We aimed is to describe the phenomenology of mental disorders in migrants referred to Bologna West Community Mental Health Centre(CMHC), by analysing the psychopathological dimensions that underlie their clinical diagnoses.

We recruited all migrants who attended the Bologna West CMHC between May 1999 andJuly 2009. The psychopathological assessment was conducted with the Association for Methodology and Documentation in Psychiatry (AMDP) and clinical diagnoses were formulated according to ICD-10. We proceeded through a two-step analysis:(1) comparing the prevalence rates of psychopathological symptoms across diagnoses; then (2) conducting a factor analysis to assess how those symptoms configure psychopathological dimensions and how these dimensions underlieclinical diagnoses.

We found significant associations between diagnoses and the prevalence of their core psychopathological symptoms. Factor analysis revealed a strong polymorphism ofthe psychopathological presentation of mental disorders and unexpectedly showed that in each diagnostic cluster, the first extracted factor was not composed of core symptoms.

A mixed categorical-dimensional approach adds relevant information regarding psychopathological dimensions useful to the understanding of the peculiar clinical expressivity of migrants patients.

Although spirituality is among the important dimensions of human's existence and a lot of emphasis has been given to its role in promoting the level of health, the nursing care has been always focused on the physical dimension of the patients and little attention is being given to the spiritual needs.

the aim of this study is examining the attitude and performance of Spiritual Care among nurses working in Iran University of Medical sciences Hospitals.

This was a cross-sectional study. Data gathering was done by using Nursing Spiritual Care Perspective Scale (NSCPS) questionnaires. One hundred and sixty six nurses participated in this study.

The total mean of the nurses' attitude toward spiritual care (3.67±0.51) indicated the nurses' positive attitude toward spiritual care. The nurses' practices regarding spiritual interventions indicated that they tend to do half of the spiritual interventions.

Appropriate educational methods must be used for teaching spiritual merits and increasing the nurses’ competency in confronting with spiritual needs and offering spiritual care.

Attrition from mental health clinics is afrequent problem and has significant consequences for patients, families andfor the society. It has rarely been researched in Israel. We examined rates of attrition from 5 mentalhealth clinics and its reasons, from the perspective of dropouts and ofdirectors of psychiatric clinics and services.

179 dropouts and 171 patients who continuedtreatment filled questionnaires on socio-demographic and clinical data, attitudes to treatment and barriers, self-stigma and health. We also surveyedattitudes of 51 directors towards attrition.

We found high attrition rates in all clinics. Main reasons for attrition from the perspective of the dropouts were no need oftreatment, bad/unhelpful treatment and problems with medications. Twopredictors were found: patients' report that the treatment approach was notappropriate and past compliance problems. Dropouts reported worse conditiontoday and were less in treatment. Directors estimated the dropout rate as lessthan half of the actual rate and did not speculate correctly its predictors.

Attrition is frequent in psychiatric clinics, but can be predicted. Disengagement fromtreatment predicts getting less treatment in the future. Attention is neededtowards the negative consequences of attrition and to ways to decrease it.

The growing focus on health promotion and wellbeing provides an opportunity to investigate the role of resilience in health.

1) To identify the relationship between resilience, depressive symptoms, and perceived social support among university students in Jordan, and 2) to examine the prediction power of depressive symptoms and social support for resilience among university students in Jordan.

Data collected using self-reported questionnaire from 480 university students from two private and two public universities in Jordan. Data collected in regards to resilience, depressive symptoms, and perceived social support.

The results showed that 50% of the university students in this study had moderate to high level of resiliency, 70% had certain degree of depressive feeling, and about 50% had had high level of perception of social support from family, friends, and others. The findings also showed that depression (β = – .51, p < .001) and perceived social support from friends (β = .18, p < .001) were significant predictors of resilience.

Mental health professionals need to be increasingly aware of correlates of resilience among university students for better planning and promotion of mental psychological wellbeing

University students' mental health is affected by worries about the employment of their future. Our purpose is to analyze the relationships between traits of worry and career attitudes, happiness and autonomy in their quality of life among postgraduates.

Independent of their socioeconomic status, all students obtained financial aid from the government of Luxembourg. A link to an online questionnaire was sent to their home address. The instrument assessed: Penn-State-Worry scale, Career dimensions (adaptability, optimism, knowledge and planning), Happiness and Quality of Life Autonomy scores, and socio-demographic characteristics. Bivariate-tests, correlations and multiple linear regression models were used for analysis.

A majority of the 481 volunteers (26.4 years; SD=5.5) were women and unemployed. Socio-demographical factors such as European or non-EU nationality (vs. Luxembourgish), possession of an internship employment contract (vs. fixed-term and permanent contract) and being a part of social and humanity sciences domain were related with high worries. Lower adaptability (β= −2.271; p< 0.001) and optimism career attitudes (β= −2.162; p= 0.002), low happiness (β= −1.518; p= 0.039) and autonomy in their quality of life (β= −0.669; p= 0.004), respectively, were affected by higher worry score.

Worry indicator could be observed routinely to monitor students’ career adaptability and optimism. University career employment workshops may help to increase the individual capabilities to improve and/or to maintain their wellbeing. Nationality, employment contract status and chosen academic field had generated mental health inequalities that must be considered in consultations, counselling and implementation of prevention and promotion programs.

Major depressive disorder is a disabling condition and nowadays is one of the major causes of morbidity worldwide. The internet is a commonly used source of information related to mental health, with elevated use among those with a history of mental health problems. Consumers frequently use the internet to gather mental health information, indicating they like the '24/7” access to data as well as the anonymity the internet affords.

The goal of this presentation is to point out the challenges our team had to manage in order to create an online platform about depression and the results obtained.

The site www.depresiv.ro was created by a multidisciplinary team. It is intended to be simple and with a great visual impact.

The platform is a reliable information tool for patients, families and also for mental health specialists. It gathers information about depressive disorder and it has an interactive concept with a question and answer module and a screening section that uses a web app with the Hospital Anxiety and Depression Scale.

With a monthly traffic of approximately 12000 users and more than 3000 Hospital Anxiety and Depression Scales completed in just 3 months it is clear that use of internet could help both patients and caregivers obtaining accurate information about depression. The increasing role of internet as an information source should be used by psychiatrists in order to provide education about this relatively high incidence disorder that is depression.

Several caregiving activities appear to be compromised by postpartum depression including breastfeeding, sleep routines and well-child visits, such as vaccinations and safety practices. Previous studies highlighted the need for universal screening of maternal and paternal depression, as well as the establishment of early interventions during the postpartum period such as the infant massage for their infants.

The goal of the present pilot study is to purpose the neonatal massage as an intervention to decrease the depressive symptoms of the couple during the post partum period.

Depressive symptoms were evaluated through the Edinburgh Postnatal Depressive Scale (EPDS; Cox, Holden & Sagovsky, 1987) and the Beck Depression Inventory-II (BDI-II; Beck, Steer, Brown, 1996) at 3 months of the baby. In the following 4 weeks, the couple was trained to touch the baby through the neonatal massage techniques. Their interaction was videotaped and assessed through the Assessment Tool for Observation of Mother/Father-infant Interaction (Dumas, Bystrova, Widstrom, 2005). At the end of the training, depressive symptoms were evaluated through the same measures.

Preliminary findings have shown lower scores of depressive symptoms on the EPDS, and the BDI in both mother and father after the neonatal massage took place. Also parents reported lower complaints of the baby in several area.

Early intervention during the postnatal period of life of the family may lead toward a greater functioning of the couple, and to a greater sensitive approach with the baby.

Epimeleia and resilience are required elements in care practice, because there is in the mortality of the treated the provocation of a sense of temporariness of human life. This is work analyzes the notion of temporality of the life through the losses and changes throughout life.

To investigate human beings’ ability to absorb shocks and frustrations that occur throughout life and keep homeostasis, premised on the need for epimeleia in cognitive, spiritual and social spheres to strengthen resilience.

Interdisciplinary research in articles published in journals and works in the fields of Psychiatry, Psychology, Theology and Thanatology, as well as a literature review concerning the resolution of mourning through resilience.

Educational measures and care practices, highlighting the activities and actions that promote the ability to restore the holistic balance, evoke the rescue of the innate faculty of resilience in the patients.

It is important to research on the attention given to the recovery and maintenance of the resilience of those who undergo stress, live in unsafe conditions or seek the resolution of their mourning. Patients, family and caregivers are benefited by measures and practices that promote and maintain mental and psychological balance of all involved. Further research will be useful to develop the issue.

The topic of resilience is obtaining a growing interest in psychiatric research. Resilience refers to positive adaptation or ability to maintain or regain mental health despite experiencing adversity. It is a dynamic, context- and time-specific process, and may vary across all life domains. Pathways to resilience are multiple and reciprocally interacting, and include biological, psychological, social and dispositional attributes. These factors play an important role both in psychiatric and somatic chronic disorders.

Our aim is to evaluate and compare resilience in mood disorder patients and diabetic ones. We also mean to investigate personality features, coping abilities, self-esteem and quality of life, and their possible correlation with resilience in these two populations.

Mood disorder and diabetic patients will be recruited at the Psychiatry Institute (SC Psichiatria) and Endocrinology Ward (SC Endocrinologia), respectively. Socio-demographic data will be gathered and patients will be asked to fill the following self-administered scales: Resilience Scale for Adult (RSA), Coping Orientation to Problems Experienced Inventory – Brief (Brief Cope), Rosenberg Self-Esteem Scale (RSES), Paykel List Of Stressful Events, Temperamental and Character Inventory (TCI), Short Form 36 (SF-36).

Data collection is ongoing. We expect that the findings from this research may allow to develop strategies to support patients with chronic diseases, both as far as outcome and subjective well-being are concerned, according to the World Health Organization definition of 'mental” and 'physical” health.

Mental disorders are defined as changes in thinking, feeling, inadequacy or impairment of psychological and social functioning. The adult population has about 50% probability of suffering of at least one episode of mental illness during their lifetime. The bearer of mental illness is seen as a different individual, unable to perform certain functions and even as a threat to society, conditions that increase their personal suffering, the fear of being rejected, despised and undervalued leading to its progressive social exclusion. Discriminatory attitudes undermine the harmonious coexistence among all, in our daily lives. The distortion and lack of information about mental illness can cause increasing stigma. Patients attempt to hide their problem for fear of being left out in different areas of your life.

The demystification of incurability, dangerousness and disability of mental patients should be a priority. To change the way you think and see the other, we should meet the primary objectives: emancipation of the patient with mental disorder; reduction of discrimination and stigma; improvement of individual social competence and creating a social support system for long duration.

The fact that we ignore our ghosts does not eliminate them. There should be made an effort to improve inclusion and not exclusion. The entire community is to be responsible for the rehabilitation and cure of the mental patient.

The intricate connection between the mind and the body is reflected in the complex relationship between mental and physical health. Previous studies have shown that there may be a link between obesity and poor mental health, with depression in particular. This is more of a concern in Malta since the mean population body mass index (BMI) lies on the upper end of the spectrum.

To examine the association between mental health and obesity in a sampled Maltese population.

To screen for mental health problems and determine the prevalence of somatoform, depression, anxiety, eating disorders and alcohol labuse in various categories of BMI.

A random sample of Maltese people were recruited from various settings including health centres and the general hospital. A questionnaire was carried out for participants who agreed to participate. Their BMI and several risk factors for physical comorbidities were recorded. The ‘PatientHealth Questionnaire’ was then used to screen for the mental health conditions listed in the aims section.

Preliminary results indicate that an increasing BMI is linked to a poorer mental health.

The association between poor mental health andobesity in the sampled Maltese population is of concern since Malta is one ofthe leading countries with the highest prevalence of obesity. Better mental health may be promoted by targeting to achieve a healthier BMI in the local population.

Search of MEDLINE(OVID), CINHAL(EBSCO), EMBASE(OVID) and PsychINFO(OVID) databases identified 4279 references. After screening of titles and abstracts, 123 citations merited closer inspection. Applying inclusion and exclusion criteria, 22 articles were included in the review.

The review suggested that the evidence available on risk factors is not extensive but some conclusions can be drawn. Patient, staff, institution and environment factors may play a role in increasing the risk of abuse. Cases of abuse may be often underreported.

Patients who are considered to be at higher risk need closer monitoring. Patients and staff may often lack the awareness and knowledge to identify and report abuse. Institutions should take proactive steps to monitor patients, train staff and devise systems that would be able to identify and report incidents of abuse and take steps to prevent such incidents from recurring. There should be well advertised policies for staff of all ranks to be aware of and report when they suspect or identify abuse. There is need for further research into the association between the individual factors and abuse. Such information may be useful in quantifying risk to individual patients and planning their care.