Handwriting is mainly a motor process involving an efficient level of motor organization lead-ing to fine coordination of movements, thus, children with developmental coordination disorder (DCD) are particularly affected with handwriting disorders.

We aimed to investigate handwriting disorders in DCD children in order to better understand the semiology of dysgraphia.

Data from 65 children aged 5 to 15 years (mean age 8.9 years, SD = 2.5) with DCD were collected on DSM-V criteria. They had no other medical or psychiatric condition and born full-term. They were assessed with handwriting testing and standardized assessments of neuropsychological, neurovisual, MRI and neuropsychomotor functions (NP-MOT neurodevelopmental battery), including muscular tone examination. Particular attention was paid to minor neurological dysfunctions (MND) which can be detected with the NP-MOT battery, such as a mild phasic stretch reflex (PSR).

Findings showed a high rate of visual perceptual motor, visuo-spatial, and visuo-constructional impairments (> 82%), visual pursuit disorders (93%) and 89% of handwriting disorders (HD, n=58). Among these HD, there are 83% of poor handwriting (PH) and 17% of dysgraphia (DysG). Moreover, we found in HD, 36% of PSR (with 29% in PH vs 70% in DysG) correlated to imbalance of axial tone (hyper-extension) associated with increase of neuropsychomotor disorders such as dissonance between spontaneous gestural, usual and psychosocial lateralities (P = 0.03), impairments of coordination between upper and lower limbs (P = 0.001), impairments of manual dexterity (P < 0.001), impairments of dynamic balance (P = 0.002), and dysdiadochokinesis (P < 0.001). Comparing PH and DysG groups, dysgraphia is associated to PSR (P = 0.04). 38% of abnormal MRI scans were heterogeneous and non-specific to the level of handwriting disorder and to PSR.

Dysgraphia appears to be a singular disorder as a comorbidity of DCD, which is significantly associated with a high incidence of motor impairments, suggesting a disturbance of the motor pathway (mild distal spasticity of the pyramidal corticospinal tract dysfunction). The presence of MND such as PSR highlights a mild impairment of the motor voluntary movement from the premotor cortex. PH appears primarily due to an immaturity of handwriting gesture consecutive to disorders of coordination programming in DCD.

Dysgraphia should be assessed not only with a simple handwriting test (legibility and speed) but completed with a developmental standardized physical neuropsychomotor examination assessing the presence of MND because to know the nature of the disorder is useful in clinical decision-making processes for handwriting remediation.

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Children in special education schools are particularly susceptible to developing mental health issues. Specifically, it is estimated that 40% of individuals with intellectual disabilities have a comorbid mental disorder diagnosis (1). However, access to mental health services for patients with intellectual disabilities remains far below expectations. Numerous barriers impede this access, including a lack of coordination between professionals and service providers responsible for their care (2).

Therefore, interventions within special education schools, promoting early detection and intervention for psychopathology and facilitating coordination between educational and healthcare services, are critically important.

We present an innovative mental health care resource designed for special education schools in the Community of Madrid, Spain. This initiative combines multi-disciplinary expertise with flexible, hybrid care delivery to ensure accessibility for students across 14 public schools. The team consists of a psychiatrist, a clinical psychologist, and a mental health nurse who provide both in-person and remote assistance, addressing the psychopathology exhibited by their students.

Preliminary results suggest that this intervention has the potential to improve early detection rates of mental health issues and foster better coordination between education and healthcare systems. This model could serve as a blueprint for similar programs worldwide, addressing significant gaps in mental health care for children with intellectual disabilities.

(1) Cooper, S. A., Smiley, E., Morrison, J., Williamson, A., & Allan, L. (2007). Mental ill-health in adults with intellectual disabilities: prevalence and associated factors. The British Journal of Psychiatry, 190, 27–35. https://doi.org/10.1192/bjp.bp.106.022483

(2) Whittle, E. L., Fisher, K. R., Reppermund, S., Lenroot, R., & Trollor, J. (2017). Barriers and enablers to accessing mental health services for people with intellectual disability: A scoping review. Journal of Mental Health Research in Intellectual Disabilities, 11(1), 69–102. https://doi.org/10.1080/19315864.2017.1408724

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Alcohol consumption of mothers can lead to problems in emotional and behavioural development of children. However, less is known about the effects of paternal alcohol drinking.

We aimed to investigate whether maternal or paternal alcohol consumption during pregnancy longitudinally affected children’s mental health.

We analyzed a total of 2,013 parent-child triads (52% of children were males) from the European Longitudinal Study of Pregnancy and Childhood. Data on alcohol consumption was obtained from questionnaires from both parents during pregnancy and after the child’s birth. Mental health and behaviour of children was assessed with Strength and Difficulties Questionnaire (SDQ) at ages 7, 11, 15, and 18 years old, as reported by mothers and children themselves. The associations were tested using linear regression, adjusting for parent’s age at child’s birth, child’s sex, and other socio-demographic and psychosocial covariates. We also tested an interaction between the exposure and children’s sex.

Maternal alcohol consumption was associated with higher total SDQ scores at ages 7, 11, and 18 years old when the outcomes were reported by mothers, but only at 11 when reported by children. We did not observe any dose-response relationship, and the effect size did not change during the follow-up. Results of the linear regressions are displayed in Table 1. We did not detect any effect modification by child’s sex. The effects were observed across various domains of SDQ (except for the peer problems subscale): in the emotional symptoms subscale at age 11 when reported by both mother and child, in the conduct problems subscale at ages 7 and 11 when reported only by mother, in the hyperactivity/inattention subscale at age 18 when reported only by mother. Paternal alcohol consumption was not associated with the total SDQ score.Table 1

Association of maternal alcohol consumption with the total score of Strength and Difficulties Questionnaire

* p-value < .05. The reference category is no alcohol consumption. Results are from a fully adjusted model.

Maternal alcohol consumption has a long-term effect on children’s mental health in particular when reported by mothers. Interventions preventing maternal alcohol consumption during pregnancy may protect children’s mental health.

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Psychological First Aid is (thankfully) not something most people use daily – yet it’s crucial for responders to be trained, confident and fully prepared for unexpected emergencies. So how can we ensure this readiness? The answer is AI avatars in virtual reality! At VirtualSpeech, in partnership with Region Västra Götaland, we’ve developed AI roleplay simulations that enable crisis and emergency teams to not only practice their psychological support skills but also receive personalized feedback on their performance and tips for improvement.

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Germany is one of the countries that has taken in a large number of refugees. Around 2.25 million now have recognised protection status in Germany. In addition, Germany has taken in over 1,215,048 refugees from Ukraine. All of these people are very vulnerable refugees who are exposed to many risk and stress factors before, during and after their migration. As a result, they have a high prevalence of mental disorders such as post-traumatic stress disorder (PTSD), depression, anxiety, substance use and persistent grief disorder. At the same time, refugees face numerous barriers to accessing medical care, such as language and cultural barriers, administrative barriers, structural, institutional and interpersonal discrimination and racism. There is also unequal treatment in Germany between refugees from Ukraine and other regions of the world. In addition, healthcare provision has recently been tightened due to changes in the Asylum Seekers’ Benefits Act. This presentation will focus on the sitaution in Germany and discuss üossible solutions.

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Schizophrenia is a severe mental disorder linked to a life expectancy 15-20 years shorter than the general population1, due to higher rates of cardiovascular disease, cancer, metabolic disorders, and increased risk of suicide and accidental deaths2.

This study aims to analyze survival and causes of death in a cohort of schizophrenia patients over a 10-year period, providing insights into mortality patterns in this population.

This 10-year retrospective study followed 635 schizophrenia patients, aged 18 or older, enrolled from 2010 to 2013 at the Clinical Hospital of Psychiatry and Neurology, Brasov, Romania. Patients with schizo-affective or other psychotic disorders were excluded. Data included demographics, clinical history, and survival outcomes, with causes of death confirmed by a Forensic Medical Specialist.

The study included 635 patients diagnosed with schizophrenia. The mean age at baseline was 48,01 ± 11.36, 42.04% were males, and the mean age of onset of schizophrenia was 26.68 ± 8.01.The average duration of illness was 21.27 ± 11.41 years. Among the cohort, 20.31% patients were treated with LAIs antipsychotics, and 17.16% were on clozapine. Of the 635 patients followed, 123 (19.4%) died during the 10-year follow-up. The average age at death was 59.04±11.96. According to the 2023 Eurohealth report and the World Health Organization, the overall life expectancy in Romania is 76.3 years 3. The data on schizophrenia patients suggests a significant disparity between their average age at death and the overall life expectancy in Romania. Schizophrenia patients in Romania live, on average, about 17 years less than the general population. Of the deceased, 13% died in psychiatric wards, and 17.88% were in chronic care at the time. Among the deceased patients, 18 were on typical antipsychotic LAIs. None of the patients in the deceased cohort were on atypical LAIs. Cardiovascular disease was the leading cause of death (27.64%), followed by infections (17.07%) and cancer (12.19%). Metabolic causes accounted for 4.06%, respiratory for 1.62%, hepatic for 3.25%, and both neurological and gastrointestinal causes for 0.81%. The cause of death was undetermined in 15.45% of cases. Violent deaths accounted for 17.07% of cases, with 8 suicides and 13 accidents. Out of the 13 accidental deaths, 7 were due to choking-related asphyxiation during eating. Four of these patients were on haloperidol, 2 on quetiapine, and 1 on flupenthixol.

The 17-year lower life expectancy for schizophrenia patients highlights the urgent need for targeted public health interventions and improved preventive care. Additionally, the high mortality from cardiovascular disease, cancer, and infections, along with choking-related risks from antipsychotic medications, underscores the importance of careful medication management to enhance patient safety and survival.

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The postpartum period is critical for the onset of mood disorders. Three primary postpartum affective disorders are recognized: baby blues, postpartum depression, and postpartum psychosis, each differing in prevalence, presentation, and treatment. Obstetric factors like primiparity, complications during pregnancy and birth, Cesarean sections, and preterm births are associated with increased neuropsychiatric risks during the puerperium.

This study analyzes the demographic, clinical, and obstetric factors linked to postpartum psychiatric disorders and case management in women hospitalized at the Hospital of Psychiatry in Chisinau, Moldova, over a five-year period.

A longitudinal, retrospective study was conducted, reviewing medical records of 35 women hospitalized between 2019 and 2024. A literature review was also performed to identify relevant obstetric and clinical risk factors.

Patients ranged from 20 to 41 years old, with an average age of 29.8 years ±1,5 years. Out of reviewed cases, 42.9% were from urban areas, 25.7% had a family history of psychiatric illness, and 54.3% developed postpartum psychosis after their first birth, suggesting primiparity as a key risk factor. Psychosis onset ranged from three days to two months postpartum in 45.7% of cases, with 37.1% showing symptoms within the first two weeks. Comorbidities included cardiovascular diseases (20.0%), digestive disorders (14.3%), renal issues (8.6%), and autoimmune conditions (2.9%). Severe mental and behavioral disorders (F53.1) were diagnosed in 74.3% of cases, while 25.7% had milder forms (F53.0). First-time hospitalizations accounted for 88.6%, but 48.6% had prior hospitalizations, with later diagnoses evolving into paranoid schizophrenia, schizotypal disorder, and recurrent depression. Psychological consultation was provided in 48.6% of cases, using tools like PHQ-9, TAG, MMPI, BDI. Treatment varied significantly, with antipsychotics, antidepressants, and benzodiazepines prescribed, yet no standardized protocol was followed.

Primiparity is a significant risk factor for postpartum psychiatric disorders, with early onset often occurring within the first two weeks. This underscores the critical need for prompt recognition and intervention. Comorbid disorders add complexity to patient management. The variability in pharmacological and nonpharmacological treatment highlights a gap in evaluation and case management, potentially delaying timely diagnosis and treatment and it emphasizes the need for consistent and standardized guidelines. The evolving nature of diagnoses, reinforces the importance of ongoing monitoring, psychoeducation, and psychological support throughout the postpartum period.

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Behavioral addiction is well-established for gambling but still debatable for other pleasurable behaviors such as eating. Attachment style is defined as a psychological concept describing the dynamics of human interpersonal interactions. Studies investigating the influence of attachment style on food addiction are rare.

The aim of the study was to evaluate the association between food addiction and the quality of attachment

A cross-sectional study was conducted online with a non-clinical population. All participants completed an anonymous e-questionnaire containing sociodemographic data, background, substance use and self-reported weight and height. Attachment style was assessed with the Relationship Scale Questionnaire (RSQ). Food addiction was screened with modified Yale food addiction scale questionnaire (mYFAS 2.0).

A total of 114 individuals had fully responded to the questionnaire. The mean age was 32.28 ± 9.32 years with a sex ratio of 0.48. The mean BMI was 23.7 kg/m2 ± 5.5. Most of participants (64%) had an insecure attachment style and 36% had a secure one. The results of the mYFAS 2.0 showed that 11.4% of participants had a food addiction and 8.8% had a severe form. BMI was significantly associated with food addiction which was more common in participants who had a BMI greater than 22.2 kg/m2. A statically significant association between insecure attachment style and food addiction was found.

Our study showed the importance of studying attachment style in food addiction. More research is needed to prove the association between food addiction and different attachment styles.

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Autism Spectrum Disorder is usually diagnosed in early childhood, but an increasing number of adults are identified as autistic later in life (Huang et al., 2020). Many experience frustration due to missed early intervention opportunities. The lack of recognition of their condition during childhood or adolescence may have contributed to secondary mental health issues, such as anxiety, depression or low self-esteem, complicating the adjustment process after diagnosis (Bargiela et al., 2019). However, providing appropriate support can enhance their quality of life and promote better mental health outcomes.

To assess the patient’s clinical case to identify autism spectrum disorder in older adulthood.

A 23-year-old male patient complained of an inability to concentrate, stress and fear when around people, and difficulties in social situations. Objectively observed: stereotyped movements, noticeable anxiety, avoidance of eye contact, non-compliance with social rules, specific language use and slow thinking. The patient had no history of diagnosed psychiatric illness. Since childhood, he has disliked the feeling of clothes touching his body, physical contact with others, making eye contact. The patient also exhibited impaired social development, being unable to initiate and maintain relationships with peers. Stereotypical, repetitive movements, sensory processing deviations have been observed since childhood. The patient has various phobias from a young age. Psychological examination revealed insufficient attention with observed fluctuations, impaired attention-shifting ability. The pace is very slow, the thinking is characterized by an average level of generalization, concreteness, and stereotypy. Personality traits included rigidity, depression, compulsiveness, internal tension. Based on the clinical picture and psychological tests, the patient was diagnosed with F84.0 Autistic Disorder, according to the International Classification of Diseases, 10 th Revision. In this case, the following methods were used in the assessment: Kraepelin’s and Schulte’s methods, pictograms, the 4-1 method, the Childhood Autism Rating Scale.

The literature highlights that ASD involves difficulties in social interaction, repetitive behaviors, sensory sensitivities, and distinct thinking patterns. Up to 90% of individuals with ASD experience sensory irregularities, which is consistent with this case, as the patient shows social challenges, repetitive movements, slow thinking, and sensory issues. Diagnosing autism in adulthood can improve quality of life by fostering understanding and access to support. In this case, the patient’s past social and workplace difficulties may be attributed to autism, guiding the development of effective support strategies.

In conclusion, while a late autism diagnosis can be life-changing, it also comes with unique challenges that must be addressed through appropriate support.

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Xp11.22 duplication syndrome, a rare genetic condition first identified in 2009, has fewer than 100 documented cases in the literature. To date, little is known about the genotype-phenotype relationship in this rare genetic syndrome and there is a paucity of data specifically regarding catatonia in this condition.

The primary aim of this case report is to provide a comprehensive description of the clinical presentation, diagnostic approach, and management strategies employed in a case of catatonia occurring in the context of Xp11.22 duplication syndrome and ASD.

Methods of this case report include assessment of the patient via thorough psychiatric and medical evaluation, as well as additional information obtained through chart review and collateral sources.

Our patient, a 15-year-old Caucasian male, was diagnosed with Xp11.22 duplication syndrome at age 3 due to speech and motor delays. At 14, he experienced sudden behavioral and motor changes, including withdrawal, repetitive speech, slowed gait, and repetitive motor behaviors like “rewind” actions. Over 3 months, symptoms included emotional lability, self-injurious behaviors, and significant disruption to daily functioning. Outpatient management with olanzapine and quetiapine worsened agitation. Referred to a specialist, he was started on lorazepam up to 12 mg daily for suspected catatonia. ECT was considered, but further workup ruled out seizure disorder and autoimmune encephalitis. Pediatric neurology found no alternative etiology and recommended ECT. On admission, BFCRS score was 14, showing catatonic symptoms like automatic obedience, mutism, and immobility. Lorazepam was reduced to 2 mg three times daily, and amantadine 100 mg twice daily was continued. An acute ECT course of 12 bilateral treatments over four weeks reduced catatonic symptoms, improving mutism, motor speed, and daily activities. During a 56-day hospitalization, he received 7 maintenance treatments. Upon discharge, BFCRS decreased to 7, and he continued lorazepam and amantadine.

This case report underscores the complexity of managing catatonia in patients with Xp11.22 duplication syndrome and ASD, highlighting the potential need for multimodal treatment approaches. The significant improvement observed with the addition of ECT to the treatment regimen emphasizes the importance of considering this option in cases of refractory catatonia, even in patients with complex genetic and neurodevelopmental backgrounds. This case raises important questions about the underlying neurobiological mechanisms of catatonia in the context of Xp11.22 duplication syndrome and ASD.

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Hypericum spp., particularly Hypericum perforatum (such as St. John’s Wort), produce hypericin and hyperforin, secondary metabolites that play critical roles in the plant’s defense mechanisms. These compounds, characterized by their polycyclic and lipophilic properties, have evolved to deter herbivores and protect against pathogens. Understanding the evolutionary pressures that shaped these compounds enhances our knowledge of their biochemical roles.

This review aims to synthesize current knowledge on the evolutionary development of hypericin and hyperforin within the Hypericum genus, focusing on how these metabolites evolved to fulfill defensive ecological functions.

A comprehensive literature review was conducted, examining phylogenomic studies, structural analyses, and biochemical research related to the biosynthesis of hypericin and hyperforin. We reviewed relevant phylogenetic data to understand the diversification of these compounds across Hypericum spp.

The literature supports that hypericin and hyperforin evolved in response to selective pressures during the Cretaceous-Paleogene boundary, with their complex polycyclic aromatic structures optimized for defense. These structures, which include conjugated π-systems, are central to the compounds’ ability to deter herbivores and resist pathogens, reflecting an evolutionary adaptation that is conserved across the genus.

The evolution of hypericin and hyperforin within Hypericum spp. is a prime example of how secondary metabolites serve dual purposes in nature and human use. The phylogenetic and biochemical insights reviewed highlight the importance of these compounds as both ecological defenses and pharmacologically active agents.

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Personality disorders are often comorbid with anxiety and depression disorders, complicating the diagnostic process. Cancer patients with personality disorders who face the anxiety and discomfort associated with the diagnosis, symptoms, and medical treatment may encounter challenges. They might distort reality as a means of emotional self-preservation or display aggression.

This review seeks to delve into the challenges in cancer patients exhibiting dysfunctional personality traits or personality disorders.

A non-systematized literature review was carried out on PubMed and Google Scholar. The following terms were searched: (“personality disorders” OR “personality traits”) AND (“cancer” OR “cancer patients”).

Personality traits persistently influence behavior patterns, choices, environmental interactions, and stress responses. Personality can impact cancer development and progression through multiple avenues: by perpetuating unhealthy lifestyle behaviors rooted in personality traits; through negative affect such as depressive or anxious symptoms, as well as ineffective coping mechanisms; and by serving as an etiological factor for somatic diseases or mental disorders that predispose individuals to cancer. While some epidemiological studies have reported a positive association between personality and cancer development or progression, the majority find no significant correlation, leading researchers to conclude that there is no substantial link between personality and an increased risk of cancer.

Meeting the diverse challenges associated with cancer requires adaptability, flexibility, and resourcefulness. Research suggests that specific personality traits, like neuroticism and negative affectivity, are linked to lower quality of life among cancer patients, while extraversion and optimism are correlated with more favorable outcomes.

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The onset of the COVID-19 pandemic necessitated the declaration of a global emergency. The pervasive fear of contagion has transformed daily life practices, and lockdown measures globally implemented to mitigate virus transmission have led to a spectrum of adverse psychological effects, including anxiety, sadness, frustration, disorientation, and potential for post-traumatic stress disorder, significantly affecting mental health.

This study aims to evaluate the psychological effects of the COVID-19 pandemic on the well-being of trainee teachers.

A descriptive analysis was conducted on a cohort of 370 Moroccan trainee teachers, with a mean age of 28.30 ± 5.99 years. Data were collected using a self-administered questionnaire designed to assess the presence and extent of psychological distress, along with sociodemographic and professional characteristics, during the lockdown.

The findings revealed that 65.1% of the confined trainees experienced obsessive tendencies, and 40% reported that their daily activities were restricted, affecting their normal life pursuits. Furthermore, 68.3% expressed moderate to high stress levels due to various factors, such as financial and professional concerns, potential loss of family members, or personal hospitalization. Half of the trainees expressed concern for their future prospects and feelings of ennui during these unprecedented times.

The findings reveal the enduring psychological impacts of the COVID-19 pandemic on trainee teachers, with significant stress and psychological disorders noted. This emphasizes the critical need for targeted mental health support and proactive resilience-building within educational systems, not only aiding recovery but also preparing educators for future pandemics.

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Patients with somatization disorder frequently seek medical evaluations for unexplained symptoms, strongly believing they are physically ill and often rejecting psychosocial explanations. In Turkey, easy and low-cost access to healthcare and medications via the General Health Insurance system encourages frequent hospital visits. High patient loads and short consultation times hinder thorough assessments, complicating diagnoses like somatization disorder. Consequently, physicians may practice “defensive medicine,” over-ordering tests and medications to minimize risks. These practices reinforce patients’ beliefs in having an organic illness and increase the risk of polypharmacy.

This case discusses a patient with somatization disorder experiencing multiple hospital admissions and polypharmacy due to the dynamics of the Turkish healthcare system.

A 31-year-old woman was admitted after a suicide attempt, exhibiting depressive symptoms and psychosomatic complaints. Detailed examinations of her socio-demographic data, medical and psychiatric history, current complaints, medication use, and past hospitalizations were conducted.

Since age 16, the patient frequently presented with fainting, convulsions, nausea, and vomiting, undergoing extensive evaluations. She repeatedly visited emergency services for chest pain radiating to her left arm and jaw; coronary angiography found no cardiac pathology. Despite no organic cause, she was prescribed 15 different medications by various specialties, reaching 20 tablets daily, covering cardiovascular, gastrointestinal, endocrine, and respiratory systems. Due to family issues, divorce processes, and social stressors, she exhibited depressive and psychosomatic symptoms, attempted suicide 7 times, and was hospitalized in psychiatric wards 12 times. In her latest attempt, she ingested 15 fluoxetine tablets. Psychiatric evaluation revealed ongoing somatic complaints, and polypharmacy was adversely affecting her health. After consultations, unnecessary non-psychiatric medications were discontinued. Her treatment was adjusted to venlafaxine 300 mg/day, clozapine 50 mg/day, and mirtazapine 30 mg/day.

This case illustrates how structural issues in the healthcare system adversely affect patients with somatization disorder, increasing polypharmacy risk. Unnecessary tests and treatments reinforce beliefs in organic illness and complicate management. Healthcare professionals should approach such patients carefully, avoid defensive medicine practices, and consider early psychiatric evaluation. Policy-level changes are needed for the healthcare system to better address these patients’ needs.

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Medical staff is one of the main participants in psychiatric care quality management system. At the same time, it is not enough to ensure high level of staff qualifications only. It is also necessary to determine staff satisfaction with their professional activities, levels of staff well-being and of professional burden. That’s why, using factor analysis in the process of identification of factors affecting these parameters of psychiatric staff is an important task.

To work out factor models determining the main components affecting psychiatric staff professional burden and satisfaction of staff with provided psychiatric care; to justify proposals for improving medical staff professional activities and quality of care.

Adapted questionnaire «Assessment of the burden of psychiatric staff working in psychiatric institution» (WHO, 1994); Questionnaire «Assessing the satisfaction with quality of care by medical staff of psychiatric institution» (Solokhina et al., 2014). Factor analysis (principal component analysis with quatrimax rotation and factor selection according to the Cattell criterion) was used in the IBM SPSS Statistics 27 software environment. The study involved 73 nurses (age 44,55±11,56) of Moscow psychiatric hospitals № 1 and № 4. The nurses were included in the analyses as the most representative staff category closely contacting with patients.

Using factor analysis, a model identifying the most significant components affecting of the professional burden of the nurses and reflecting 50.9% of the sample variance was worked out. The parameters include: “physical and emotional problems”, “interpersonal problems”, “intrapersonal problems”, “stigmatization”, “experiencing difficult situations related to patients” (16.86%, 11.67%, 9.52%, 6.61%, 6.34 of the sample variances correspondingly).

The factor model of nurse’s satisfaction with psychiatric institutions activities includes “organizational” (33.66%), “procedural” (7.44%), “logistical” (6.92%), “support” (5.14%), “alternative forms of assistance” (5.05%) factors, which in total make up 58.8% of the sample variance.

Factor models are a powerful tool which permits to analyze complex information and to identify factors affecting important indicators in a quality management system. Therefore, factor analysis should be carried out regularly in order to prevent different risks of care quality violation. It is also important to introduce psychological support to medical staff and to improve team methods of work.

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The area of Sensory Integration has its origin in the 1960s, developed by the neuroscientist and occupational therapist Jean Ayres. Although the first studies focused on the relationship between learning problems and atypical sensory processing, today there are new applications in clinical practice. Sensory integration is defined as the neurological process responsible for organizing the sensations that one receives from one’s own body and from the environment, in order to respond and function adequately in relation to environmental demands.

This work has several objectives. On the one hand, review the concept of sensory integration, the definition and theoretical basis as well as the scientific evidence of this theory. On the other hand, review the use of sensory integration in psychiatric practice from the 1960s to the present day. Also, explain the experience of a child and adolescent psychiatry unit with the use of sensory integration as part of the treatment. Finally, new challenges, approaches and needs of psychiatry services will be considered for the implementation or improvement of this new work tool in a multidisciplinary team.

A bibliographic search has been carried out in the main sources of medical information such as pubmed, uptodate as well as in national and international journals. Likewise, the knowledge and clinical experience of the team has been reviewed.

In our clinical experience, the child and adolescent psychiatry device for intensive outpatient treatment where patients between 12 and 17 years of age with severe mental disorders attend, initially passed the sensory profile by occupational therapy to patients who presented behavioral or emotional symptoms. not consistent with the psychopathological examination. In view of the results and magnificent progress, this intervention began to be carried out systematically to the boys who joined the device. We present the case of a 15-year-old patient who attended the device due to emotional dysregulation and suicidal risk. During evolution, possible difficulties were seen in sensory integration that made it difficult for the patient to improve with psychiatric or psychological therapy alone. The patient was evaluated and treated by the team’s occupational therapist, specifically trained in sensory integration. It was evaluated with the sensory profile, with the results having a sensory sensitivity profile and auditory and tactile avoidance. The specific measures that were carried out were: sensory diet and environmental modifications.

Sensory integration is a therapy with sufficient clinical evidence to implement it in child and adolescent psychiatry services. Therapy should be performed by suitably trained and validated occupational therapists. This therapy must be included in a multidisciplinary approach to the patient and specific modifications that can be developed at home and at school are provided.

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Since the beginning of the full-scale war with Russia, 7.7 million Ukrainians have been forcibly displaced from their homes and are currently living in internally displaced persons (IDP) camps. According to the International Organization for Migration (IOM), the proportion of IDPs in Ukraine’s total population has reached 17.5%, indicating that one in six individuals has been displaced.

The purpose of the study is to investigate the clinical, psychological and pathological patterns of anxiety disorders of psychogenic genesis. The main group consisted of 93 IDP patients with anxiety disorders, both sexes, aged 20-55 years.

SCL-90-R; HAM-A, HAM-D; Spielberger-Khanin Scale and Questionnaire of neuropsychological stress by T.A. Nemchin.

It has been established that the clinical structure of anxiety disorders in the examined patients is represented by a mixed anxiety-depressive reaction (28.2±1.2% of the examined), panic disorder (36.4±1.3%) and generalised anxiety disorder (35.4±1.3%). At the same time, in the clinical structure of anxiety disorders in IDPs, along with the dominance of anxiety symptoms, there is a high severity of depressive manifestations. Based on data obtained in the course of our research, a multifactorial model of formation of anxiety disorders in IDPs was developed. The catalyst for anxiety disorders is the very fact of forced displacement, uncertainty of future, situations of loss, effects of combat stress, information stress and situations of increased responsibility.

High levels of anxiety, somatisation, depression, obsessive-compulsive disorders, interpersonal sensitivity, and phobic anxiety according to SCL-90-R scale are prognostically significant in formation of anxiety disorders; severe depressive and anxiety episodes according to the Hamilton Anxiety and Depression Scales; high levels of personal and situational anxiety according to the Spielberger-Khanin Scale and excessive levels of neuropsychological stress.

The basis for the formation of anxiety disorders in IDPs is a low level of resilience, which entails a high level of social frustration in this cohort. We have developed and tested a comprehensive personalised system for treatment of anxiety disorders in IDPs with differentiated use of psychopharmacotherapy, psychotherapy and psychoeducation.

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Domestic violence is a scourge that continues to spread, destroying family ties and increasing the prevalence of divorce in our Arab-Muslim societies. In our culture, women often find it hard to disclose domestic violence in general, but what about sexual violence? It’s the most under-reported form of violence in Tunisia. However, few studies have focused on sexual violence in the Tunisian context, or on the psychological repercussions of this form of violence.

To determine the prevalence and describe the different forms of sexual violence perpetrated by husbands against their wives and to evaluate marital satisfaction and its relation with sexual violence.

This is a descriptive and analytical cross-sectional study of 122 married women who consulted for medical expertise following domestic violence.

An anonymous survey was asked to these ladies. It included a section for collecting socio-demographic and clinical data on the woman and her partner, and a section for assessing the various forms of sexual violence.

We used the Azrin scale to evaluate marital satisfaction.

One hundred and twenty-two women victims of domestic violence were included in our study. Their average age was 35.66 years, it oscillates between 18 and 64 years. A family history of domestic violence was found in 32.8% of women (N=40). The battered family member was the mother in 41.5% of cases.

A history of childhood sexual abuse was found in 14.8% of women (N=18).

Half of the women (53.3%; n=65) were victims of sexual violence. Different types of sexual violence were reported with decreasing prevalence: forced intercourse (36.1%), unwanted intercourse (15.6%), unusual type of intercourse (31.1%) and pain during intercourse (4.9%).

Seventy-one percent (N=87) had poor marital satisfaction. On multivariate analysis using binary logistic regression, we found that sexual violence: an unusual type of relationship (p=0.04; OR=4.62) and the presence of psychological distress (p=0.04; OR=2.63) were independent factors associated with poor marital satisfaction.

Our study suggests that more attention should be provided to women victims of domestic violence in order to detect any form of sexual violence and provide them with the necessary psychological support.

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