significantly increased in AD Ss as compared with controls.

< 165>
Accession Number Symposium & Conference Presentations: 78-21840.
Author : Georganda, Eugenia T.
Institution : American Coll of Greece, Deree Coll, Athens, Greece.
Title : The impact of thalassemia on body image, self-image, and self-esteem. Sixth Cooley's Anemia Symposium of the New York Academy of Sciences and the Cooley's Anemia Foundation (1990, New York, New York).
Source: Annals of the New York Academy of Sciences. Vol 612 466-472, Dec 1990.
Abstract:
The cases of 2 females (aged 28 and 30 yrs) with thalassemia illustrate the impact of the chronic illness on body image, self-image, and self-esteem. Issues discussed include (1) the idea of how the illness is perceived and dealt with; (2) fear of death, anxiety, anger, and depression; and (3) the presence of a chronic illness as promoting growth.

< 166>
Accession Number Journal Article: 78-18982.
Author : Paschalis, C; Polychronopoulos, P; Lekka, N P; Harrison, M J; et al.
Institution : Patras Medical School, Greece.
Title : The role of head injury, surgical anaesthesia and family history as aetiological factors in dementia of Alzheimer type: A prospective study.
Source: Dementia. Vol 1(1) 52-55, Jan-Feb 1990.
Abstract:
Tested the hypothesis that head injuries and surgical anesthetics might contribute to the risk of age-related cognitive impairment in a prospective study of 103 patients with dementia of Alzheimer type (DAT), 26 patients with multi-infarct dementia (MID), and 90 age-matched demented controls (CTLs). Dementia in a 1st-degree relative was found significantly more often in DAT Ss than in MID Ss or CTLs. Head injuries tended to be more common in demented Ss, particularly DAT Ss, than in CTLs. A genetic factor, and possibly head trauma, may play a role in the etiology of Alzheimer's disease.

< 167>
Accession Number Journal Article: 78-18609.
Author : Mavreas, Venos; Bebbington, Paul.
Institution : Athens U Medical School, Greece.
Title : Acculturation and psychiatric disorder: A study of Greek Cypriot immigrants.
Source: Psychological Medicine. Vol 20(4) 941-951, Nov 1990.
Abstract:
Examined acculturation and psychiatric disorder in 291 Greek Cypriot immigrants in south London. 50.5% of Ss were male. It was hypothesized that "pre-acculturation" would protect against mental disorder, that difficulties in the period immediately after migration would increase the risk of disorder, and that disorder would be least common among those in the middle range of the acculturation spectrum. Ss were interviewed and completed the Present State Examinations and a Greek immigrant acculturation scale. Of pre-acculturation factors, only previous knowledge of English was associated with reduced prevalence. Difficulties in the "settling-in" period were clearly related to current disorder. No relationship was apparent between present acculturation and disorder, but this disguised an unpredicted gender effect: In males disorder was most prevalent in the highly acculturated, and in females, in the least acculturated.

< 168>
Accession Number Journal Article: 78-16038.
Author : Tsiantis, J; Anastasopoulos, D; Meyer, M; Panitz, D; et al.
Institution : Aghia Sophia Children's Hosp, Dept of Psychological Pediatrics, Athens, Greece.
Title : A multi-level intervention approach for care of HIV-positive haemophiliac and thalassaemic patients and their families.
Source: AIDS Care. Vol 2(3) 253-266, 1990.
Abstract:
Describes a psychological intervention model employed in Greece to care for young people with hemophilia or thalassemia who were also infected with human immunodeficiency virus (HIV). Intervention participants were 20 hemophiliac and HIV-positive young people (aged 7-21 yrs) and their families and 10 thalassemic and HIV-positive young people (aged 8-23 yrs) and their families. The objective of the intervention was to assess the families' needs, to help parents and other family members to contain the anxiety and grief of seropositive children, and to improve their interaction with the family and others in their social environment. Work with the medical and nursing staff was intended to increase their understanding of the emotions caused in them by occupational stress. The need for follow-up studies is stressed to allow assessment of the effectiveness of the intervention and to search for protective factors, successful coping skills, strategies, and adaptational resources.

< 169>
Accession Number Journal Article: 78-13764.
Author : Vaslamatzis, Grigoris.
Institution : Eginition Hosp, Dept of Psychiatry, Athens, Greece.
Title : A dream about the supervisor.
Source: British Journal of Psychotherapy. Vol 6(4) 448-451, Sum 1990.
Abstract:
Discusses the neglected transferences of psychotherapy trainees toward their supervisors as illustrated by a case report of a female trainee's dream about her supervisor. It is argued that the dynamics of psychotherapy proceed through the dynamics of supervision. The analysis of transferences in supervision is crucial to the success of psychotherapy.

< 170>
Accession Number Symposium & Conference Presentations: 78-13406.
Author : Kontaxakis, Vassilis P; Vaidakis, N M; Christodoulou, G N; Valergaki, H C.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : Neuroleptic-induced catatonia or a mild form of neuroleptic malignant syndrome? VIIIth World Congress of Psychiatry (1989, Athens, Greece).
Source: Neuropsychobiology. Vol 23(1) 38-40, 1990.
Abstract:
Reports the case of a 21-yr-old male patient with a schizophreniform disorder and a mild mental retardation who developed a condition that can be diagnosed either as neuroleptic-induced catatonia or as a mild form of neuroleptic malignant syndrome. The S was treated successfully with a combination of amantadine (600 mg/day) and diazepam (30 mg/day).

< 171>
Accession Number Journal Article: 78-13286.
Author : Vaslamatzis, Grigoris; Markidis, Marios; Katsouyanni, Klea.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : Study of the patients' difficulties in ending brief psychoanalytic psychotherapy.
Source: Psychotherapy & Psychosomatics. Vol 52(4) 173-178, 1989.
Abstract:
Examined 27 brief psychotherapies with 27 Ss that took place in a university psychoanalytic psychotherapy unit. All the therapists were under systematic personal supervision. Five of the 27 Ss dropped out in the termination phase, while for another 8 Ss it became apparent a little before or after the final phase that psychotherapy would have to be continued. Statistical analysis results showed that (1) the less a therapist feels self-confident, the more likely his/her patient is to break off therapy at the termination point and (2) the suitability score, determined during evaluation, emerges as the main differentiating parameter of the 3 groups (dropouts, continuers, completers).

< 172>
Accession Number Journal Article: 78-13166.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Malliaras, Dimitris; et al.
Institution : Athens U Medical School, Eginition Hosp Psychiatric Clinic, Greece.
Title : Biogenic amine metabolites during electroconvulsive therapy of melancholic patients.
Source: Convulsive Therapy. Vol 6(4) 266-272, Dec 1990.
Abstract:
Assayed the urinary neurotransmitter metabolites 3-methoxy-4-hydroxyphenylglycol (MHPG), homovanillic acid (HVA), and 5-hydroxyindoleacetic acid (5-HIAA) in 14 unipolar depressed patients before and after a simulated electroconvulsive shock therapy (ECT) and during a course of 10 ECT sessions. A repeated measures analysis of variance (ANOVA) showed no significant changes in the 3-metabolite excretion during the course of ECT. Planned comparisons performed after ANOVA revealed a trend for HVA and 5-HIAA levels to increase after simulated ECT and a significantly higher MHPG excretion after the 10th ECT session. A significant relationship was found between low pretreatment MHPG excretion and therapeutic response.

< 173>
Accession Number Journal Article: 78-12957.
Author : Aritzi, S; Demakis, J; Demakis, G; Fareed, J; et al.
Institution : Sotiria Hosp, Athens, Greece.
Title : Hostile personality characteristics and prostaglandins in essential hypertension.
Source: Psychotherapy & Psychosomatics. Vol 52(4) 179-186, 1989.
Abstract:
The hostile personality characteristic of dominance was shown to be significantly lower in a group of 34 male patients with essential hypertension than in a general illness control group (n = 17) in the US. This replicates a previous finding from research (e.g., G. G. Lyketsos et al; see PA, Vol 69:3817) in Greece into this and other conditions of presumably psychogenic origin. Nonspecific neurotic syndromes were more prevalent in hypertensives than in controls, but no clear neurotic cases were found. Levels of prostaglandins 6-keto prostaglandin F1A and thromoboxane B-sub-2 did not differ significantly between groups, but the former was positively correlated with dominance in the control group. An interpretation of these results in terms of the repressed hostility theory is offered.

< 174>
Accession Number Journal Article: 78-12812.
Author : Beratis, Stavroula.
Institution : U Patras Medical School, Greece.
Title : Factors associated with adolescent suicidal attempts in Greece.
Source: Psychopathology. Vol 23(3) 161-168, May-Jun 1990.
Abstract:
Investigated individual and family characteristics involved in the unsuccessful suicide attempts of 27 female and 2 male Greek adolescents (aged 11.5-16.3 yrs). Family disruption was significantly greater in the attempters than in 29 matched, nonsuicidal controls. However, parental restriction of Ss' personal freedom emerged as the major factor resulting in suicidal attempts. Psychiatric disorders were significantly more frequent in attempters than in controls. Ss with multiple attempts (41% of the cases) had a higher frequency of psychiatric disorders than Ss with 1 attempt.

< 175>
Accession Number Symposium & Conference Presentations: 78-10766.
Author : Stefanis, C N; Merz-Frei, K.
Institution : Eginition Hosp, Dept of Psychiatry, Athens, Greece.
Title : Moclobemide (Ro 11-1163) in long-term treatment. Symposium: The treatment of depression in the 1990s: A focus on moclobemide (1989, Libson, Portugal).
Source: Acta Psychiatrica Scandinavica. Vol 82(360, Suppl) 67-68, 1990.
Abstract:
Long-term treatment (60 days to 1 yr) of 444 22-85 yr old depressed patients with moclobemide showed no noteworthy changes in safety parameters throughout; adverse events were mainly minor and of short duration. (0 ref)

< 176>
Accession Number Journal Article: 78-08014.
Author : Rinieris, P; Hatzimanolis, J; Markianos, M; Stefanis, C.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : Effects of treatment with various doses of haloperidol on the pituitary-gonadal axis in male schizophrenic patients.
Source: Neuropsychobiology. Vol 22(3) 146-149, 1989.
Abstract:
Studied 30 male paranoid schizophrenics (aged 21-55 yrs); 15 Ss in Group 1 underwent an initial 4-wk therapy with haloperidol (HAL) (7.5 mg/day) and a subsequent 4-wk treatment with HAL (15 mg/day), while 15 Ss in Group 2 received an initial 4-wk treatment with HAL (30 mg/day) and a subsequent 4-wk therapy with HAL (60 mg/day). Serum prolactin (PRL), luteinizing hormone, and testosterone (TS) levels were measured before treatment and at the end of the 2 consecutive periods of treatment. A dose-related increase in serum PRL levels was found in both groups of Ss, while a significant decrease in serum TS levels was detected only in Group 2 Ss. Findings may be accounted for by (1) the elevation of serum PRL values above a critical point, which may induce a testicular refractoriness to gonadotropins, (2) increased metabolism of TS in the liver, or (3) increased conversion of TS into estradiol and dihydrotestosterone in peripheral tissues.

< 177>
Accession Number Journal Article: 78-05319.
Author : Katakis, Charis.
Institution : Lab for the Study of Human Relations, Chalandri, Greece.
Title : Coexisting and conflicting self-referential conceptual systems: A model for describing malfunctioning in the contemporary family: Implications for therapy. Special Issue: I. First World Conference of Family Therapy.
Source: Contemporary Family Therapy. Vol 12(4) 339-363, Aug 1990.
Abstract:
Proposed a model, in which intra- and interpersonal conflicts are formalized as information-processing problems created by inconsistent self-referential conceptual systems. Three self-referential conceptual systems (traditional-rural, industrial-nuclear, information-transactional) coexist and intermingle, creating difficulties in the coordination of interactions. Each of these ecotheories is viewed as a constellation of hierarchically ordered, dynamic, cognitive-emotional structures which express the particular family system's perceptions of itself in relation to its environment and life in general. The model follows the metatheoretical paradigms of cognitive science, self-reference and self-organization; synthesis has been in the context of unifying concepts and principles of General Systems Theory.

< 178>
Accession Number Journal Article: 78-05181.
Author : Papakostas, Yiannis; Markianos, Manolis; Papadimitriou, George; Stefanis, Costas.
Institution : Athens U Medical School Psychiatric Clinic, Eginition Hosp, Greece.
Title : Thyrotropin and prolactin secretion during ECT: Implications for the mechanism of ECT action.
Source: Convulsive Therapy. Vol 6(3) 214-220, Sep 1990.
Abstract:
Investigated the effect of electroconvulsive shock therapy (ECT) on serum thyrotropin (TSH) and prolactin (PRL) in 2 studies. In Study 1, a simulated ECT vs real ECT was conducted with 10 female patients (aged 38-63 yrs) with unipolar depressive disorder, and, in Study 2, a more sensitive TSH assay was conducted with 10 female patients (aged 47-70 yrs) with unipolar depressive disorder. In addition to the expected PRL response, a small but consistent TSH increase was demonstrated, especially when the new TSH assay was used. Implications concerning the underlying ECT mechanisms mediating these effects are discussed, and the involvement of thyrotropin-releasing hormone and serotonin (5-hydroxytryptamine (5-HT)) is stressed.

< 179>
Accession Number Journal Article: 78-04689.
Author : Papadatos, Yiannis; Nikou, Kostas; Potamianos, Grigoris.
Institution : Ctr for Mental Health & Research, Athens, Greece.
Title : Evaluation of psychiatric morbidity following an earthquake.
Source: International Journal of Social Psychiatry. Vol 36(2) 131-136, Sum 1990.
Abstract:
Examined the psychiatric morbidity of 205 adults, 172 high school students, and 69 adult outpatients living in Greece following a major earthquake in 1986. Measures included Langner's Screening Scale of Psychopathology (LSSP) and the Center for Epidemiologic Studies Depression Scale (CESD). The LSSP revealed that 31.2% of the adults, 11.6% of the students, and 40.6% of the outpatients exhibited 10+ symptoms, indicating severe disturbance. Also, 50.9% of all Ss exhibited 6+ symptoms, indicating serious disturbance. On the CESD, 79% of adults, 69.2% of students, and 75% of outpatients exhibited 16+ symptoms, or 74.6% of all Ss. The observed difference between adults and students on both scales was significant.

< 180>
Accession Number Journal Article: 78-01973.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Stefanis, Costas.
Institution : U Athens Eginition Hosp, Greece.
Title : The effect of ECT on plasma cyclic nucleotides: A simulated ECT controlled study in melancholic patients.
Source: European Archives of Psychiatry & Neurological Sciences. Vol 239(6) 343-346, 1990.
Abstract:
Measured concentrations of cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) in plasma in 20 drug-free melancholic patients (aged 35-63 yrs) during a bilateral electroconvulsive shock therapy (ECT) session and a simulated ECT (SECT) treatment. Blood samples were taken every 15 min beginning 15 min before and ending 60 min after the SECT or the ECT. There was a significantly greater fall in cAMP over time following SECT. ECT induced a marginal increase at 45 min postictally. ECT may cause an increase in cAMP levels which is masked by the decrease observed during SECT, caused presumably by the anesthetic medication. The plasma cGMP levels were increased gradually and significantly after SECT and after a single ECT.

< 181>
Accession Number Journal Article: 78-01458.
Author : Rabavilas, Andreas D.
Institution : Athens U Medical School, Eginition Hosp Psychophysiological Lab, Greece.
Title : Clinical significance of the electrodermal habituation rate in anxiety disorders.
Source: Neuropsychobiology. Vol 22(2) 68-71, 1989.
Abstract:
Examined the electrodermal response (EDR) habituation rate (HR) in relation to clinical, personality, and electrodermal measures in 50 adult outpatients with generalized anxiety, phobic, obsessive-compulsive, dysthymic, or conversion disorders. EDR-HR seemed to depend on the phasic component (amplitude and spontaneous activity) of the EDR, as well as on state anxiety, extraversion, and depersonalization. EDR-HR seemed to encompass both clinical and personality features in Ss with anxiety disorders. Despite limitations in terms of diagnostic specificity, EDR-HR could be useful in the measurement of change following a therapeutic intervention and in high-risk studies for anxiety disorders since it appears to anchor on a genetic basis.

< 182>
Accession Number Journal Article: 28-72198.
Author : Epivatianos, P; Tsoukali-Papadopoulou, E.
Institution : Aristotelian U of Thessaloniki School of Medicine, Greece.
Title : A singular case of criminal drug intoxication of three children by their mother during a period of ten months. [French]. Original
Title : Un cas rare d'intoxication criminelle de trois enfants par leur mere au cours d'une periode de 10 mois.
Source: Revue Internationale de Criminologie et de Police Technique. Vol 43(1) 91-93, Jan-Mar 1990.
Abstract:
Presents the case history of a mother who poisoned and killed her 3 children during a 10-mo period, using phenobarbital, so that they would not suffer from epilepsy as had their father. Physical symptoms of the children and factors associated with the mother's intention to kill her children are discussed. The rarity of this type of homicide is also considered. (0 ref)

< 183>
Accession Number Journal Article: 28-71266.
Author : Stylianidis, Stelios; Ploumpidis, D.
Institution : General Hosp of Chalkis,, Greece.
Title : Reflections on the law of June 30th, 1938: Hellenic experience and contemporary evolution. [French]. Original
Title : Les reflets de la loi du 30 juin 1838. L'experience hellenique et l'evolution contemporaine.
Source: Evolution Psychiatrique. Vol 54(3) 643-649, Jul-Sep 1989.
Abstract:
Discusses the historical background to the passage in 1973 of Greek Law 104, which regulates the functioning of public psychiatric hospitals in Greece. Similarities and differences between Greek laws, dating from 1862, and the French laws on which they have been modeled, are examined. Specific details of Law 104 regarding involuntary hospitalization are described. (0 ref)

< 184>
Accession Number Journal Article: 77-28633.
Author : Natsopoulos, Dimitris; Xeromeritou, Aphrodite.
Institution : Aristotelian U of Thessaloniki, Psychological Lab, Greece.
Title : Language behavior by mildly handicapped and nonretarded children on complement clauses.
Source: Research in Developmental Disabilities. Vol 11(2) 199-216, 1990.
Abstract:
Investigated comprehension of complement clauses embedded in 4 matrix verbs in Greek (equivalent to English in syntactic and semantic constraints), using 32 mildly handicapped (MH) children (aged 97-197 mo) and 32 nonretarded (NR) children (aged 58-106 mo). Findings suggest that MH children use the same syntactic information to process semantic relations in complement clauses as do NR children matched on verbal mental age. However, even the oldest MH children studied failed to provide evidence of metalinguistic ability compared with young NR children.

< 185>
Accession Number Journal Article: 77-25555.
Author : Yannitsi, Stavroula G; Manoussakis, Menelaus N; Mavridis, Anestis K; Tzioufas, Athanasios G; et al.
Institution : U Ioannina Medical School, Greece.
Title : Factors related to the presence of autoantibodies in patients with chronic mental disorders.
Source: Biological Psychiatry. Vol 27(7) 747-756, Apr 1990.
Abstract:
Examined the auto-antibody (ANA) profile of 307 patients (aged 22-86 yrs) with various chronic mental disorders and evaluated the influence of medications, psychiatric disease, gender, and age in the induction of ANAs in these Ss. Approximately 40% of the Ss displayed positive ANA tests, the origin of which appeared to be multifactorial.

< 186>
Accession Number Journal Article: 77-22733.
Author : Markianos, Manolis; Rinieris, Pantelis; Hatzimanolis, John; Stefanis, Costas.
Institution : Athens U Medical School, Eginition Hosp Psychiatric Clinic, Greece.
Title : Plasma dopamine-beta-hydroxylase in familial and sporadic paranoid schizophrenia.
Source: Biological Psychiatry. Vol 27(10) 1176-1178, May 1990.
Abstract:
Estimated plasma dopamine-beta-hydroxylase (DBH) activity in 26 male patients with and 26 without paranoid schizophrenia (aged 20-48 yrs) and compared these groups with 44 normal male controls (aged 22-46 yrs). Analysis of variance (ANOVA) revealed significant differences among the 3 groups; these differences were due to a higher frequency of low DBH activity in the paranoid schizophrenic Ss with a positive family history compared with the other groups. DBH activity in all patients was significantly lower than in controls.

< 187>
Accession Number Journal Article: 77-18053.
Author : Beratis, Stavroula.
Institution : U Patras School of Medicine, Greece.
Title : Noncompliance with iron chelation therapy in patients with b thalassaemia. Special Issue: Somatization: The somatic presentation of psychiatric illness.
Source: Journal of Psychosomatic Research. Vol 33(6) 739-745, 1989.
Abstract:
Among 113 patients (aged >6 yrs) with beta thalassemia (a severe disorder characterized by anemia, jaundice, failure to thrive, hepatosplenomegaly, and skeletal changes), 23% were found noncompliant to iron chelation. Excluding separation anxiety disorder (SAD) and primary function enuresis (PFE), the frequency of psychiatric disorders in the noncompliant and the compliant Ss was 68 and 10%, respectively. Oppositional disorder was the most frequent psychiatric disorder; it was also associated with the most profound deviation from compliance. SAD and PFE were not associated with noncompliance. In one-third of the noncompliant Ss, no psychiatric disorder was identified. School performance was poorer in the noncompliant Ss.

< 188>
Accession Number Journal Article: 77-17791.
Author : Papakostas, Y; Markianos, M; Papadimitriou, G; Stefanis, Costas.
Institution : Athens U Medical School, Eginition Hosp Psychiatric Clinic, Greece.
Title : Ritanserin, a 5-HT-sub-2 receptor antagonist, does not modify ECT-induced prolactin release.
Source: Psychopharmacology. Vol 100(2) 206-208, Feb 1990.
Abstract:
Studied the effect of pretreatment with ritanserin on the prolactin (PRL) response to electroconvulsive shock therapy (ECT) in 7 female patients (aged 47-70 yrs) with major depressive disorder. Ss were given either ECT alone or ECT after 10 or 20 mg ritanserin, po. PRL was estimated in blood samples taken at times -5, 0, +5, +15, +30, and +60 min. PRL responses after drug administration were not different from the responses after ECT alone. Thus, if serotonergic mechanisms are involved in the ECT-induced PRL increase, this neuroendocrine response seems to be a 5-hydroxytryptamine-sub-1 (5-HT-sub-1) rather than a 5-HT-sub-2 receptor mediated event.

< 189>
Accession Number Journal Article: 77-14960.
Author : Lykouras, E; Markianos, M; Moussas, G.
Institution : U Athens, Eginition Hosp, Greece.
Title : Platelet monoamine oxidase, plasma dopamine b-hydroxylase activity, dementia and family history of alcoholism in chronic alcoholics.
Source: Acta Psychiatrica Scandinavica. Vol 80(5) 487-491, Nov 1989.
Abstract:
Measured platelet monoamine oxidase (MAO) activity and plasma dopamine beta-hydroxylase (DBH) activity in 36 male chronic alcoholics (aged 25-62 yrs) during a period of nonabstinence and in 29 normal controls. The influence of family history, dementia, chronicity of drinking and liver injury on the enzyme activities was also examined by multiple regression analysis. Platelet MAO was lower in alcoholics. Both MAO and DBH activity were negatively related to the presence of dementia, while low MAO activity correlated with a positive family history (parents, siblings) of alcoholism.

< 190>
Accession Number Journal Article: 77-14828.
Author : Mavreas, V; Bebbington, P.
Institution : Athens U Medical School, Eginition Hosp, Greece.
Title : Does the act of migration provoke psychiatric breakdown? A study of Greek Cypriot immigrants.
Source: Acta Psychiatrica Scandinavica. Vol 80(5) 469-473, Nov 1989.
Abstract:
Found no evidence that the risk of breakdown was increased immediately after immigration, based on a cross-sectional survey of 291 Greek Cypriot immigrants living in London (V. Mavreas and P. E. Bebbington, see PA, Vol 75:29735). Over 75% of the Ss were 1st-generation. Information from the S and from hospital case records were used to date previous episodes of psychiatric disorder (PD). Datable episodes had occurred in 52 Ss. For 34 Ss who experienced their 1st illness after migration, the mean interval was 15 yrs. In only 9% did breakdown occur within 2 yrs of migration. The age-specific incidence of PD was the same as that seen in a native British sample (P. Bebbington et al; see PA, Vol 67:9950).

< 191>
Accession Number Journal Article: 77-12873.
Author : Katakis, Charis D.
Institution : Lab for the Study of Human Relations, Athens, Greece.
Title : Stages of psychotherapy: Progressive reconceptualizations as a self-organizing process.
Source: Psychotherapy. Vol 26(4) 484-493, Win 1989.
Abstract:
Presents psychotherapy as a process of progressive cognitive reframing leading the individual to higher levels of self-organization. The crucial successive reconceptualizations that are achieved during the process refer to the way the person in therapy perceives oneself in relation to others and to life in general and constitute distinctive steps that are referred to as stages. Successive shifts in the client's frame of mind achieved during the process are inherently connected to a series of crucial decisions that enable therapy to remain goal directed.

< 192>
Accession Number Journal Article: 77-12430.
Author : Manos, Nikolas; Vasilopoulou, Elpida; Sotiriou, Michael.
Institution : Aristotle U of Thessaloniki Medical School, Salonika, Greece.
Title : DSM-III diagnosed borderline personality disorder and depression.
Source: Journal of Personality Disorders. Vol 1(3) 263-268, Fal 1987.
Abstract:
Investigated the relationship between Diagnostic and Statistical Manual of Mental Disorders (DSM-III) diagnosed borderline personality disorder and Axis I diagnoses in 462 psychiatric patients (aged 15-66 yrs). 35% of Ss had diagnosable personality disorders: The most common was mixed, atypical, or other personality disorder followed by borderline personality disorder. These disorders were mostly associated with major depression, dysthymic disorder, and atypical depression. A comparison of matched subsamples of Ss on Minnesota Multiphasic Personality Inventory (MMPI) Scale D revealed a relationship of borderline status with dysthymic disorder. A relationship existed between borderline personality disorder or status and depression.
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