Browsing by Author "Skugarevsky, Oleg"

Now showing 1 - 4 of 4
  • No Thumbnail Available
    Item
    Assessment and Treatment of Negative Symptoms in Schizophrenia-A Regional Perspective
    (2022-02-04) Bitter, Istvan; Mohr, Pavel; Raspopova, Natalia; Szulc, Agata; Samochowiec, Jerzy; Micluia, Ioana Valentina; Skugarevsky, Oleg; Herold, Róbert; Mihaljevic-Peles, Alma; Okribelashvili, Nino; Dragašek, Jozef; Adomaitiene, Virginija; Rancans, Elmars; Chihai, Jana; Maruta, Natalia; Marić, Nadja P; Milanova, Vihra; Tavčar, Rok; Mosolov, Sergey; Department of Psychiatry and Narcology
    Clinicians and researchers consider that there are a variety of symptoms that constitute negative symptoms in schizophrenia, and they may use different definitions for the same symptoms. These differences are also reflected in a variety of negative symptom rating scales. Both research and clinical work are negatively affected by the lack of consensus regarding the symptoms that constitute negative symptoms in schizophrenia. Leading research groups have investigated ways to reduce heterogeneity in the domain of negative symptoms in schizophrenia; however, little attention has been paid to regional differences in the concepts of negative symptoms in schizophrenia. The objective of this review was to collect and summarize information about the assessment and treatment of negative symptoms of schizophrenia in Central and Eastern Europe (CEE). Nineteen experts from 17 countries in CEE participated in this project. The participants collected information about their countries, including the following: (1) the most important publications about negative symptoms in schizophrenia (irrespective of the time of their publication); (2) the most frequently used negative symptom of schizophrenia in clinical practice; (3) definitions of frequently used negative symptoms; and (4) treatment of negative symptoms in schizophrenia. The participating experts/countries most frequently reported the following five negative symptoms: avolition, blunted affect, alogia, asociality, and anhedonia. Several experts also considered other symptoms as belonging to the negative symptom domain, such as a decrease in energy level and changes in personality. The importance of evaluating the long-term course and the relationship between negative symptoms and other symptom domains was also noted. No noticeable differences were reported in the treatment of negative symptoms compared to currently published guidelines and algorithms. The most frequently reported negative symptoms included those defined by the NIMH-MATRICS consensus statement on negative symptoms and recently endorsed in a guidance paper of the European Psychiatric Association. The main differences in the concepts, names, and definitions of primary negative symptoms, especially those related to personality changes, and to the evaluation of the long-term course and relationship between different symptom domains in CEE compared to the current English language literature deserve the attention of psychiatrists and other professionals in this field.
  • No Thumbnail Available
    Item
    Clinical decision-making style preferences of European psychiatrists : Results from the Ambassadors survey in 38 countries
    (2022-10-21) Rojnic Kuzman, Martina; Slade, Mike; Puschner, Bernd; Scanferla, Elisabetta; Bajic, Zarko; Courtet, Philippe; Samochowiec, Jerzy; Arango, Celso; Vahip, Simavi; Taube, Maris; Falkai, Peter; Dom, Geert; Izakova, Lubomira; Carpiniello, Bernardo; Bellani, Marcella; Fiorillo, Andrea; Skugarevsky, Oleg; Mihaljevic-Peles, Alma; Telles-Correia, Diogo; Novais, Filipa; Mohr, Pavel; Wancata, Johannes; Hultén, Martin; Chkonia, Eka; Balazs, Judit; Beezhold, Julian; Lien, Lars; Mihajlovic, Goran; Delic, Mirjana; Stoppe, Gabriela; Racetovic, Goran; Babic, Dragan; Mazaliauskiene, Ramune; Cozman, Doina; Hjerrild, Simon; Chihai, Jana; Flannery, William; Melartin, Tarja; Maruta, Nataliya; Soghoyan, Armen; Gorwood, Philip; Department of Psychiatry and Narcology
    Background While shared clinical decision-making (SDM) is the preferred approach to decision-making in mental health care, its implementation in everyday clinical practice is still insufficient. The European Psychiatric Association undertook a study aiming to gather data on the clinical decision-making style preferences of psychiatrists working in Europe.Methods We conducted a cross-sectional online survey involving a sample of 751 psychiatrists and psychiatry specialist trainees from 38 European countries in 2021, using the Clinical Decision-Making Style - Staff questionnaire and a set of questions regarding clinicians' expertise, training, and practice.Results SDM was the preferred decision-making style across all European regions ([central and eastern Europe, CEE], northern and western Europe [NWE], and southern Europe [SE]), with an average of 73% of clinical decisions being rated as SDM. However, we found significant differences in non-SDM decision-making styles: participants working in NWE countries more often prefer shared and active decision-making styles rather than passive styles when compared to other European regions, especially to the CEE. Additionally, psychiatry specialist trainees (compared to psychiatrists), those working mainly with outpatients (compared to those working mainly with inpatients) and those working in community mental health services/public services (compared to mixed and private settings) have a significantly lower preference for passive decision-making style.Conclusions The preferences for SDM styles among European psychiatrists are generally similar. However, the identified differences in the preferences for non-SDM styles across the regions call for more dialogue and educational efforts to harmonize practice across Europe.
  • No Thumbnail Available
    Item
    Results of the COVID-19 mental health international for the general population (COMET-G) study
    (2022-01) Fountoulakis, Konstantinos N.; Karakatsoulis, Grigorios; Abraham, Seri; Adorjan, Kristina; Ahmed, Helal Uddin; Alarcón, Renato D.; Arai, Kiyomi; Auwal, Sani Salihu; Berk, Michael; Bjedov, Sarah; Bobes, Julio; Bobes-Bascaran, Teresa; Bourgin-Duchesnay, Julie; Bredicean, Cristina Ana; Bukelskis, Laurynas; Burkadze, Akaki; Abud, Indira Indiana Cabrera; Castilla-Puentes, Ruby; Cetkovich, Marcelo; Colon-Rivera, Hector; Corral, Ricardo; Cortez-Vergara, Carla; Crepin, Piirika; De Berardis, Domenico; Zamora Delgado, Sergio; De Lucena, David; De Sousa, Avinash; Stefano, Ramona Di; Dodd, Seetal; Elek, Livia Priyanka; Elissa, Anna; Erdelyi-Hamza, Berta; Erzin, Gamze; Etchevers, Martin J.; Falkai, Peter; Farcas, Adriana; Fedotov, Ilya; Filatova, Viktoriia; Fountoulakis, Nikolaos K.; Frankova, Iryna; Franza, Francesco; Frias, Pedro; Galako, Tatiana; Garay, Cristian J.; Garcia-Álvarez, Leticia; García-Portilla, Maria Paz; Gonda, Xenia; Gondek, Tomasz M.; González, Daniela Morera; Gould, Hilary; Grandinetti, Paolo; Grau, Arturo; Groudeva, Violeta; Hagin, Michal; Harada, Takayuki; Hasan, Tasdik M.; Hashim, Nurul Azreen; Hilbig, Jan; Hossain, Sahadat; Iakimova, Rossitza; Ibrahim, Mona; Iftene, Felicia; Ignatenko, Yulia; Irarrazaval, Matias; Ismail, Zaliha; Ismayilova, Jamila; Jakobs, Asaf; Jakovljević, Miro; Jakšić, Nenad; Javed, Afzal; Kafali, Helin Yilmaz; Karia, Sagar; Kazakova, Olga; Khalifa, Doaa; Khaustova, Olena; Koh, Steve; Kopishinskaia, Svetlana; Kosenko, Korneliia; Koupidis, Sotirios A.; Kovacs, Illes; Kulig, Barbara; Lalljee, Alisha; Liewig, Justine; Majid, Abdul; Malashonkova, Evgeniia; Malik, Khamelia; Malik, Najma Iqbal; Mammadzada, Gulay; Mandalia, Bilvesh; Marazziti, Donatella; Marčinko, Darko; Martinez, Stephanie; Matiekus, Eimantas; Mejia, Gabriela; Memon, Roha Saeed; Martínez, Xarah Elenne Meza; Mickevičiūtė, Dalia; Milev, Roumen; Mohammed, Muftau; Molina-López, Alejandro; Morozov, Petr; Muhammad, Nuru Suleiman; Mustač, Filip; Naor, Mika S.; Nassieb, Amira; Navickas, Alvydas; Okasha, Tarek; Pandova, Milena; Panfil, Anca Livia; Panteleeva, Liliya; Papava, Ion; Patsali, Mikaella E.; Pavlichenko, Alexey; Pejuskovic, Bojana; Pinto Da Costa, Mariana; Popkov, Mikhail; Popovic, Dina; Raduan, Nor Jannah Nasution; Ramírez, Francisca Vargas; Rancans, Elmars; Razali, Salmi; Rebok, Federico; Rewekant, Anna; Flores, Elena Ninoska Reyes; Rivera-Encinas, María Teresa; Saiz, Pilar; de Carmona, Manuel Sánchez; Martínez, David Saucedo; Saw, Jo Anne; Saygili, Görkem; Schneidereit, Patricia; Shah, Bhumika; Shirasaka, Tomohiro; Silagadze, Ketevan; Sitanggang, Satti; Skugarevsky, Oleg; Spikina, Anna; Mahalingappa, Sridevi Sira; Stoyanova, Maria; Szczegielniak, Anna; Tamasan, Simona Claudia; Tavormina, Giuseppe; Tavormina, Maurilio Giuseppe Maria; Theodorakis, Pavlos N.; Tohen, Mauricio; Tsapakis, Eva Maria; Tukhvatullina, Dina; Ullah, Irfan; Vaidya, Ratnaraj; Vega-Dienstmaier, Johann M.; Vrublevska, Jelena; Vukovic, Olivera; Vysotska, Olga; Widiasih, Natalia; Yashikhina, Anna; Prezerakos, Panagiotis E.; Smirnova, Daria; Department of Psychiatry and Narcology; Institute of Public Health
    Introduction: There are few published empirical data on the effects of COVID‐19 on mental health, and until now, there is no large international study. Material and methods: During the COVID-19 pandemic, an online questionnaire gathered data from 55,589 participants from 40 countries (64.85% females aged 35.80 ± 13.61; 34.05% males aged 34.90±13.29 and 1.10% other aged 31.64±13.15). Distress and probable depression were identified with the use of a previously developed cut-off and algorithm respectively. Statistical analysis: Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses and Factorial Analysis of Variance (ANOVA) tested relations among variables. Results: Probable depression was detected in 17.80% and distress in 16.71%. A significant percentage reported a deterioration in mental state, family dynamics and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (31.82% vs. 13.07%). At least half of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop depression was associated with history of Bipolar disorder and self-harm/attempts (RR = 5.88). Suicidality was not increased in persons without a history of any mental disorder. Based on these results a model was developed. Conclusions: The final model revealed multiple vulnerabilities and an interplay leading from simple anxiety to probable depression and suicidality through distress. This could be of practical utility since many of these factors are modifiable. Future research and interventions should specifically focus on them.
  • No Thumbnail Available
    Item
    Results of the COVID-19 mental health international for the health professionals (COMET-HP) study : depression, suicidal tendencies and conspiracism
    (2023-09) N Fountoulakis, Konstantinos; N Karakatsoulis, Grigorios; Abraham, Seri; Adorjan, Kristina; Ahmed, Helal Uddin; Alarcón, Renato D; Arai, Kiyomi; Auwal, Sani Salihu; Bobes, Julio; Bobes-Bascaran, Teresa; Bourgin-Duchesnay, Julie; Bredicean, Cristina Ana; Bukelskis, Laurynas; Burkadze, Akaki; Cabrera Abud, Indira Indiana; Castilla-Puentes, Ruby; Cetkovich, Marcelo; Colon-Rivera, Hector; Corral, Ricardo; Cortez-Vergara, Carla; Crepin, Piirika; de Berardis, Domenico; Zamora Delgado, Sergio; de Lucena, David; de Sousa, Avinash; di Stefano, Ramona; Dodd, Seetal; Elek, Livia Priyanka; Elissa, Anna; Erdelyi-Hamza, Berta; Erzin, Gamze; Etchevers, Martin J; Falkai, Peter; Farcas, Adriana; Fedotov, Ilya; Filatova, Viktoriia; Fountoulakis, Nikolaos K; Frankova, Iryna; Franza, Francesco; Frias, Pedro; Galako, Tatiana; Garay, Cristian J; Garcia-Álvarez, Leticia; García-Portilla, Paz; Gonda, Xenia; Gondek, Tomasz M; Morera González, Daniela; Gould, Hilary; Grandinetti, Paolo; Grau, Arturo; Groudeva, Violeta; Hagin, Michal; Harada, Takayuki; Hasan, Tasdik M; Azreen Hashim, Nurul; Hilbig, Jan; Hossain, Sahadat; Iakimova, Rossitza; Ibrahim, Mona; Iftene, Felicia; Ignatenko, Yulia; Irarrazaval, Matias; Ismail, Zaliha; Ismayilova, Jamila; Jacobs, Asaf; Jakovljević, Miro; Jakšić, Nenad; Javed, Afzal; Yilmaz Kafali, Helin; Karia, Sagar; Kazakova, Olga; Khalifa, Doaa; Khaustova, Olena; Koh, Steve; Kopishinskaia, Svetlana; Kosenko, Korneliia; Koupidis, Sotirios A; Kovacs, Illes; Kulig, Barbara; Lalljee, Alisha; Liewig, Justine; Majid, Abdul; Malashonkova, Evgeniia; Malik, Khamelia; Iqbal Malik, Najma; Mammadzada, Gulay; Mandalia, Bilvesh; Marazziti, Donatella; Marčinko, Darko; Martinez, Stephanie; Matiekus, Eimantas; Mejia, Gabriela; Memon, Roha Saeed; Meza Martínez, Xarah Elenne; Mickevičiūtė, Dalia; Milev, Roumen; Mohammed, Muftau; Molina-López, Alejandro; Morozov, Petr; Muhammad, Nuru Suleiman; Mustač, Filip; Naor, Mika S; Nassieb, Amira; Navickas, Alvydas; Okasha, Tarek; Pandova, Milena; Panfil, Anca-Livia; Panteleeva, Liliya; Papava, Ion; Patsali, Mikaella E; Pavlichenko, Alexey; Pejuskovic, Bojana; Pinto da Costa, Mariana; Popkov, Mikhail; Popovic, Dina; Raduan, Nor Jannah Nasution; Vargas Ramírez, Francisca; Rancans, Elmars; Razali, Salmi; Rebok, Federico; Rewekant, Anna; Reyes Flores, Elena Ninoska; Rivera-Encinas, María Teresa; Saiz, Pilar A; Sánchez de Carmona, Manuel; Saucedo Martínez, David; Saw, Jo Anne; Saygili, Görkem; Schneidereit, Patricia; Shah, Bhumika; Shirasaka, Tomohiro; Silagadze, Ketevan; Sitanggang, Satti; Skugarevsky, Oleg; Spikina, Anna; Mahalingappa, Sridevi Sira; Stoyanova, Maria; Szczegielniak, Anna; Tamasan, Simona Claudia; Tavormina, Giuseppe; Tavormina, Maurilio Giuseppe Maria; Theodorakis, Pavlos N; Tohen, Mauricio; Tsapakis, Eva-Maria; Tukhvatullina, Dina; Ullah, Irfan; Vaidya, Ratnaraj; Vega-Dienstmaier, Johann M; Vrublevska, Jelena; Vukovic, Olivera; Vysotska, Olga; Widiasih, Natalia; Yashikhina, Anna; Prezerakos, Panagiotis E; Berk, Michael; Levaj, Sarah; Smirnova, Daria; Department of Psychiatry and Narcology
    Introduction: The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak. Materials and methods: The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively. Statistical analysis: Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables. Results: Clinical depression was detected in 13.16% with male doctors and ‘non-binary genders’ having the lowest rates (7.89 and 5.88% respectively) and ‘non-binary gender’ nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p < 0.0001). Suicidal tendencies were at least doubled in terms of RASS scores. Approximately one-third of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop clinical depression was associated with a history of Bipolar disorder (RR = 4.23). Conclusions: The current study reported findings in health care professionals similar in magnitude and quality to those reported earlier in the general population although rates of clinical depression, suicidal tendencies, and adherence to conspiracy theories were much lower. However, the general model of factors interplay seems to be the same and this could be of practical utility since many of these factors are modifiable.