Ελληνική Ψυχιατρική Βιβλιογραφία

Εργασίες από Ελληνικά Ιδρύματα - Μέρος 1



<1> Accession Number Journal Article: 83-37203.
Author : Oulis, Panayotis; Lykouras, Lefteris.
Institution : Eginition Hosp, Athens U, Dept of Psychiatry, Athens, Greece.
Title : Prevalence and diagnostic correlates of DSM-IV catanonic features among psychiatric inpatients.
Source : Journal of Nervous & Mental Disease. Vol 184(6) 378-379, Jun 1996.
Abstract :
Investigated the prevalence and the diagnostic correlates of catatonic features (CFs) among 75 male and 55 female drug-free psychiatric inpatients (mean age 41.2 yrs), as specified by Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) criteria. CFs were assessed by means of 4-point rating scales that had been tested for their interrater reliability (P. Oulis et al, in press). 49 Ss satisfied the DSM-IV criteria for CFs. These findings suggests that DSM-IV CFs are quite common among psychiatric inpatients, although they are highly nonspecific with respect to psychiatric diagnosis.

<2> Accession Number Journal Article: 83-36616.
Author : Panagis, George; Spyraki, Christina.
Institution : U Crete, School of Medicine, Dept of Basic Sciences, Lab of Pharmacology, Crete, Greece.
Title : Neuropharmacological evidence for the role of dopamine in ventral pallidum self-stimulation.
Source : Psychopharmacology. Vol 123(3) 280-288, Feb 1996.
Abstract :
Examined the role of dopaminergic neurotransmission in modulating the reinforcing effect of ventral palladium, (VP) intracranial self-stimulation (ICSS). 54 adult rats were implanted with a monopolar moveable stimulating electrode in the VP. After the ICSS thresholds stabilized, Ss received several doses of cocaine and various selective drugs acting at the level of dopamine receptor subtypes. Their effects on threshold and asymptotic rate were analyzed. Cocaine produced a significant decrease in ICSS threshold but had no significant effect on the asymptotic rate. A significant decrease in ICSS threshold was also seen with the D3 agonist 7-hydroxy-2-di-n-propylamino tetralin. This was associated with a decrease rather than an increase in performance. Haloperidol, SCH-23390, raclopride, and sulpiride produced a dose dependent increase in ICSS threshold and a decrease in the maximal rate.

<3> Accession Number Journal Article: 83-26834.
Author : Simos, Gregoris; Dimitriou, Evangelos.
Institution : Aristotle U of Thessaloniki, 2nd University Dept of Psychiatry, Community Mental Health Ctr, Salonika, Greece.
Title : Is there a seasonal pattern in non-seasonal affective disorders?.
Source : European Journal of Psychiatry. Vol 9(3) 167-171, Jul-Sep 1995.
Abstract :
Investigated the existence of seasonal features in depressive patients meeting the Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) criteria for non-chronic, non-seasonal affective disorders. 36 pure depressive patients (aged 32-45 yrs) were classified as winter (Sept-Feb), or summer (March-August) depressives, according to the month of onset of their last depressive episode. A comparison of these 2 groups along with variables such as age, sex, severity and recurrence of depression, precipitating factors, and clinical characteristics, failed to reveal any statistically significant differences. However, winter depression tended to be less severe, affected proportionally more women, caused less irritability and anxiety, more fatigue and loss of energy, less somatic complaints and less decrease in appetite.

<4> Accession Number Journal Article: 83-23836.
Author : Tesegos, Ioannis K.
Institution : Open Psychotherapeutic Ctr, Athens, Greece.
Title : Further thoughts on group-analytic training.
Source : Group Analysis. Vol 28(3) 313-326, Sep 1995.
Abstract :
Comments on the article by H. R. Hilpert (see PA, Vol 83:24266), and reproaches group-analytic training for not paying enough attention to the intrusion of ideological (psychoanalytic) elements into the group-analytic approach. Block training is considered to be an offshoot of the method-demonstration conference and bound to adopt a particularly authoritarian structure, function, and content. Reference is made to other issues of group-analytic training and practice (e.g., the concept of the person, the presence of patients) in order to underline the difference and contradictions between group analysis and psychoanalysis. Training community practice within a group-analytic training organization could remedy some of the problems.

<5> Accession Number Journal Article: 83-23012.
Author : Charalabaki, E; Bauwens, F; Stefos, G; Madianos, M G; et al.
Institution : Psychiatric Hospital of Athens, Greece.
Title : Immigration and psychopathology: A clinical study.
Source : European Psychiatry. Vol 10(5) 237-244, 1995.
Abstract :
Compared 46 Greek, 125 Iberian, and 171 Belgian psychiatric patients, matched for sex, age, and time of hospitalization in a university hospital in Brussels. Schizophrenia and schizoaffective disorder/atypical psychosis were diagnosed more among immigrant Ss. Somatic anxiety, loss of libido, delusions, and hallucinations were symptoms that clinicians observed more in immigrant than in native Ss. Atypical symptomatology and change of diagnosis were more likely to occur among immigrant Ss. A higher proportion of 2nd generation immigrant Ss had a diagnosis of schizophrenia than either the 1st generation or the Belgians. Male immigrants were prescribed anxiolytic drugs more frequently than male natives, but were less likely to be referred to psychotherapy. It is questioned whether these findings derive from specificities in the use of psychiatric services and/or from biases in clinicians' attitudes towards patients of different ethnic origin.

<6> Accession Number Journal Article: 83-21192.
Author : Kordoutis, Panos; Kolaitis, Gerassimos; Perakis, Antonis; Papanikolopoulou, Penny; et al.
Institution : "Aghia Sophia" Children's Hosp, Dept of Psychological Paediatrics, Athens, Greece.
Title : Change in care staff's attitudes towards people with learning disabilities following intervention at the Leros PIKPA Asylum.
Source : British Journal of Psychiatry. Vol 167(Suppl 28) 56-69, Jul 1995.
Abstract :
Describes a pilot intervention project's (J. Tsiantis et al; see PA, Vol 83:21105) efforts to change resident management by decreasing care staff's tendency to view people with learning disabilities with attitudes of custodial segregation and categorization. 70 staff members, aged 32-57 yrs, received on the job training that included seminars on developmental disabilities, resident management techniques, sensitization groups, clinical case presentations, and visits to model rehabilitation units. Ss responded to a questionnaire about their attitudes toward people with learning disabilities at the beginning of the project and 1 yr later. At reassessment, staff's tendency toward categorization of persons with disabilities had decreased and the appropriateness of alternative care forms was understood. Overall, results show that the care staff's attitudes following training underwent a small but significant modification.

<7> Accession Number Journal Article: 83-21105.
Author : Tsiantis, John; Perakis, Antonis; Kordoutis, Panos; Kolaitis, Gerassimos; et al.
Institution : "Aghia Sophia" Children's Hosp, Dept of Psychological Paediatrics, Athens, Greece.
Title : The Leros PIKPA Asylum: Deinstitutionalisation and rehabilitation project.
Source : British Journal of Psychiatry. Vol 167(Suppl 28) 10-45, Jul 1995.
Abstract :
Describes a 3-yr deinstitutionalization and rehabilitation pilot intervention project that was implemented at Leros PIKPA, an asylum in Greece for people with severe learning disabilities. Intervention involved professionals from different disciplines, residents and their families, care staff, the institution, and the local community. As a result of the project, communication between residents and families increased; care staff's poor resident management practices and negative attitudes toward disabled people changed; living and hygienic conditions were upgraded; building renovation is under way; and asylum administration and the local community were sensitized to residents' needs. Results suggest that deinstitutionalization and rehabilitation can be successfully initiated even in residential institutions of the severest kind.

<8> Accession Number Journal Article: 83-21104.
Author : Tsiantis, John; Kordoutis, Panos; Kolaitis, Gerassimos; Perakis, Antonis; et al.
Institution : "Aghia Sophia" Children's Hosp, Dept of Psychological Paediatrics, Athens, Greece.
Title : The psychosocial dynamics of change at Leros PIKPA Asylum.
Source : British Journal of Psychiatry. Vol 167(Suppl 28) 46-55, Jul 1995.
Abstract :
Describes the obstacles and resistance experienced by the pilot intervention project team at Leros PIKPA asylum (J. Tsiantis et al; see PA, Vol 83:21105) in Greece. Resistance ranged from implicit and passive to explicit and hostile and came from the residents' parents and relatives; state, local, and institutional administration; public welfare services; the island and local community; the care staff; and medical professionals. The team faced efforts to delay, obstruct, or reverse the progress of the project and undermine the work of the intervention. It is argued that this resistance to change is due to the interplay of cultural/attitudinal, psychodynamic, and socioeconomic factors that are not unique to Leros or Greece. The analysis of the psychosocial processes involved in resistance to change at the Leros PIKPA asylum may offer insights to the deinstitutionalization of custodial settings in general.

<9> Accession Number Journal Article: 83-21096.
Author : Perakis, Antonis; Kolaitis, Gerassimos; Kordoutis, Panos; Kranidioti, Marilena; et al.
Institution : for Child & Adolescent Psychosocial Health, Holargos, Greece.
Title : Mortality among institutionalised people with learning disabilities in Greece: A 30-year survey at the Leros PIKPA Asylum.
Source : British Journal of Psychiatry. Vol 167(Suppl 28) 70-77, Jul 1995.
Abstract :
Reviewed mortality data on the 914 patients aged 0-25 yrs with learning disabilities and associated problems that were admitted to the Leros PIKPA asylum in Greece from 1961-91. The overall crude mortality rate was 59.2 deaths per 1,000 person-years. 22% of the deaths occurred within a year after admission. Age specific mortality rates were particularly high for those aged 1-4 yrs, and declined thereafter. Male residents had lower mortality than female residents in most of the age groups. Although mortality rates were 20-150 times higher than those of the general population of Greece, they were comparable to those reported for people with more severe learning disabilities in institutions in other countries. The complex interplay of biological, social, cultural, environmental, economic, and political factors on the admission, release, and mortality patterns of institutionalized people is discussed.

<10> Accession Number Journal Article: 83-20088.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Malliaras, Dimitris; et al.
Institution : Athens U Medical School, Psychiatric Clinic, Greece.
Title : Biogenic amine metabolites in delusional (psychotic) depression and melancholia subtypes of major depression.
Source : Progress in Neuro-Psychopharmacology & Biological Psychiatry. Vol 18(8) 1261-1271, Dec 1994.
Abstract :
Compared 84 depressed Ss (mean age 53.2 yrs), classified as melancholic and nonmelancholic by Diagnostic and Statistical Manual of Mental Disorders-III (DSM-III), regarding monoamine metabolite (MM) levels: homovanillic acid (HVA), 5-hydroxyindoleacetic acid (5-HIAA), and 3-methoxy-4-hydroxyphenylglycol (MHPG), respective or irrespective of the presence of psychotic features. Results based on urine samples taken at prescribed times showed MHPG was significantly higher in the delusional depressed group. Female Ss with delusional major depression also had significantly higher HVA excretion than female Ss with nondelusional major depression. 5-HIAA excretion was similar in the 2 S subgroups. No significant differences in the 3 MMs were found between the melancholic and nonmelancholic depressed Ss.

<11> Accession Number Journal Article: 83-16077.
Author : Dragonas, Thalia; Tsiantis, John; Lambidi, Anna.
Institution : Athens U, Dept of Preschool Education, Greece.
Title : Assessing quality day care: The Child Care Facility Schedule.
Source : International Journal of Behavioral Development. Vol 18(3) 557-568, Sep 1995.
Abstract :
The Child Care Facility Schedule (CCFS) represents an effort to develop a measure to assess quality child care. 80 criteria, covering 8 areas, were defined and subsequently tested in 3 different cultural contexts, i.e., Greece, the Philippines, and Nigeria. Reliability studies were conducted in Athens and Ibadan, and a validity study was carried out in Athens. Concurrent validity was established by comparing CCFS scores with those obtained from an unstructured observation by an observer unfamiliar with the content of the CCFS. Criterion validity was examined by comparing CCFS scores with those derived from the Early Childhood Environment Rating Scale. Factor and cluster analyses were used as a means for establishing construct validity. A general quality factor that tapped the contribution of the caretakers to quality was revealed, and a shorter, 43-item version was recommended. all

<12> Accession Number Journal Article: 83-11680.
Author : Marcos, Anastasios C; Bahr, Stephen J.
Institution : American Coll of Greece, Dept of Sociology, Athens, Greece.
Title : Drug progression model: A social control test.
Source : International Journal of the Addictions. Vol 30(11) 1383-1405, Sep 1995.
Abstract :
Presents a social control drug progression model which explains the use of alcohol, cigarettes, and marijuana for both males and females and uses alcohol, cigarettes, and marijuana as intervening variables to explain the use of amphetamines and "hard drugs." 2,626 high school students completed a questionnaire that included items on social background, frequency of use for a variety of drugs, attitudes toward obeying the law, attitudes toward school, perception of family bonding, religious activity, and peer drug use. The model explains 39% of the variation in the self-reported amphetamine use and 24% of the variation in "hard drug" use. Findings suggest that the integration of social control theory and drug progression improves the predictive power of this model of adolescent drug use. (Spanish & French abstracts)

<13> Accession Number Journal Article: 83-11477.
Author : Lykouras, Lefteris; Markianos, Manolis; Hatzimanolis, John; Malliaras, Dimitris; et al.
Institution : Athens U Medical School, Psychiatric Clinic, Greece.
Title : Association of biogenic amine metabolites with symptomatology in delusional (psychotic) and nondelusional depressed patients.
Source : Progress in Neuro-Psychopharmacology & Biological Psychiatry. Vol 19(5) 877-887, Sep 1995.
Abstract :
Investigated whether 3-methoxy-4-hydroxyphenylglycol (MHPG), 5-hydroxyindoleacetic acid (5-HIAA), and homovanillic acid (HVA) levels in 84 patients with major depression related to specific psychopathological correlates as specified in the Hamilton Rating Scale for Depression (HRSD). Ss were categorized into depressives with vs without mood congruent psychotic features and were compared on the HRSD item scores. In the delusional group, MHPG excretion was positively related to depressed mood, middle insomnia and genital symptoms. 5-HIAA excretion was negatively associated with late insomnia, work and interests and genital symptoms. HVA was positively related to agitation. In the nondelusional group the only association found was between agitation and HVA excretion.

<14> Accession Number Journal Article: 83-11472.
Author : Kaprinis, G; Nimatoudis, J; Karavatos, A; Kandylis, D; et al.
Institution : Psychiatric Hosp of Thessaloniki, Dept of Psychiatry, Neuropsychological Lab, Greece.
Title : Functional brain organization in bipolar affective patients during manic phase and after recovery: A digit dichotic listening study.
Source : Perceptual & Motor Skills. Vol 80(3, Pt 2) 1275-1282, Jun 1995.
Abstract :
Studied the functional organization of the cerebral hemispheres in patients with bipolar psychosis, using a verbal dichotic listening test for pairs of digits. 26 patients with bipolar mania were tested during the acute expression of manic phase and after recovery. The patient group tested during the manic phase did not support the expected right-ear advantage of normal Ss on verbal dichotic tests but showed a statistically significant left-ear advantage, which shifted after recovery toward the typical normal asymmetry. Comparing patients during the manic phase and after recovery showed that the left-ear advantage as well as the shift in right-ear advantage after recovery was due to the reduction of left-ear performance. For these patients, mania may be hypothesized to be characterized by overactivation of the right hemisphere. This phenomenon seems associated with acuteness of the symptoms of the psychotic disorder.

<15> Accession Number Journal Article: 83-11430.
Author : Botsis, Alexander J; Plutchik, Robert; Kotler, Moshe; van Praag, Herman M.
Institution : Athens Army Hosp, Dept of Psychiatry, Pendeli, Greece.
Title : Parental loss and family violence as correlates of suicide and violence risk.
Source : Suicide & Life-Threatening Behavior. Vol 25(2) 253-260, Sum 1995.
Abstract :
Examined the relation between loss and violence, and the relation of parental violent behavior to suicide. 79 psychiatric inpatients completed a battery of psychometric instruments that obtained information about early parental loss, exposure to family violence, and behavioral problems in themselves and in their first degree relatives. These variables were correlated with suicide and violence risk measures. Suicide risk correlated with all family variables whereas violence risk correlated with behavioral problems both in oneself and in one's first degree relatives. Further, suicidal and violent patients had experienced maternal loss significantly more frequently than nonsuicidal nonviolent patients. In the suicidal/violent group, age of patient at parent's death was significantly lower than in the nonsuicidal/nonviolent group. Family violence was significantly correlated with behavioral problems in self and in first degree relatives.

<16> Accession Number Journal Article: 83-11428.
Author : Bilanakis, Nicholas; Madianos, Michael G; Liakos, Aris.
Institution : Delvinaki Community Health Ctr, Jannina, Greece.
Title : Demoralization and mental health: A community study among repatriated Greek immigrants.
Source : European Journal of Psychiatry. Vol 9(1) 47-57, Jan-Mar 1995.
Abstract :
Presents data on the prevalence of demoralization in a sample of 198 Greek emigrants repatriated from Western Europe to a southwestern province of Greece. Measurement of demoralization was based on the number of self-reported nonspecific symptoms of distress. The mental health screening instrument was the Langner's Screening Scale of Psychopathology. 51.1% of females and 36.0% of males were characterized as mentally impaired with a criterion of 6 or more reported pathognomonic symptoms in the scale. Multiple regression analysis revealed that age, sex, duration of immigration, and place of birth predicted the psychological symptom score. Findings suggest that an emigrant returning home may be at risk of experiencing a high amount of symptoms of distress through the psychological process of demoralization.

<17> Accession Number Journal Article: 83-08439.
Author : Madianos, M G; Gefou-Madianou, D; Stefanis, C N.
Institution : U Athens, Dept of Psychiatry, Community Mental Health Ctr, Greece.
Title : The epidemiology of illicit and licit drug use in Greece: A nationwide general population survey.
Source : European Psychiatry. Vol 10(4) 175-182, 1995.
Abstract :
A cross-sectional home survey on the epidemiology of drug use in Greece, with a nationwide general population sample of 4,291 respondents (aged 12-64 yrs), was carried out. The weighted life prevalence of reported illicit drug use in the total sample was 9% among male Ss and 2.5% among female Ss, with a ratio of 3.6: 1. The weighted lifetime prevalence of licit psychotropic drugs without a doctor's order among male Ss was 6.5% and among female Ss 14.9%. Young adults reported higher rates of both illicit and licit lifetime and past-year use, compared with the other age groups. Illicit drug use was less common in female Ss of all ages. Cannabis was the most common illicit drug used. Current as well as lifetime use of pain relievers without a doctor's prescription was highest among all other licit substances. This holds true for all age groups and for both sexes. Tranquillizers were predominantly used by female Ss of all ages. all

<18> Accession Number Journal Article: 83-08435.
Author : Kokkevi, Anna; Stefanis, Costas.
Institution : Athens U Medical School, Dept of Psychiatry, Eginition Hosp, Greece.
Title : Drug abuse and psychiatric comorbidity.
Source : Comprehensive Psychiatry. Vol 36(5) 329-337, Sep-Oct 1995.
Abstract :
Examined psychiatric morbidity among 176 opioid-dependent men recruited from prison (55.1%) and treatment services (44.9%) in Greece using the Diagnostic Interview Schedule and the Center for Epidemiological Studies-Depression scale. Lifetime and current prevalence of any mental disorder, excluding substance use disorders, reached 90.3% and 66.1%, respectively. The most prominent lifetime disorders were anxiety and affective disorders. Higher rates of affective and anxiety disorders were diagnosed in the treatment sample than in the imprisoned sample, and the inverse was observed for antisocial personality disorder. Results showing a strong association between drug dependence and mental disorders are supported by findings of high levels of depressive symptoms and increased rates of self-reported suicide attempts and psychiatric hospitalizations. Psychiatric disorders seem to precede drug dependence in the majority of cases. all

<19> Accession Number Journal Article: 83-06153.
Author : Kanellakis, K; Athitakis, M; Paterakis, P; Tsegos, I K.
Institution : Inst of Group Analysis, Athens, Greece.
Title : Trying to apply therapeutic community principles within a traditional psychiatric hospital setting.
Source : Therapeutic Communities: the International Journal for Therapeutic & Supportive Organizations. Vol 16(1) 37-46, Spr 1995.
Abstract :
Describes an attempt to introduce a therapeutic community (TC) approach into a ward in a psychiatric hospital. With the aid of a teaching program, staff adapted to the new method of working, which proved beneficial for the patient group. In fact, the patients themselves took an active role in maintaining the TC ethos at times when it was under threat. A benign administration is required to allow such an innovation to work; when this was withdrawn, the ward was no longer able to function as a TC. However, TC culture still remains alive among the patients, while a number of staff members applied for further training, in spite of the administration's opposition. Therefore, some optimism can be sustained that the TC program could revive under favorable conditions. (Dutch & Greek abstracts) (0 ref)

<20> Accession Number Journal Article: 83-05256.
Author : Angelopoulos, Nikiforos V; Tzivaridou, D; Nikolaou, N; Pavlidis, A N.
Institution : U Thessalia, School of Medicine, Dept of Psychiatry, Larisa, Greece.
Title : Mental symptoms, hostility features and stressful life events in people with cancer.
Source : Acta Psychiatrica Scandinavica. Vol 92(1) 44-50, Jul 1995.
Abstract :
Hostility (HO), mental symptoms, and stressful life events were investigated in 100 patients (59 men and 41 women) suffering from cancer. 57 healthy men ( n = 26) and women ( n = 31) were used for comparison purposes. Ss completed the Hostility and Direction of Hostility Questionnaire, the Delusions-Symptoms-States Inventory/states of anxiety and depression and a modified version of the Schedule of Life Experiences. Female patients reported lower scores than healthy females on total HO, but male patients reported higher scores than healthy males. On the depressive and anxiety subscales, female patients reported significantly higher scores whereas the differences were not statistically significant for male patients. On the Schedule of Life Experiences, female patients reported statistically significant higher scores than healthy females. No significant differences were detected between males.

<21> Accession Number Journal Article: 83-04849.
Author : Oulis, P G; Mavreas, V G; Mamounas, J M; Stefanis, C N.
Institution : Athens U Medical School, Dept of Psychiatry, Eiginition Hosp, Greece.
Title : Clinical characteristics of auditory hallucinations.
Source : Acta Psychiatrica Scandinavica. Vol 92(2) 97-102, Aug 1995.
Abstract :
Studied 25 intrinsic or relational clinical characteristics of auditory hallucinations by means of 3-point observer-rated ordinal scales. 60 inpatients (aged 18-74 yrs) suffering from schizophrenia, schizophreniform disorder, or brief reactive psychosis were studied. Interrater reliability of the scale was found to be satisfactory. High levels of conviction about reality of sensory stimuli, clarity of content, location of their source of origin, and lack of volitional control were hallmarks of hallucinations. However, the characteristics studied were not strongly intercorrelated. all

<22> Accession Number Journal Article: 83-02384.
Author : Vaslamatzis, Grigoris.
Institution : Athens U, Dept of Psychiatry, Eginition Hosp, Greece.
Title : On the process of the psychoanalytic psychotherapy with the borderline depressive patient.
Source : International Forum of Psychoanalysis. Vol 4(2) 111-118, Jul 1995.
Abstract :
Contends that the therapist's capacity to tolerate and elaborate on the projections of borderline depressive patients (BDPs) facilitates development of therapist-patient communication and influences therapeutic outcome. A cry for help often occurs in the 1st interview. Many BDPs then immediately attach to the therapist. After initial idealization, the BDP identifies the therapist as a bad internal object. Projective identification and attacks on the analyst's interpretations are common. Later in therapy, archaic mechanisms subside, the BDP approaches the therapist, and a depressive reaction and function develop. The end of therapy is related to the ability to integrate the therapeutic experience as a relationship with the good object that can contain all anxiety and projections. Case material is included. (German & Spanish abstracts)

<23> Accession Number Journal Article: 83-01444.
Author : Christodoulou, G N; Margariti, M M; Malliaras, D E; Alevizou, S.
Institution : U Athens, Dept of Psychiatry, Eginition Hosp, Greece.
Title : Shared delusions of doubles.
Source : Journal of Neurology, Neurosurgery & Psychiatry. Vol 58(4) 499-501, Apr 1995.
Abstract :
Reports on 2 partners in a folie a deux situation manifesting identical Capgras delusions. It is postulated that the Capgras syndrome resulted from interaction between a dominant 54-yr-old female patient with primarily paranoid psychopathology and a submissive one (her 24-yr-old daughter) with primarily organic dysfunction. The submissive neuro-organic S experienced a nondelusional misidentification that became delusional and developed into Capgras syndrome as a result of elaboration by the dominant S, who subsequently "imposed" the Capgras delusion on the submissive S. Both Ss had evidence of organic cerebral dysfunction.

<24> Accession Number Journal Article: 83-01439.
Author : Bilanakis, Nicholas; Madianos, Michael G; Liakos, Aris.
Institution : Delvinaki Community Health Ctr, Ioannina, Greece.
Title : Psychiatric morbidity among repatriated Greek migrants in a rural area.
Source : European Archives of Psychiatry & Clinical Neuroscience. Vol 245(1) 36-44, 1995.
Abstract :
Conducted secondary analysis on data from 198 Greek migrants (mean age 54.3 yrs) repatriated from Western Europe in a Northwestern province of Greece. Ss completed an interview that used the Langner 22-items scale and the Structured Clinical Interview for DSM-III-R-Personality Disorders. The current (1 mo) prevalence of psychiatric morbidity, based on the total number of diagnosed cases, was found to be 43.4%. Lifetime prevalence of psychiatric disorders was 49.4%. Most Ss were diagnosed with anxiety disorders and dysthymia. Psychiatric disorders were more prevalent among middle-aged Ss. Duration of stay in the foreign country was related to psychiatric morbidity.

<25> Accession Number Journal Article: 82-44854.
Author : Lykouras, Lefteris; Markianos, Manolis; Stefanis, Costas.
Institution : Athens U Medical School, Psychiatric Clinic, Eginition Hosp, Greece.
Title : Clonidine monotherapy of a patient with mixed bipolar disorder and mania: Changes in symptomatology and neurochemical variables.
Source : Progress in Neuro-Psychopharmacology & Biological Psychiatry. Vol 19(2) 343-349, Mar 1995.
Abstract :
Reports the effect of clonidine on a 61-yr-old female patient with mixed bipolar disorder resistant to treatment with neuroleptics and antidepressants. The S improved with a daily dose of .45 mg. A manic relapse of the S, still on clonidine, was successfully treated by increasing the clonidine dose to .6 mg/day. After initiation of clonidine regimen, 3-methoxy-4-hydroxyphenylglycol (MHPG) and homovanillic acid excretion declined whereas serotonin 5-hydroxyindoleacetic acid (5-HIAA) remained unaltered. The levels of all 3 metabolites showed a marked increase at the onset of a manic relapse and were reduced after the increase of clonidine dose and the amelioration of manic symptoms.

<26> Accession Number Journal Article: 82-44838.
Author : Kontaxakis, V P; Christodoulou, G N; Markianos, M; Stefanis, C.
Institution : U Athens, Dept of Psychiatry, Eginition Hospital, Greece.
Title : Pharmacotherapeutic response of DST-positive borderline patients.
Source : European Psychiatry. Vol 10(3) 159-160, 1995.
Abstract :
Presents the cases of 2 borderline patients (a 29-yr-old man and a 22-yr-old man) who were dexamethasone-suppression-test (DST) positive and refractory to many therapeutic interventions and who were successfully treated with high doses of amitriptyline (225 and 200 mg/day, respectively). During the 6-wk therapeutic intervention, the psychopathological condition of the Ss was evaluated using the Hamilton Rating Scale for Depression and a constructed scale based on the dysphoria, anger, sense of emptiness, boredom, and anhedonia items of the diagnostic interview for borderline patients. The use of DST as a biological marker proved useful in the Ss' therapeutic management.

<27> Accession Number Journal Article: 82-44608.
Author : Simos, Gregoris; Dimitriou, Evangelos.
Institution : Community Mental Health Ctr, 2nd University Dept of Psychiatry, Thessaloniki, Greece.
Title : Cognitive-behavioural treatment of culturally bound obsessional ruminations: A case report.
Source : Behavioural & Cognitive Psychotherapy. Vol 22(4) 325-330, 1994.
Abstract :
Presents the case of a 24-yr-old woman with recurrent obsessive-compulsive disorder. She had a severe year-long obsessional rumination concerning her superstitious personal responsibility for the accidental death of her cousin. Her obsessional beliefs were intermingled with a specific cultural context. Repeated audiotaped listening to the cognitively restructured content of her obsession rapidly eliminated her ruminations and alleviated her depressive and general psychopathology.

<28> Accession Number Journal Article: 82-40790.
Author : Madianos, Michael G; Madianou, Dimitra; Stefanis, Costas.
Institution : U Athens, Dept of Psychiatry, Community Mental Health Ctr Byron Kessariani, Greece.
Title : Familial correlates of drug and alcohol use in a nationwide general population survey.
Source : Psychopathology. Vol 28(2) 85-94, Mar-Apr 1995.
Abstract :
Analyzed interview data on familial correlates of drug and alcohol use in 4,290 persons in Greece (aged 12-64 yrs) based on national survey data (D. Madianou et al, 1987). Familial instability was associated with illicit or unprescribed drug use. Familial mental and somatic illnesses were associated with higher rates of illicit or unprescribed drug use and problematic drinking. Familial unstable environment in the form of loss of parents and past parental absence or immigration was associated with illicit drug use and problematic drinking.

<29> Accession Number Journal Article: 82-38781.
Author : Christodoulou, G N; Lykouras, L P; Mountokalakis, T; Voulgari, A; et al.
Institution : Athens U, Dept of Psychiatry, Eginition Hosp, Greece.
Title : Personalities of psychiatric versus other medical trainees.
Source : Journal of Nervous & Mental Disease. Vol 183(5) 339-340, May 1995.
Abstract :
90 psychiatric trainees (PTs; mean age 31.2 yrs), 18 medical trainees (mean age 32.4), and 41 controls (mean age 30.0) completed the neuroticism, extraversion, and lie factors of the Eysenck Personality Inventory (EPI) adapted for Greeks. PTs had lower neuroticism scores than the other 2 groups. PTs and medical trainees had lower extraversion scores than did controls. PTs had lower lie scores at trend level. PTs' personalities appear more stable than do those of controls and medical trainees.

<30> Accession Number Journal Article: 82-38780.
Author : Christodoulou, George N; Lykouras, Lefteris P.
Institution : Athens U, Dept of Psychiatry, Greece.
Title : Do future psychiatrists have "unstable" personalities?.
Source : Psihijatrija Danas. Vol 26(2-3) 163-167, 1994.
Abstract :
Used the Eysenck Personality Inventory (EPI) to compare 107 psychiatric residents and 69 controls matched for sex, age, and education. Residents scored lower on the extraversion, neuroticism, and lie scales of the EPI. Results suggest that, contrary to common belief, psychiatric trainees have stable personalities. (A Serbo-Croatian version of this article follows the English translation abstracted here.)

<31> Accession Number Journal Article: 82-37469.
Author : Stasinos, D P.
Institution : U Ioannina, Dept of Psychology, Greece.
Title : Aspects of sexuality in Greek adolescents with Down syndrome.
Source : International Journal of Adolescent Medicine & Health. Vol 7(3) 241-247, Jul-Sep 1994.
Abstract :
Examined the sexual behavior (SB) of 7 Greek adolescents (mean age 15.4 yrs) with Down's syndrome (DS). The samples were 56 parents, relatives, and professionals as the experimental group involved in bringing up and treating the DS Ss and 55 primary and secondary school teachers as the control group not involved in treating these Ss. A 21-item questionnaire was administered to both groups. Findings indicate that Greek adolescents with DS, like other adolescents, have the potential to display aspects of SB provided that he/she lives under adequate conditions in his/her community. Adult Greeks who have obtained a basic knowledge and/or experience regarding the person with DS tend to adopt positive attitudes toward him/her. Findings support the notion that mentally handicapped persons in the family of the adolescents with DS have the same emotional, social, and sexual needs as other members of the community. (ClinPSYC Database

<32> Accession Number Journal Article: 82-37317.
Author : Madianos, M G; Gefou-Madianou, D; Richardson, C; Stefanis, C N.
Institution : U Athens Medical School, Dept of Psychiatry, Greece.
Title : Factors affecting illicit and licit drug use among adolescents and young adults in Greece.
Source : Acta Psychiatrica Scandinavica. Vol 91(4) 258-264, Apr 1995.
Abstract :
Conducted a cross-sectional survey on psychosocial issues, drug use, alcohol use, and health among 2,448 younger (aged 12-17 yrs) and older (aged 18-24 yrs) Greek individuals. Results of logistic regression analysis showed that sex and age were related to a higher lifetime use of illicit drugs, with older male Ss reporting a higher lifetime use of illicit drugs than younger male and female Ss and older female Ss. Positive attitudes toward hashish use, systematic smoking, and use of drugs by close friends were more closely related to illicit than to unprescribed licit drug use. In addition, low self-esteem, family members using tobacco and alcohol and problematic drinking predicted illicit drug use. Family members' use of licit drugs, dissatisfaction with social life, and presence of anxiety, depression and depersonalization symptoms were associated with licit but unprescribed drug use.

<33> Accession Number Journal Article: 82-37245.
Author : Tripodianakis, J; Markianos, M; Sarantidis, D; Istikoglou, C; et al.
Institution : Evangelismos General Hosp, Psychiatric Dept, Greece.
Title : Platelet monoamine oxidase in attempted suicide: Relations to sex, psychiatric diagnosis, mode of attempt, and previous attempts.
Source : European Psychiatry. Vol 10(1) 44-48, 1995.
Abstract :
Assessed platelet MAO activities in 57 female (mean age 26.5 yrs) and 25 male (mean age 39.9 yrs) patients, who were admitted to the medical ward of a general hospital after a suicide attempt. The enzyme activities were compared with the activities of age-matched healthy Ss, 35 females and 26 males. MAO activities were analyzed in relation to sex, psychiatric diagnosis, mode of attempt, drugs ingested, and previous attempts. Compared with the controls, only female patients showed lower MAO activities. In the male population, lower activities were found in the subgroup of patients who had made previous attempts. In relation to diagnosis, analysis performed in the female population revealed lower MAO activities in the dysthymic and personality disorder subgroups. MAO activities were not related to the violent mode of attempt, the type of medication used, or the score in A. T. Beck's (see PA, Vol 54:3366) Suicidal Intent scale.

<34> Accession Number Journal Article: 82-37015.
Author : Papakostas, Yiannis G; Markianos, Manolis; Papadimitriou, George N; Zervas, Iannis M; et al.
Institution : Athens U Medical School, Dept of Psychiatry, Greece.
Title : Effects of methysergide and ritanserin on the prolactin and thyrotropin responses to TRH in depressed patients.
Source : European Neuropsychopharmacology. Vol 5(1) 15-18, Mar 1995.
Abstract :
Studied the effect of the serotonin (5-hydroxytryptamine (5-HT)) antagonists methysergide (MTH) and ritanserin (RIT) on the thyrotropin and prolactin responses to thyrotropin-releasing hormone (TRH) stimulation in 2 groups of medication-free female depressed patients. 10 Ss (aged 24-72 yrs) were treated with MTH and 8 Ss (aged 47-70 yrs) were treated with RIT. MTH decreased the prolactin response to TRH, while RIT had no effect. Neither compound influenced the thyrotropin response. Results suggest that 5-HT-sub-2 mechanisms do not mediate the prolactin and thyrotropin responses to TRH challenge in depression. The reduction in prolactin observed after MTH is probably due to either 5-HT-sub-1 or dopaminergic mechanisms.

<35> Accession Number Journal Article: 82-33948.
Author : Lykouras, Lefteris; Christodoulou, George N; Malliaras, Dimitris; Stefanis, Costas.
Institution : Eginition Hosp, Dept of Psychiatry, Athens, Greece.
Title : The prognostic importance of delusions in depression: A 6-year prospective follow-up study.
Source : Journal of Affective Disorders. Vol 32(4) 233-238, Dec 1994.
Abstract :
Examined the prognostic importance of mood-congruent delusions and hallucinations in 2 groups of depressive patients, delusional and non-delusional. 32 delusional and 41 unipolar non-delusional depressed patients completed a follow-up examination 6 yrs after hospital discharge. Long-term outcome, as determined by frequency of relapses, number of hospitalizations, and chronic course of illness, as well as clinical status and global functioning at the end of the 6-yr period, failed to differentiate the 2 groups. However, discontinuation of maintenance medication in both groups or discontinuation of drug combination (antidepressants and antipsychotics) in delusional Ss was associated with a high rate of relapses. Findings indicate that psychoprophylaxis is necessary in recurrent depression and that antidepressants alone are not sufficient in the maintenance treatment of delusional depression.

<36> Accession Number Journal Article: 82-33556.
Author : Madianos, Michael G; Gefou-Madianou, Dimitra; Stefanis, Costas.
Institution : U Athens, Dept of Psychiatry, Community Mental Health Ctr, Greece.
Title : Patterns of alcohol consumption and related problems in the general population of Greece.
Source : Addiction. Vol 90(1) 73-85, Jan 1995.
Abstract :
Studied patterns of alcohol consumption (AC) and related problems (ARPs) in Greece based on a nationwide home survey sample of 4,290 respondents (aged 12-64 yrs). The prevalence of lifetime, past-year, and past-month AC, as well as levels of quantity of alcohol consumed and ARPs are presented. Frequency and quantity of AC increased with age. Males were found to drink more frequently and more heavily than females. A higher proportion of young adults reported ARPs. Regional variations in the frequency of AC were observed, but no differences were found in the geographic distribution of persons of all age groups reporting ARPs. Respondents of all groups with 2 or more ARPs expressed a high number of dysphoric and depressive symptoms. Factors that discriminate problem and nonproblem drinkers are identified. (French & Spanish abstracts)

<37> Accession Number Journal Article: 82-32337.
Author : Fameli, Maria; Kitraki, Efthimia; Stylianopoulou, Fotini.
Institution : Athens U Medical School, Lab of Histology-Embryology, Greece.
Title : Maternal behavior of dams treated with ACTH during pregnancy.
Source : Physiology & Behavior. Vol 57(2) 397-400, Feb 1995.
Abstract :
24 female rats were injected with ACTH during the last 3rd of their pregnancy and compared with 24 pregnant female rat controls. ACTH treatment resulted in increased number of resorptions, stillbirths, congenitally malformed pups, lower body weights, and severely affected the ability of the dams to exhibit normal maternal behavior. Significant individual differences were noted in the sensitivity of the dams to the experimental treatment. Cross-fostering experiments revealed that experimental dams exhibited normal maternal behavior toward control foster pups, after an initial delay of 24 hrs. When experimental pups were given to control mothers, normal maternal behavior was observed, but the survival rate of the young was not increased.

<38> Accession Number Journal Article: 82-30889.
Author : Garyfallos, George; Adamopoulou, Aravela; Karastergiou, Anastasia; Moutzoukis, Chris; et al.
Institution : Community Mental Health Ctr of North-Western District of Thessaloniki, Greece.
Title : Medical students' attitudes towards psychiatry in Greece.
Source : European Journal of Psychiatry. Vol 8(3) 149-154, Jul-Sep 1994.
Abstract :
Examined shifts in attitudes toward psychiatry among a sample of 146 4th-yr Greek medical students who completed the Libertarian Mental Health Ideology Scale (LMHIS) immediately following a 4-mo, twice a week, psychiatry course. Results showed that Ss exhibited an attitudinal change to a more medical orientation of psychiatry. Two yrs later, 72 Ss (those who selected a psychiatry rather than a neurology training during their 6th-yr of education) completed the questionnaire again; their responses indicated they had maintained the achieved attitudinal shift. Findings are discussed in relation to the pertinent literature and the importance of undergraduate psychiatric training on medical students' attitudes toward psychiatry.

<39> Accession Number Journal Article: 82-30641.
Author : Yfantopoulos, John Nic.
Institution : U Athens, Greece.
Title : Economic and legal aspects of mental health policies in Greece. Special Issue: The continued care client: A European perspective.
Source : International Journal of Social Psychiatry. Vol 40(4) 296-305, Win 1994.
Abstract :
Discusses mental health policies in Greece, where the history of asylums goes back to the monasteries of the middle ages. Admission to Greek psychiatric hospitals is by compulsory commitment only, and the average length of stay is long by any standards. Psychiatric reforms following the creation of the national health service in 1983 are described, and the evolution of the psychiatric system over the last 20 yrs is presented in a series of bar graphs. The 5-yr plan developed by a committee of the European Community to reform the Greek mental health system is described. Shortages of medical and nursing personnel are discussed, and proposals for reorganization of the mental health system in view of the experiences of the 5-yr plan are presented.

<40> Accession Number Journal Article: 82-30380.
Author : Markianos, Manolis; Hatzimanolis, John; Stefanis, Costas.
Institution : Athens U Medical School, Psychiatric Clinic, Eginition Hosp, Greece.
Title : Prolactin and TSH responses to TRH and to haloperidol in schizophrenic patients before and after treatment.
Source : European Neuropsychopharmacology. Vol 4(4) 513-516, Dec 1994.
Abstract :
Studied the prolactin (PRL) and the TSH responses to thyrotropin- releasing hormone (TRH) and to haloperidol in 11 male schizophrenic patients in a drug-free state and after treatment with haloperidol. The blockade of the receptors that induce release of PRL by haloperidol was verified after treatment by the absence of further PRL increase to additional haloperidol. The PRL responses to TRH were preserved, although moderately reduced. The TSH responses to TRH were unaltered by the treatment. The results show that the TSH, and partially the PRL releasing actions of TRH, are not mediated via receptors that are effectively blocked by haloperidol.

<41> Accession Number Journal Article: 82-30271.
Author : Beratis, Stavroula.
Institution : U Patras Medical School, Dept of Psychiatry, Greece.
Title : A psychodynamic model for understanding pervasive developmental disorders.
Source : European Journal of Psychiatry. Vol 8(4) 209-214, Oct-Dec 1994.
Abstract :
Emphasizes the usefulness of a psychodynamic model based on developmental psychoanalytic concepts for children with pervasive developmental disorders. It is argued that in spite of the biological and constitutional etiology, the variety and fluctuations of clinical phenomenology may be conceptualized as disturbances of functions in a developmental continuum, with defects at different levels of personality organization according to the developmental profile of separation-individuation. During the therapeutic process of children with pervasive developmental disorders, observation of transitional-like objects used by these nonverbal children may provide valuable information as to the level of self-object differentiation and the capacity to modulate and control aggression and the emerging capacity for symbolization, thus facilitating the formulation of therapeutic interventions.

<42> Accession Number Journal Article: 82-29281.
Author : Garyfallos, George; Adamopoulou, Aravela; Voikli, Maki; Saitis, Michael; et al.
Institution : Community Mental Health Ctr, Thessaloniki, Greece.
Title : DSM-III--R personality disorders among patients with depressive and/or anxiety disorders.
Source : Journal of Personality Disorders. Vol 8(4) 320-332, Win 1994.
Abstract :
A sample of Greek psychiatric outpatients with diagnoses of depressive (major depression or dysthymia) and/or anxiety disorders was divided into 3 subsamples: depressive disorders ( N = 100; mean age 38.4 yrs), depressive disorders in combination with anxiety disorders ( N = 49; mean age 36 yrs), and pure anxiety disorders ( N = 74; mean age 35 yrs). The combined anxiety-depressive group as compared with the other 2 groups manifested a significantly higher frequency of "any" personality disorder, paranoid personality disorder (PD), and borderline PD, and also had significantly higher scores on the majority of the clinical scales and on some of the research scales of the MMPI. It is important that such cases be distinguished in both clinical and research practice, and that special attention be paid to the interaction among anxiety, depression, and personality disorder.

<43> Accession Number Journal Article: 82-28363.
Author : Bolaris, Stamatis; Margarity, Marigoula; Valcana, Theony.
Institution : U Patras, Dept of Biology, Lab of Human & Animal Physiology, Greece.
Title : Effects of LiCl on triiodothyronine (T-sub-3) binding to nuclei from rat cerebral hemispheres.
Source : Biological Psychiatry. Vol 37(2) 106-111, Jan 1995.
Abstract :
Examined whether short-term (1 hr to 7 days) LiCl treatment affects T-sub-3 binding to brain (cerebral hemispheres) nuclear receptors in rats. Although plasma T-sub-3 and T-sub-4 levels were not affected, -sup-1-sup-2-sup-5I-T-sub-3 uptake was decreased, and both in vivo and in vitro studies showed a significant increase in nuclear T-sub-3 binding in brain and liver tissue. This increase reflected an increase in maximal binding density. Findings suggest that Li-super(+ ) exerts its action by inducing cellular hypothyroidism. Integrating existing information on thyroid hormones and affective diseases and the effects of hypothyroidism on neurotransmitters thought to be altered in mania and depression, this hypothesis is supported and contributes to understanding of the effects of LiCl and thyroid hormones in affective diseases.

<44> Accession Number Journal Article: 82-25213.
Author : Tsiantis, J; Motti-Stefanidi, F; Richardson, C; Schmeck, K; et al.
Institution : "Aghia Sophia" Children's Hosp, Dept of Psychological Paediatrics, Athens, Greece.
Title : Psychological problems of school-age German and Greek children: A cross-cultural study.
Source : European Child & Adolescent Psychiatry. Vol 3(4) 209-219, Oct 1994.
Abstract :
Investigated psychological problems of 466 Greek and 783 German nonreferred, nonmigrant children (aged 6-11 yrs) using the Child Behavior Checklist. Comparisons between the 2 countries on the total behavior problem scores, the total number of positive codings, the externalizing and internalizing scales, and the social competence scales revealed a number of cultural differences. Greek children were considered by their parents to have significantly more problems and to have lower competence in social activities than were German children by their parents. This finding was consistent for all scores, with the exception of school competence. Results are discussed in relation to different intercultural attitudes, meanings, and expectations of parents on their children. (French & German abstracts)

<45> Accession Number Journal Article: 82-21747.
Author : Madianos, Michael G; Gefou-Madianou, Dimitra; Stefanis, Costas.
Institution : U Athens, Dept of Psychiatry, Community Mental Health Ctr, Greece.
Title : Adolescent drinking and alcohol-related problems in a nationwide general population.
Source : International Journal of the Addictions. Vol 29(12) 1581-1599, Oct 1994.
Abstract :
Interviewed 1,325 Greek adolescents (aged 12-17 yrs) at their homes in 1984 to investigate patterns and quantity of alcohol consumption and related problems. Moreover, mental health status of respondents and risk factors were explored. Alcohol use increased from the very young to the older Ss and decreased between lifetime and past week frequencies. Of adolescents, 18% reported 2 or more alcohol-related problems, including suffering from depressive symptoms. Discriminant analysis revealed 14 predictors with high discriminating power between problematic and nonproblematic drinking.

<46> Accession Number Journal Article: 82-20394.
Author : Fameli, M; Kitraki, E; Stylianopoulou, F.
Institution : Athens U Medical School, Lab of Histology-Embryology, Greece.
Title : Effects of hyperactivity of the maternal hypothalamic-pituitary-adrenal (HPA) axis during pregnancy on the development of the HPA axis and brain monoamines of the offspring.
Source : International Journal of Developmental Neuroscience. Vol 12(7) 651-659, Nov 1994.
Abstract :
Examined the development of the hypothalamic-pituitary-adrenal (HPA) axis and brain monoamines in rat pups whose mothers had adrenal hyperactivity, as a result of adrenocorticotropic hormone injections, during the last third of their pregnancy. The adrenals of experimental animals as compared with controls weighed less and had aberrant morphology, which was more pronounced in females. In both experimental males and females, basal plasma corticosterone levels were higher than in the controls, whereas after exposure to stress experimental animals attained lower plasma corticosterone. Brain dopaminergic activity appeared to be decreased, while serotonergic activity increased. Results indicate that the prenatal treatment affected brain development in the offspring and as a consequence programmed the developing HPA axis to hyperfunction under basal conditions, leading to its exhaustion and its inability to react properly to stress.

<47> Accession Number Journal Article: 82-19336.
Author : Petridou, Eleni; Kouri, Nicoletta; Trichopoulos, Dimitrios; Revinthi, Katharine; et al.
Institution : Athens U Medical School, Dept of Hygiene & Epidemiology, Ctr for Research & Prevention of Injuries, Greece.
Title : School injuries in Athens: Socioeconomic and family risk factors.
Source : Journal of Epidemiology & Community Health. Vol 48(5) 490-491, Oct 1994.
Abstract :
Examined the importance of family and social risk factors for injuries at school in Athens, Greece. During study on 80 nonconsecutive days, 101 injuries occurred, 49 on the playground, 39 in classrooms or corridors, 10 during sporting activities, and 3 during transportation to or from school. Results indicated that low SES increases the risk for injuries, not only by creating adverse environmental conditions, but through mechanisms related to behavior and education that can operate even in the school environment. Children from single parent families were 5 times more likely to sustain a school injury.

<48> Accession Number Journal Article: 82-18794.
Author : Madianos, Michael G.
Institution : U Athens, Dept of Psychiatry, Greece.
Title : Recent advances in community psychiatry and psychosocial rehabilitation in Greece and the other Southern European countries.
Source : International Journal of Social Psychiatry. Vol 40(3) 157-164, Fal 1994.
Abstract :
Compares components of institutional and alternative community-based psychiatric care as well as the development of psychosocial rehabilitation services in Greece, Italy, Portugal, and Spain. Sociodemographic and vital statistics concerning economic development and employment in these countries are examined. Traditional mental health care seems to be in a process of transformation that involves developing alternative community-based care and psychosocial rehabilitation in Greece, Spain, and Portugal. Italy has overcome sociocultural, economic, and legislative barriers to implement psychiatric reform.

<49> Accession Number Journal Article: 82-17868.
Author : Madianos, Michael G; Gefou-Madianou, Dimitra; Stefanis, Costas N.
Institution : U Athens, Community Mental Health Ctr, Dept of Psychiatry, Greece.
Title : Drinking practices of illicit and licit drug users in the general population across Greece.
Source : American Journal of Drug & Alcohol Abuse. Vol 20(4) 547-559, Nov 1994.
Abstract :
Examined patterns of alcohol consumption among illicit and licit drug users in 4,290 Greeks (1,940 males, 2,350 females, aged 12-64 yrs). Respondents were interviewed in their homes with a multidimensional structured questionnaire. Illicit drug users of all ages reported a higher frequency of alcohol consumption in their lifetime, past year, month, and week prior to interview than the unprescribed licit drug users and the nonusers. The majority of illicit drug users of all ages reported their reason for drinking "to feel better or to get high." Illicit drug users of all age groups had a higher frequency of drunken episodes than the other categories. Finally, the higher the frequency of illicit drug use, the more excessive drinking reported during the past year and month. 40% of illicit drug users reported that they had 2 or more serious alcohol-related problems.

<50> Accession Number Journal Article: 82-17550.
Author : Sakadami-Angelopoulou, Nickoletta; Tsikoulas, John; Abatzides, George; Bagiatis, Konstantinos.
Institution : Aristotelian U of Thessaloniki, Dept of Physical Education, Greece.
Title : Knowledge of and attitudes towards children with special needs by selected groups.
Source : Perceptual & Motor Skills. Vol 79(1, Pt 1) 19-23, Aug 1994.
Abstract :
Explored knowledge of and attitudes about children who have special needs in Greece among 305 Lyceum students, 94 secondary education teachers, 247 medical students, 354 physical education students, and 145 individuals (aged 17+ yrs) with an exceptional child in their families. Ss completed a questionnaire regarding their knowledge of categories of children with special needs, acceptance of them in regular classrooms, willingness to work with them, and sources of information. Most Ss, including teachers, had limited awareness of exceptional children, their problems, their education, and their integration. Most Ss gathered information regarding exceptional children from TV or newspapers. Ss showed only partial acceptance of mainstreaming, and only 17% of the teachers wanted to be occupied professionally with such children.

<51> Accession Number Symposium & Conference Presentations: 82-10325.
Author : Papathanasopoulos, P G; Papakostopoulos, D.
Institution : Patras U Medical School, Dept of Neurology, Greece.
Title : Pattern reversal visual evoked potentials in retinitis pigmentosa. First International Meeting on Advanced Methods in Visual Psychophysiology and Electrodiagnosis (1993, Bristol, England).
Source : International Journal of Psychophysiology. Vol 16(2-3) 245-250, May 1994.
Abstract :
Compared pattern reversal visual evoked potentials (PR-VEPs) of 31 patients with retinitis pigmentosa (RP) and 20 controls. The main latency of the main positive component P-sub-1-sub-0-sub-0 of the PR-VEP of the RP patients was 116.1 msec and 114.84 msec after stimulation of the left and right eyes, respectively. These values were significantly different from the equivalent values of the controls (102.5 msec and 100.6 msec for the left and right eyes, respectively). Subsequently, the patients were classified into groups according to visual acuity (VA), and comparison for PR-VEP amplitude and latency was performed. Decrease of VA was significantly associated with increased latency. It seems that RP can introduce significant increase in the PR-VEP latency associated with decreased VA. This may have diagnostic and prognostic implications.

<52> Accession Number Journal Article: 82-07974.
Author : Malikiosi-Loizos, Maria; Anderson, Lynn R.
Institution : U Athens, Greece.
Title : Reliability of a Greek translation of the Life Satisfaction Index.
Source : Psychological Reports. Vol 74(3, Pt 2), Spec Issue 1319-1322, Jun 1994.
Abstract :
Scores on a Greek translation of the Life Satisfaction Index were correlated .95 with scores on the English version for a sample of 36 bilingual Greek university women. The internal reliability of the Greek translation was estimated by a coefficient alpha of .78. Scores were significantly correlated -.51 with those on a previously published Greek translation of the Revised UCLA Loneliness Scale and -.37 with Social loneliness and -.40 with Emotional loneliness. This same pattern of correlations was found when the English version of these 2 tests was completed by 224 university men and women in the US. The Greek translation of the Life Satisfaction Index is sufficiently reliable to warrant further use in research in Greece.

<53> Accession Number Journal Article: 82-07448.
Author : Papadatou, Danai; Anagnostopoulos, Fotios; Monos, Dimitris.
Institution : U Athens, Nursing Dept, Greece.
Title : Factors contributing to the development of burnout in oncology nursing.
Source : British Journal of Medical Psychology. Vol 67(2) 187-199, Jun 1994.
Abstract :
Administered the Maslach Burnout Inventory and measures of environmental and personal variables to 217 oncology nurses and 226 nurses working in general hospitals to determine factors involved in burnout and the development of emotional exhaustion, lack of personal accomplishment, and depersonalization. No significant difference was found between the groups in terms of burnout experienced. Analysis suggested that personality characteristics predicted a greater percentage of variability of the burnout experienced than occupational and demographic variables. A sense of personal control over the things that happen in life and in the work environment protected nurses from emotional exhaustion, depersonalization, and lack of personal accomplishment.

<54> Accession Number Journal Article: 82-05521.
Author : Michalakeas, A; Skoutas, C; Charalambous, A; Peristeris, A; et al.
Institution : Psychiatric Hosp of Attica, Fifth Dept of Psychiatry, Athens, Greece.
Title : Insight in schizophrenia and mood disorders and its relation to psychopathology.
Source : Acta Psychiatrica Scandinavica. Vol 90(1) 46-49, Jul 1994.
Abstract :
Assessed insight in 42 schizophrenic, 13 manic, and 22 depressed female inpatients (1) after admission into a psychiatric hospital, (2) on the 15th and 30th days after admission, and (3) on discharge day. Ss completed measures of insight and psychopathology. Depressed Ss had good initial insight, while schizophrenic Ss had the poorest initial insight. Insight among manic and schizophrenic Ss improved after treatment. A negative correlation was found between insight and psychopathology in mania only, indicating that factors other than psychopathology might influence insight in schizophrenia.

<55> Accession Number Journal Article: 82-05470.
Author : Soldatos, Constantin R.
Institution : U Athens, Dept of Psychiatry, Sleep Research Unit, Eginition Hosp, Greece.
Title : Insomnia in relation to depression and anxiety: Epidemiologic considerations.
Source : Journal of Psychosomatic Research. Vol 38(Suppl 1) 3-8, 1994.
Abstract :
Examines the exact relationship between insomnia (IN) and depression, anxiety, and other psychiatric disorders. Relevant epidemiologic studies of IN are reviewed, mainly regarding the role of psychopathology as a risk factor for the occurrence of IN. Studies investigating the presence of sleep difficulty among psychiatric patients are also assessed. Data show that there is a very close relationship between IN and psychopathology; from an epidemiologic standpoint, this relationship is exemplified by the high prevalence of psychopathology in IN. The relationship between IN and the specific psychopathology of depression or anxiety appears to be quite strong and is most likely a causal one, although the exact cause-and-effect relationship between IN and psychopathology has not been definitely established.
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