Odysseas Mouzas

Internet addiction among Greek adolescent students.

This research aimed to assess the prevalence of Internet addiction among Greek adolescent students, ages 12 to 18. The sample of 2,200 students was recruited from 120 classes among 85 schools in Thessaly, Greece. The sample included 10% of all classes in schools of Thessaly. The method of randomized stratified selection in every school was used for its constitution. Participants were asked to complete the Diagnostic Questionnaire for Internet Addiction (YDQ), based on eight criteria, as well as an inventory that included sociodemographic factors and questions about the use of Internet, their social life, and their habits. In Greece, 70.8% of adolescents had access to the Internet. The consistency of the YDQ was tested with Cronbachs alpha (0.719), with standardized item alpha (0.728). Proportions are also calculated only on the frequent Internet users, which results in 11% fulfilling five YDQ criteria. The most frequent type of Internet use is online games, representing 50.9% of Internet users, and information services, representing 46.8%. The prevalence of Internet addiction among Internet users of Central Greece is 8.2%, and it concerns mainly the male students who play online games and visit Internet cafés.

Serotonin reuptake inhibitor antidepressants (SSRIs) against atherosclerosis.

Summary Selective serotonin reuptake inhibitors (SSRIs) are a class of drug widely used for treatment of mood disorders, including depression and cardiovascular disease. A search for related articles in the PubMed database was attempted. It covered studies, reports, reviews and editorials of the last 5 years. Pro-inflammatory cytokines, such as TNF-α, IL-1 and IL-6, stimulate central serotonin (5-HT) neurotransmission and are over-expressed in depression, which has been linked with hypothalamic-pituitary-adrenal axis (HPA) hyperactivity. They have also been implicated in the pathogenesis and progression of other stress-induced disorders, like myocardial infarction (MI) and coronary heart disease (CHD), as they seem to modulate cardiovascular function by a variety of mechanisms. Biological mechanisms like these may explain the link between depression and CHD. There are a variety of environmental factors as well as genetic factors that might influence the pharmacogenetics of antidepressant drugs. New generation selective serotonin reuptake inhibitor antidepressants (SSRIs) causing a reduced cardiovascular morbidity and mortality may be related to serotonin platelet abnormalities in depressed patients that are effectively treated by SSRIs. SSRIs such as fluoxetine, paroxetine, sertraline and citalopram are not only considered to be free from the cardiotoxicity of their predecessors but also to function as safe and efficacious agents against depression, platelet activation, atherosclerosis and development and prognosis of coronary heart disease. However, there is a need for more studies in order to establish the exact biochemical mechanisms that are responsible for these diseases and the immunoregulatory effects of chronic use of SSRI medications.

Sexual Functioning and Distress among Premenopausal Women with Uncomplicated Type 1 Diabetes

INTRODUCTION Current studies indicate that women with type 1 diabetes (T1DM) have a high prevalence of sexual disorders although data on the prevalence of sexual dysfunction are limited when sexual distress is included. AIM The frequency and the possible correlates of distressful sexual disorders in a highly selected group of type 1 diabetic women. METHODS The sexual function, sexual distress, and general health status were assessed in 44 premenopausal women with uncomplicated T1DM and 47 healthy controls, using the Female Sexual Function Index (FSFI), the Female Sexual Distress Scale (FSDS), and the General Health Questionnaire-28 (GHQ-28). MAIN OUTCOME MEASURES The impact of sexual distress on the frequency of female sexual dysfunction (FSD). RESULTS The frequency of sexual disorders according to the FSFI was significantly higher in diabetic compared to control women (25% vs. 8.5%, respectively, P < 0.05). Diabetic women had significantly lower median (first to third quartile) total FSFI score compared to control group (30.55 [26.08-33.08] vs. 33.50 [30.70-34.30], P = 0.001). Desire, arousal, and satisfaction were the sexual domains significantly affected in the diabetic group. Diabetic women had significantly higher median (first to third quartile) FSDS score compared to control group (6.5 [2.3-15.8] vs. 4.0 [1.0-10.5] P = 0.043). FSD (combined pathological FSFI and FSDS scores) was present in higher proportion of diabetic women (15.9%) compared to controls (2.1%) (P = 0.020). GHQ-28 score was comparable between the groups. However, in the diabetic group, FSD was related with anxiety, depression, and low educational level. Diabetes-related factors were not associated with FSD. CONCLUSIONS Pre-menopausal women with uncomplicated T1DM have significantly higher frequency of FSD compared to healthy controls, when the criterion of sexual distress is included. Psychosomatic and contextual factors implicated in sexual distress are correlates of FSD.

Psychosocial Correlates of Insomnia in an Adolescent Population.

This study examines the nature of the relationship between psychosocial factors and insomnia complaints in an adolescent non-clinical population. It is a cross-sectional study of a stratified sample of 2,195 Greek adolescent high-school students. Subjects were given the Athens insomnia scale, the Symptom Checklist scale (SCL-90-R) and a questionnaire concerning demographic characteristics. None of the subjects had received help for insomnia complaints or other overt psychopathology. Adolescents classified as suffering from insomnia presented higher levels of general psychopathology. Age, tobacco and alcohol use, self-reported patterns of communication in the family, perceived economic status and school performance were identified as correlates of the insomnia complaints. A significant number of adolescents fail to receive appropriate treatment for insomnia. Psychosocial correlates are important factors to consider when faced with insomnia complaints in this age group. More research is needed in important timelines in the developmental history of a young adult.

Increased frequency of self-reported parasomnias in patients suffering from vitiligo

Vitiligo is a skin disorder of unknown aetiology, affecting 0.1-2% of the general population. The aim of the present study was to investigate its relationship with sleep disorders, especially parasomnias. Two hundred and sixteen individuals were examined. Among them, 116 were suffering from vitiligo, 52 from other dermatological diseases and 48 were healthy subjects, serving as a control group. An inventory including items related to sleep disorders from childhood and adolescence was used. The study was focused specifically on parasomnias. Patients suffering from vitiligo reported a significantly higher occurrence of sleepwalking, nocturnal enuresis, night illusions, sleep terrors and nightmares than that of the control group, prior to the manifestation of the disease. Patients suffering from other dermatological diseases only reported significantly more often nightmares and nocturnal enuresis compared to the control group. A relationship between parasomnias during early life and later development of vitiligo was detected. This finding supports the hypothesis that neural mechanisms involving monoaminergic systems (especially the serotoninergic one) may potentially be involved in the aetiopathology of vitiligo.

The relationship of parental bonding to depression in patients with chronic pain

Abstract Attachment theory is a theory of normal development as well as a theory of psychopathology. Attachment theory and research suggests that different types of parental bonding can be important determinants of illness behaviour, depression, pain perception and treatment response in individuals with chronic pain. Different types of parental bonding have been shown to be associated with specific personality characteristics and a variety of psychiatric disorders. We assessed 65 patients with chronic pain who visited the pain management unit of Larissa University Hospital in Greece. All patients completed the Parental Bonding Instrument, the Beck Depression Inventory and the Visual Analogue Scale (VAS) for pain. Results demonstrated that patients who reported an affectionless bonding (overprotective and insensitive) with their parents, and especially their mother, reported significantly greater depression and higher VAS scores. Conversely, chronic pain patients with an optimal parental bonding reported lower depression and VAS scores. These findings suggest that parental bonding style could be a useful construct for examining factors affecting psychiatric disorders and pain perception in patients with chronic pain.

The effect of a physical activity programme on improving mood profile of patients with schizophrenia

Objectives: Physical activity in persons with schizophrenia is associated with improvement of physical health parameters, reductions in depression and anxiety and an increased social interaction and psychological well-being. The aim of this study was to examine the effect of an exercise programme on improving mood profile of 30 patients with schizophrenia, separated in three groups (control group, experiment group A and experiment group B) of 10 individuals. Methods: Data from patients with schizophrenia collected using the instrument Profile of Mood States which was selected and administered prior, during and after application of the exercise programme. Repeated measures ANOVA and post hoc paired t-test were used to examine the short-term effect of the exercise programme prior and after the 1st, the 12th and the 24th training session between and within groups, respectively. The eight weeks duration of the exercise programme was conducted combining physical activity with behavioural treatment so as to promote exercise behaviour and minimise drop out risk.Results: Experiment group B participants as compared to those of the experiment group A and control group reported at the end of the exercise programme as felling more vigorous, less depressed and less confused leading to an improved total mood score. Conclusions: Physical activity interventions referring to schizophrenia patients that also incorporate behaviour strategies lead to an improved mood profile of patients with psychosis.

Addiction to the use of internet and psychopathology in Greek adolescents: a preliminary study

Materials and methods The sample consists of 339 adolescents (mean age: 15.41 years, SD:1.59, min/max:13/18 ), habitants of the city of Karditsa, Greece. The sample was selected using the method of randomized stratified selection by schools. The Diagnostic Questionnaire for Internet Addiction (YDQ1), based on 8 criteria, was used as a tool to categorize the internet users. Four groups were formatted: no-users, minimal users, moderate users, excessive users. The Symptoms Checklist questionnaire (SCL-90-R2) was used to investigate the psychiatric symptoms. The sample completed also an inventory concerning socio-demographic factors.

Does Long-Term Group Psychoeducation of Parents of Individuals with Schizophrenia Help the Family as a System? A Quasi-Experimental Study

Abstract: A chronic illness like schizophrenia seriously disrupts family functioning in various ways that can be addressed through family psychoeducational interventions in routine clinical services, an approach that has not received proper research attention. We pre- and post-tested four sets of parents of individuals with schizophrenia who participated in a long-term group psychoeducational intervention (treatment group) and four sets of parents of individuals with schizophrenia who received standard outpatient services (clinical control group), using three self-reported questionnaires to measure family functioning (Family Assessment Device), family atmosphere (Family Rituals Scale), and family burden (Family Burden Scale). At pre-test, there were no systematic differences between the two groups in any of the parameters assessed. At post-test, within and across groups, comparisons revealed significant improvements (under cut-off scores) in the mean scores of the treatment group (p < 0.05) in all three parameters under study. Our findings provide pilot evidence that intensive group parent psychoeducation is an efficient and efficacious treatment intervention for improvement of systemic properties of families, such as family functioning, family atmosphere, and family burden.

The Impact of Parental Bonding on Sexual Distress in Women with Type 1 Diabetes Mellitus

INTRODUCTION Psychosomatic and social issues have been found to be determinants of sexual distress in diabetic and non-diabetic populations. However, the role of parental bonding as a determinant for sexual distress has not been studied in women with type 1 diabetes mellitus (DM-1). AIM To study the role of parental care and overprotection, in the pathogenesis of sexual distress in women with DM-1. METHODS Seventy-seven women with uncomplicated DM-1 and 77 healthy controls were enrolled in the study. The Female Sexual Distress Scale (FSDS), the General Health Questionnaire-28, and the Parental Bonding Instrument were used to evaluate sexual distress, general health and bonding with parents, respectively. MAIN OUTCOME MEASURES To assess the role of parental bonding as risk factor for sexual distress, in women with DM-1. RESULTS Women with DM-1 had significantly higher FSDS scores compared with controls. Furthermore, women with DM-1 had significantly higher maternal and paternal care, and lower maternal overprotection in comparison with the healthy ones. Paternal overprotection and general health were similar in both groups (P > 0.05). Sexual distress was more frequent in women with DM-1 (31.43% vs. 8.57% of controls, P < 0.05). Diabetic women with sexual distress had lower maternal care, higher maternal overprotection and lower paternal overprotection compared to diabetics without sexual distress (P < 0.05). No difference was found in the paternal care between the two groups (P > 0.05). Moreover, sexually distressed DM-1 women had worse general health parameters in comparison with the non-sexually distressed diabetics (P < 0.05). In the DM-1 group, low maternal care and low paternal overprotection were significant risk factors for sexual distress (P < 0.05). CONCLUSIONS Parental care and overprotection can lead to sexual distress and, therefore, to Female Sexual Dysfunction in DM-1 women. Evaluation of parental bonding is necessary in DM-1 women with distressing sexual problems.