Bipolar disorder is a serious mental disorder that requires follow-up and pharmacological treatment for the patient to function properly. It is known that stressful events can generate decompensation in these patients. Pregnancy and postpartum are moments of high vulnerability for women with bipolar disorder, being essential their immediate follow-up and treatment in case of decompensation. In these cases it is essential to ensure an adequate bond with the baby.

To present a case of a patient with a diagnosis of bipolar disorder, who in both pregnancies has a manic episode after delivery.

Case presentation and literature review.

The patient is a 37-year-old woman who comes to the emergency department for manic symptoms. Her psychiatric history includes a diagnosis of bipolar disorder in 2022 after an admission for a manic episode two months after the birth of her first child. She is currently under active follow-up by psychiatry and a perinatal group intervention program. She lives with her husband and two-year-old son.

During pregnancy she received lithium without decompensation. When she came to the emergency room, she was on lithium 400 mg every 8 hours and olanzapine 10 mg prescribed 4 weeks ago by her psychiatrist, who had noticed the decompensation, which she stopped a week ago on her own.

In the examination, he shows an accelerated speech with verbose and uninhibited contact. She says that 5 days ago she began to present the idea that she was a threat to her children, with increasing anguish. She began with a decrease in the hours of sleep and suddenly refers that the idea of having to travel to Bali appeared, since “it is her favorite place in the world”. Without considering the price and without informing her husband, she left her home and arrived in Bali, where she incurred high expenses. When she arrived there, she reported meeting a friend who helped her to return to her country and informed her family.

Pregnancy and postpartum are moments of high vulnerability and emotional intensity for any woman. It is known that for patients with mental disorders, this vital moment may involve a risk of decompensation of their mental disorder, compromising their health, and may have negative repercussions on the bonding with their baby and the style of attachment they build with it. It is essential to train professionals in pharmacological treatments allowed during pregnancy, postpartum and lactation, as well as to facilitate close follow-up programs for these patients in order to reduce the risk of decompensation as much as possible.

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Gender-based violence (GBV), defined as violence directed at an individual based on their gender, encompasses a range of harmful behaviors, including physical, psychological, and sexual abuse, often perpetrated by intimate partners. In this context psychosocial well-being is often severely compromised (Choden et al., 2022), and is essential interventions that can help women rebuild their sense of self, foster resilience, and improve overall mental health. Empowerment, in the context of GBV, involves not only psychological, emotional and cognitive processes in which the person is able to think positively about themselves and their abilities and master individual and social aspects of their life, but also social and relational processes, since violence occurs in relationships with others (Amirroud et al., 2022), and therefore, empowerment allows women to assert their rights, build confidence, and engage actively in social and economic activities (Malhotra & Schuler, 2005).

This systematic literature review (SLR), based on the PRISMA 2020 guidelines, aims to provide an updated overview of interventions designed to promote psychosocial well-being and/or empowerment (PWE) among women who are victims of gender-based violence, with the goal of informing future intervention projects.

Data collection was conducted through the SCOPUS and Web of Science databases, focusing on studies published between 2018 and January 15, 2024, in English. The inclusion and exclusion criteria were based on the PICO framework: (P) women affected by gender-based violence, (I) interventions to enhance PWE, (C) comparison between initial and final intervention phases, and (O) assessed outcomes related to PWE. thirteen studies were included.

The primary intervention components were counseling, health education, mindfulness and relaxation practices and expressive therapies. Experimental studies reported significant improvements in mood, reductions in depressive symptoms, anxiety, and stress levels. Empowerment components were less frequently addressed, they also showed positive outcomes, including increases in self-esteem and self-efficacy. Overall, EG demonstrated superior results across nearly all assessed variables compared to CG. The most effective interventions were those incorporating mindfulness and relaxation, counseling techniques, and expressive strategies. Key limitations of the included studies involved methodological quality, sample size, and representativeness, as well as the potential for response bias.

This SLR offers an original contribution by advocating for evidence-based practice and providing valuable insights for healthcare professionals, policymakers, and researchers engaged in the integrative health care of women impacted by gender-based violence.

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Up to 10% of women experience severe anxiety symptoms during pregnancy and the postpartum period, which are often underdiagnosed and undertreated, leading to negative outcomes for both mother and child.

This observational study aims to assess: 1) the prevalence of Generalized Anxiety Disorder (GAD) in the postpartum period, and 2) identify its predictors.

All women attending the Gynecology and Obstetrics Department at “L. Vanvitelli” University Hospital were invited to participate in the study. Women who provided consent were assessed within three days after delivery using a specifically designed form for sociodemographic and clinical data collection, the Labor and Delivery Questionnaire (LDQ) for obstetric and gynecological information, and the Italian versions of the following assessment tools: Edinburgh Postnatal Depression Scale (EPDS) and the Generalized Anxiety Disorder 7-item scale (GAD-7). A GAD-7 score of ≥10 was used as the cutoff for moderate to severe Generalized Anxiety Disorder.

A sample of 110 women with a mean age of 30.74 (±5.67) years, predominantly Caucasian (91.8%), was recruited. Of these, 18.8% (n = 20) had GAD-7 scores indicating a diagnosis of Generalized Anxiety Disorder. Compared to women without GAD, those with GAD were significantly more likely to be unemployed or face difficulty finding work (p < 0.05), have a family history of anxiety disorders (p < 0.05), have other children (p < 0.05), experience conflicts with their parents (p < 0.001), and score higher on the EPDS (p < 0.001). Logistic regression analysis showed a higher likelihood of having GAD among younger women (OR: – 0.029; p < 0.05), those with a positive family history of anxiety disorders (OR: 0.63; p < 0.05), and those with higher EPDS scores (OR: 0.044; p < 0.001).

The study highlights that age, employment status, and a family history of anxiety disorders may be significant predictors of GAD in peripartum period. Further studies with larger samples are necessary to confirm these findings; however, collaboration between psychiatrists, gynecologists, and obstetricians is recommended to identify women at risk of developing GAD early on, facilitating timely and appropriate diagnosis and treatment, and reducing the risks to the mental health of both mother and child.

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Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder characterized by significant sex differences in symptomatology, prevalence rates, and associated developmental challenges. Research indicates that these disparities are not merely superficial but are rooted in complex biological, psychological, and social factors. Despite the growing recognition of these differences, the underlying etiological mechanisms remain inadequately explored.

This study aims to propose a framework addressing hormonal fluctuations in females with ADHD, emphasizing the cyclical nature of ovarian hormones and their impact on executive functioning and behavioral regulation. We hypothesize that hormonal changes exacerbate ADHD symptoms during specific menstrual cycle phases, ultimately enhancing our understanding of sex differences in ADHD and informing future research and treatment strategies.

We conducted a literature review to synthesize studies on estrogen levels, executive function, and ADHD symptoms. Our focus was on the role of estradiol (E2) in cognitive functions, particularly in the prefrontal cortex, and the effects of cyclical hormonal changes on behavior and cognition in females with ADHD during adolescence and the menstrual cycle.

Evidence suggests that estrogen is crucial for cognitive control, with fluctuations in hormone levels impacting mental performance in women. Notably, ADHD symptoms are more likely to manifest during periods of rapid estrogen decline, particularly within the menstrual cycle. These hormonal decreases correlate with reduced executive function and self-regulation at two critical phases: increased risk-taking behaviors during the mid-cycle (periovulatory phase) and heightened avoidance and negative emotions in the perimenstrual phase. Research indicates that drops in estradiol (E2) can lead to significant increases in inattention and hyperactivity-impulsivity symptoms, especially in young adult women with high impulsivity traits. Additionally, the organizational effects of puberty may interact with hormonal changes, particularly in females with advanced limbic system development, increasing the risk of emotional dysregulation and impulsive behavior. Changes in the limbic system, essential for emotional processing and memory, further underscore the importance of considering individual sensitivity to hormonal variations.

This framework emphasizes the importance of hormonal influences in diagnosing and treating ADHD in females. By recognizing the relationship between hormonal fluctuations and ADHD symptoms, particularly via the Multiple Hormone Sensitivity Theory, we advocate for a tailored treatment approach. Future research should focus on longitudinal studies to deepen understanding and develop targeted interventions, thereby improving ADHD management and quality of life for females.

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In the modern world, the problem of infertility is becoming more significant. In particular, the number of women with experience of miscarriage is increasing. Problems with pregnancy, frustration of the desire to become a mother influence the formation of a woman’s motherhood and self-image as a mother, which can lead to intrapersonal problems of a woman and to a distortion of care practices and child-parent relations in relation to the future child.

To study the features of the self-image as a mother in women with experience of miscarriage.

A pilot study was conducted. Two methods were used in this study: “Unfinished sentences” (Sachs-Levy, mod. A.G. Dolgikh, 2018), method of semantic differential (spaces proposed by A.G. Dolgikh, 2018).

The study sample consists of 3 groups: 30 women with experience of miscarriage for medical reasons aged 25 to 35 years; 30 women aged 25 to 30 years who have no experience of pregnancy; 30 women raising children under the age of five.

The results of attitudes peculiarities psychodiagnostic study towards motherhood in women using the “Unfinished Sentences” technique demonstrate that generally more expressed positive attitude towards motherhood in general and attitude towards themselves as a future mother for the group of women with experience of miscarriage compared to other groups of women.

The self-image as a mother using the semantic differential method showed that the semantic universals of this image for both the entire sample and for a group of women with miscarriage experience are adjectives “reliability”, “caring”, “tenderness”.

The self-image as a mother semantic profiles comparative analysis revealed significant differences in the indicators of this image among the study groups. Women with the experience of miscarriage characterized themselves as more warm, more soft, more caring and more harmonious (p<0.05) compared with women from other groups. They also perceive the image of themselves as a future mother as lighter, more reliable, more anxious and more affectionate than women without experience of pregnancy and motherhood (p<0.05).

Women experienced miscarriage are characterized by more idealized ideas about motherhood probably due to problems with pregnancy and frustration of the desire to become a mother.

None Declared

Hormonal contraception (HC) is widely used by females worldwide. Sex hormones – oestrogen and progesterone – affect the central nervous system’s function, structure, and neurotransmission, modulating emotional and behavioural responses. The use of HC, by introducing exogenous hormones and modulating the internal production of sex hormones, may be associated with mood changes and depressive symptoms. These symptoms are commonly reported by females taking HC and are one of the most frequent reasons for its discontinuation.

To explore the relationship between HC and depressive symptoms in females of reproductive age, with a focus on clinical implications.

A narrative literature review was conducted using the PubMed® database with the search query: “(Hormonal Contraception) AND ((Mood) OR (depression))”. Studies published in the last 20 years were included.

Recent studies have shown an association between HC use and depression. The relationship between HC and mood changes is complex and influenced by various factors, including the type of HC, dosage, patients’ psychiatric history, and psychosocial factors. The link between HC and depression seems to be related to the dosage and type of progestogen. Also, the use of progestins with androgenic activity, such as levonorgestrel, may carry a higher risk of deleterious mood changes. Adolescent females, those with a personal or family history of mood disorders, females with premenstrual dysphoric disorder or premenstrual syndrome, and those who have experienced adverse mood effects with previous use of HC are more predisposed to developing depressive symptoms related to HC. HC is also associated with sexual dysfunction and an increased risk of suicide and suicide attempt. On the other hand, continuous use of HC may provide relief from depressive symptoms in females with premenstrual dysphoric disorder by stabilising fluctuations in hormone levels. Limited evidence suggests that HC use among females with depressive or bipolar disorders is not associated with a worse clinical course compared to the use of non-hormonal methods.

The mechanism underlying how HC influences mood remains poorly understood. In clinical practice, the effects of HC on mood seem to be most relevant in selected subsets of females. Most females using HC demonstrate no effect or a beneficial effect on mood, with a low incidence of adverse effects. The risk of adverse mood effects should not preclude the prescription of HC. Mental health risk factors, as well as any newly present or ongoing mental health symptoms, should be considered when initiating and reviewing HC in the management and treatment of female patients.

None Declared

Military spouses often experience separation from their husbands and the risks associated with their deployment in difficult environments. Multiple studies have focused on depression in service members, but little has been done to understand how demographic and military-specific factors affect their wives.

The goal of our study is to describe the demographic and military characteristics specific to women with a depressive disorder diagnosis, and are or were married to service men. We also aim to identify possible correlations between the beginning and evolution of the spousal depression and those characteristics.

This was a retrospective descriptive study. Data was obtained from the medical files of military spouses followed at the psychiatry department of the military hospital in Marrakech between May 2022 and August 2023. Demographic and military-specific information unavailable in the files was collected through phone calls. Inclusion criteria were: a DSM-5 depressive disorder diagnosis, presence at follow-ups, being or having been married to a service man, an available functioning phone number. The statistical analysis was done on the software tool Jamovi® version 2.3.28.

All of the 25 women who were included in our study were diagnosed with major depressive disorder (MDD). Demographic factors related to MDD were noted in most spouses: 64% had a low educational level, 84% were housewives. Concerning the military factors related to service men: we observed that in the 24% of cases where the husband was deployed or lived apart from his family, there was either no or little improvement of depressive symptoms under treatment for the wife. Only 4% of service men had been diagnosed with a psychiatric disorder (MDD) at the time of our study. 44% of our patients reported conflicts with their husbands, out of these men 54% were still active in military forces. 54% of the patients with marital conflicts reported little to no improvement of their symptoms. 20% of women were victims of domestic violence.

Our findings were able to show a high percentage of demographic risk factors for MDD in the studied population. They also imply a correlation between the husband’s deployment and the higher family responsibility reported by the wife in these cases, and a lack of improvement of the depressive symptoms under treatment. Although previous studies reported a correlation between the husband’s history of psychiatric disorder and the wife’s depression, we didn’t reach the same conclusion, this could be limited by the size of our study sample, as well as possibly underdiagnosed disorders in service men. These findings suggest the need for a specific approach for this population, as well as additional support services to help prevent and improve the treatment of depressive disorders in military wives.

None Declared

This research addresses the significant mental health challenges faced by women in Pakistan, where gynecological/obstetrical issues are prevalent, and mental health awareness is often lacking due to cultural stigmatization and misconceptions. Women with conditions such as infertility, and breast and ovarian cancer are at higher risk of psychiatric disorders, and there is a clear correlation between infertility and psychological comorbidity. Cultural beliefs and regional variations further complicate the perception and understanding of mental health in Pakistan.

The primary objective of this research is to dispel myths and misconceptions surrounding mental health by providing group psychoeducation on major psychiatric illnesses. The goal is to raise awareness and promote psychiatric and psychological help-seeking behavior among women with gynecological issues.

This study employs a quantitative approach with a quasi-experimental design. A sample of 55 married female participants from the Gynecology Department of Services Hospital Lahore, underwent pre- and post- psychoeducation assessments. Only married females seeking treatment for gynecological conditions were included, while those already diagnosed or seeking treatment for mental disorders before the onset of gynecological issues were excluded. To assess the participants’ knowledge and beliefs regarding mental illnesses, a self-developed Women Mental Health Checklist was used for pre-and post-assessment. A panel of mental health experts validated the content for the checklist. Psychoeducation material was developed based on established resources, and a panel of experts examined its content validity. A pre-psychoeducation assessment was conducted, followed by psychoeducation sessions that included information about mental disorders associated with gynecological issues. Post-assessment was conducted at a one-month follow-up. SPSS 21 was used to analyze the data.

The repeated measure t-test analysis revealed a statistically significant difference in post-assessment (t (49) = 14.6, p = 0.00) which indicated a strong impact of psychoeducation on post-assessment.

These findings highlight the importance of psychoeducation in promoting help-seeking behavior. However, it is important to understand the study limitations and that future research should explore psychoeducation’s role on a broader level. This research aims to bridge the gap in mental health awareness and help-seeking behavior among women in Pakistan facing gynecological and obstetrical issues, ultimately contributing to improved mental well-being and overall quality of life.

None Declared

Violence against women is a worldwide critical public health issue. Despite the introduction of legal frameworks in Tunisia, there remains a need for effective medical intervention and support. Tunisian Medical residents often serve as frontline responders to cases of violence, making their training and awareness crucial in addressing this public health concern.

This study aimed to evaluate the knowledge and attitudes of medical residents in Tunisia concerning the management of gender based violence (GBV).

A cross-sectional survey was conducted using an online questionnaire distributed via social media, completed by 85 medical residents from various specialties. The study included residents from psychiatry, family medicine, medical, and surgical specialties, providing a comprehensive overview of perceptions across disciplines.

We included 85 medical residents. The preliminary results showed that 73% were aged 26 to 29 years, and 75% were women.

Specialties included 38.8% in psychiatry or child psychiatry, followed by family medicine (25.9%), medical specialties (24.7%), surgical specialties (3.5%), and medico-surgical (7.1%).

Only 21.2% of residents had received specific training on managing GBV during their studies ( Courses, Masterclass, brief training). Regarding prevalence, only 12.9% of participants believed that over 80% of Tunisian women had experienced violence at least once in their lifetime.

In terms of violence types, 35.5% and 17.6% were respectively unaware of economic and political violence.

For 60% of residents, psychological violence was seen as the most prevalent in Tunisia, followed by physical violence (25.9%) and significantly underestimated sexual violence (8.2%). Additionally, 78.8% identified intimate partners as the primary perpetrators of violence. Regarding reporting procedures for suspected gender-based violence cases, 60% of residents believed local authorities should be alerted. However, 48.2% were unaware of Organic Law No. 58 of August 11, 2017, concerning the elimination of violence against women.

Regarding management, only 7.1% of residents felt confident in their ability to handle cases of GBV. The main obstacles identified were a lack of specific training (84.7%), absence of institutional support (67.1%), and lack of time (18.8%). The need for ongoing training in managing GBV was expressed by 64.7% of residents, highlighting the urgent need for improved awareness and skill enhancement in this area.

This study reveals significant gaps in the training and knowledge of medical residents in Tunisia regarding GBV. The lack of awareness of relevant legislation and resources, along with insecurity in case management, underscores the urgent need for targeted training and institutional support to improve medical responses to this critical issue.

None Declared

Studies have shown that postpartum women are more affected by sleep disorders than women who have not given birth. Reasons for sleep disturbances include insufficient sleep time, poor sleep quality, and postpartum depression. Having a sleep disorder has a negative effect on the formation of a close relationship between mother and child.

To determine the level of insomnia in postpartum women and study the correlation.

The study will be conducted by women who agreed to sleep disorder detection questionnaires specially prepared by the World Health Organization for doctors in primary health care institutions. The results of the research parameters were statistically processed using Microsoft Word 2016, Microsoft Excel 2016, and SPSS 26 programs.

Of the 100 women who participated in the study, 25% had no insomnia, 48% had mild sleep disorders, 27% had sleep disturbances, 23% had no stress, 42% had moderate stress, and 35% had high stress. 16% of women aged 20-24 have no insomnia, 72% have mild sleep disorders, and 12% have sleep disorders. 23.8% of women aged 25-29 have no insomnia, 47.6% have mild sleep disorders, and 28.6% have sleep disorders. 25% of women aged 30-34 have no insomnia, 40% have mild sleep disorders, and 35% have sleep disorders. 45% of women aged 35-39 have no insomnia, 20% have mild sleep disorders, and 35% have sleep disorders. 0% of women aged 40-44 have no insomnia, 70% have mild sleep disorders, and 30% have sleep disorders. 50% of women aged 45-49 have no insomnia, 25% have mild sleep disorders, and 25% have sleep disorders. 35% of women with children aged 0-3 months have no insomnia, 35% have mild sleep disorders, and 30% have sleep disorders. 15% of women with children aged 4-6 months have no insomnia, 50% have mild sleep disorders, and 35% have sleep disorders. 35% of women with children aged 7-9 months have no insomnia, 45% have mild sleep disorders, and 20% have sleep disorders. 15% of women with children aged 10 months to 1 year have no insomnia, 50% have mild sleep disorders, and 35% have sleep disorders. 25% of women with 2-year-old children have no insomnia, 60% have mild sleep disorders, and 15% have sleep disturbances.

As mothers age, insomnia rates increase, stress levels decrease, and postpartum depression rates increase. As children age, sleep deprivation rates decrease, stress levels decrease, and postpartum depression rates decrease. As maternal fertility increases, insomnia rates decrease, stress levels decrease, and postpartum depression rates decrease. Insomnia, stress, and postpartum depression are also affected by living conditions.

None Declared

Postpartum depression is a disorder that usually occurs six weeks after birth and can last for up to a year. If postpartum depression is not diagnosed and treated, there is a risk of suicide. Postpartum depression affects 18% of mothers worldwide.

To investigate the relationship between the prevalence of postpartum depression, the number of births, and postpartum depression.

Women who gave birth will be surveyed using the Edinburgh test specially prepared by WHO for primary health care practitioners.

41% of the women who gave birth in the study had their first birth, 28% had their second birth, 21% had their third birth, and 10% had four or more births. 2% of women who gave birth had no postpartum depression, 15% had self-managed depression, and 83% had postpartum depression. 4% of women aged 20-24 have no postpartum depression, 20% have self-managed depression, and 76% have postpartum depression. 0% of women aged 25-29 had no postpartum depression, 14.3% had self-managed depression, and 85.7% had postpartum depression. 0% of women aged 30-34 have no postpartum depression, 10% have self-managed depression, and 90% have postpartum depression. 5% of women aged 35-39 have no postpartum depression, 15% have self-managed depression, and 80% have postpartum depression. Among women aged 40-44, 0% had no postpartum depression, 0% had self-managed depression, and 100% had postpartum depression. Among women aged 45-49, 0% had no postpartum depression, 50% had self-managed depression, and 50% had postpartum depression.

Among 41 women with their first child, 2.4% did not have postpartum depression, 17.1% had self-correcting depression, and 80.5% had postpartum depression. Among 28 women with second birth, 0% did not have postpartum depression, 17.9% had self-correcting depression, and 82.1% had postpartum depression. Among 22 women with their third child, 4.5% did not have postpartum depression, 4.5% had self-correcting depression, and 90.9% had postpartum depression. Of the 9 women with four or more births, 0% did not have postpartum depression, 22.2% had self-correcting depression, and 77.8% had postpartum depression.

Postpartum depression is very high among the women who gave birth in the study. According to the results of the study, there is a weak positive correlation between the number of births and the stress of the mother. Stress and insomnia are strongly related. Postpartum depression and insomnia are strongly correlated in Edinburgh. Therefore, there is a need to increase the diagnosis and treatment of postpartum depression.

None Declared

The ongoing armed conflict in Ukraine has significantly destabilized Europe’s geopolitical and economic situation, leading to a war-inflation crisis that may substantially affect the mental health of women during the perinatal period.

Our primary objective was to investigate the prevalence of depressive symptoms and assess the role of resilience as a protective factor against anxiety and depression in Polish perinatal women during the war-inflation crisis. We analyzed the percentage of women experiencing anxiety related to childbirth and the war-economic crisis, as well as their relationship with perinatal depression. The study also aimed to identify risk factors for perinatal depression and various types of anxiety, including those related to childbirth, war, and the global situation.

152 women participated in three online surveys – two conducted during pregnancy and one after childbirth. To evaluate mental well-being and the intensity of depressive and anxiety symptoms, we utilized the Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory (BDI-2), Labour Anxiety Questionnaire (LAQ), along with research team-developed questionnaires assessing anxiety related to the war (WAQ) and global situation (GSAQ). Resilience was assessed using the Resilience Measure Questionnaire (KOP-26).

About 32.2% of perinatal women were diagnosed with depression based on the EPDS scale with a cutoff of ≥14. Nearly 70% scored 14 or higher on the LAQ scale, indicating a significant rise in labour-related anxiety. Additionally, 24.3% experienced high levels of anxiety due to the war, while 25% faced severe anxiety related to the global situation. The Kruskal-Wallis analysis, with resilience as the independent variable, revealed statistically significant differences in the distribution of depression (F=28.302; df=2; p<0.001) and global situation anxiety (F=7.183; df=2; p<0.028) variables between the groups. Post hoc analysis showed differences in the severity of depressive symptoms and global situation anxiety between the low and high resilience groups. The correlation heat map between psychometric scores at the start of the study is presented in Table 1.

The prevalence of depressive disorders among women in the perinatal period may increase during crises caused by war and inflation, compared to periods of geopolitical and economic stability. This is a strong argument for improving the screening system for perinatal depression in Poland. A lower level of resilience during pregnancy may be a significant predictor of increased severity of depressive symptoms and higher levels of anxiety related to global situation among the perinatal population.

None Declared

It is being thought that the presence and quality of relationships to psychosocial adjustment and well-being is important. Little is known about the romantic relationships of individuals diagnosed with gender dysphoria. In the last thirty years, attachment theory has become one of the main references for adult romantic relationship studies. Despite the importance of attributed to the attachment system for overall psychological well-being and the quality of adult relationships, little research has focused on the attachment of individuals with gender dysphoria

The present study focuses onresearching the attachment style, dyadic adjustment and gender roles attitudes in trans men and their partners.

60 trans men and their 50 partners are included in this study.”Experiences in Close Relationships-Revised”, “Gender Roles Attitude Scale”,”Childhood Trauma Questionnaire”, “Dyadic Adjustment Scale”, “Beck Depression Inventory” and “Beck AnxietyInventory” are conducted to all attendees. Also, we used data form which is included sociodemographic and family features for all participants

Prevalence of insecure attachment style was found high in both groups. Regarding the correlation between attachment style and dyadic adjustment, the dyadic adjustment points in trans men with secure attachment style were found significantly higher than trans men with insecure attachment style (Table 2,p:0,006). The average relationship duration of the participants with secure attachment style was higher than the participants with insecure attachment style. It was found that both groups have egalitarian attitudes in general terms. The egalitarian attitudes subscale points of gender role attitude scale in trans men were found significantly higher than the egalitarian attitudes subscale points of gender role attitude scale in partners (p:0,025)

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The present study constitutes the first study in Turkey, which researching the attachment style, dyadic adjustment and gender roles attitudes in trans men and their partners, was analyzed. There are few studies in the literature investigating the gender roles of trans men and their partners. In this study, insecure attachment rates were found to be high in both groups. Attachment styles and romantic relationships are fundamental components for psychosocial adjustment and well-being. For this reason, attachment styles should be made a part of the clinical evaluation of transgender people. It should be aimed to increase the sense of security of the person. Thus, clinical studies that should evaluate attachment styles as part of a standardized assessment and increase one’s sense of security must be produced primarily. Therefore, individual and group psychotherapeutic work aimed at reshaping internal working models could directly or indirectly facilitate access to support groups, reinforce a more positive self-image.

None Declared

Delayed perinatal grief occurs when the grieving process for a lost baby is reactivated after the birth of a healthy child. This case presents a 39-year-old mother who, after losing her first baby at 36 weeks due to Patau syndrome, experienced delayed grief following the birth of a full-term baby two years later. Despite receiving one psychological consultation at the time of the loss, the lack of follow-up contributed to the reactivation of her grief postpartum, presenting with sadness and anxiety.

• - To describe the process of delayed perinatal grief in a mother who lost a baby due to Patau syndrome.

• - To evaluate the psychological impact of the lack of follow-up after the loss on the subsequent development of reactivated grief.

• - To propose therapeutic interventions for the management of mothers experiencing delayed perinatal grief.

We present the case of a 39-year-old mother who lost a baby at 36 weeks of gestation due to Patau syndrome. Following the loss, she received a single psychological consultation with no further follow-up. Two years later, she gave birth to a healthy baby at 40 weeks, and six weeks after delivery, she was referred to psychiatry due to symptoms of profound sadness and anxiety, consistent with delayed perinatal grief. The patient was evaluated by the psychiatry team and began treatment with psychological intervention and pharmacological management when necessary.

The psychiatric intervention led to a gradual improvement in symptoms of sadness and anxiety. The patient responded favorably to psychological treatment, incorporating cognitive-behavioral therapy techniques to manage grief. However, feelings of sadness persisted on dates related to the previous loss. Ongoing emotional support was crucial for the recovery process.

Delayed perinatal grief can reactivate after the birth of a new child, especially in cases where the original loss was not adequately followed up. Proper psychological support is essential to help mothers process their grief and prevent long-term emotional complications.

None Declared

Obsessive-Compulsive Disorder (OCD) during pregnancy can worsen due to hormonal changes, psychological stress, and concerns about the baby’s health. It presents unique challenges for diagnosis and treatment, balancing the mother’s mental health with fetal safety. This case focuses on a woman who developed OCD in her third trimester, emphasizing the challenges in managing the condition.

• - To describe the impact and progression of OCD during pregnancy.

• - To assess the effectiveness of Cognitive Behavioral Therapy (CBT) and evaluate pharmacological options.

• - To analyze the risks and benefits of managing OCD therapeutically in pregnant women.

A clinical case of a 32-year-old woman at 28 weeks of gestation, with newly diagnosed OCD, is presented. Symptoms began in the second trimester with intrusive thoughts about harming her baby and compulsive checking and cleaning behaviors. The patient was treated with CBT, and SSRIs were considered due to symptom severity. Follow-up continued through pregnancy until delivery.

CBT led to a significant reduction in compulsions and improved management of obsessive thoughts. However, moderate symptoms persisted, leading to consideration of SSRIs, which were ultimately avoided due to concerns about side effects. The patient’s delivery was uncomplicated, and continued CBT postpartum resulted in significant improvement.

This case illustrates the complexity of treating OCD during pregnancy, where hormonal changes and concerns about fetal health can exacerbate symptoms. Early intervention with CBT can be effective, and treatment decisions must carefully balance maternal and fetal well-being.

None Declared

The emergence of social media platforms like X has created a unique space for mental health discussions. This study aims to analyze the language and themes used in social media discussions to appreciate sentiments about PMS and PMDD by looking at a sample of the most popular tweets on platform X.

We hypothesize that this content can provide insight into public perceptions and guide educational campaigns.

An advanced Twitter/X search for “PMS” and “PMDD” was conducted, filtering for English content. The top 100 tweets for each search term were explored through two different sentiment analysis tools which include Dr. Daniel Soper’s Sentiment Analyzer Tool and Text2Data Application Programming Interface (API) Natural Language Processing (NLP) Analysis. Tweets were also analyzed using a word cloud generator to identify the most frequently used terms. Connecting words were eliminated from the final output.

Negative sentiment was more prevalent than positive among the tweets for PMDD, with an overall sentiment analysis of an average of -24.3 per the Daniel Soper Sentiment Analyzer tool, suggesting a negative and serious tone. The most frequently appearing terms in these tweets were “month” (mentioned 17 times), “bad” (16), “love” (15), “feel” (14), “MAFS” (14), “support (14). Per Text2Data’s API NLP analysis, the top 150 words had a negative sentiment of -0.59 with a magnitude of 1.69. Negative sentiment was more prevalent than positive among the tweets for PMS, with an overall sentiment analysis of an average of -15.2 per the Daniel Soper Sentiment Analyzer tool, suggesting a somewhat negative and serious tone. The most frequently appearing terms in these tweets were “new” (11), “price” (10), “oxford” (9), “feel” (14), “people” (9), “want” (9). Per Text2Data’s API NLP analysis, the top 150 words had neutral sentiment of +0.15 with a magnitude of 1.59.

This study emphasizes a less negative sentiment associated with PMS compared to PMDD. It also highlights how more emotionally charged terms were used among tweets discussing PMDD compared to PMS. This may reflect public perception of the two conditions. Additionally, social media can be a way to gauge public interest and perception of medical topics.

None Declared

Psychiatry trainees in Ireland are categorised as Non-Consultant Hospital Doctors (NCHD). Research into the wellbeing of NCHD’s has consistently highlighted difficult working conditions with the majority reporting they have been told by others they neglect their own health. The learning outcomes of the College of Psychiatrists of Ireland are majority clinical, professional and academic based with only a small focus on outcomes related to trainee wellbeing. Therefore, local and creative initiatives to support psychiatry trainee health and wellbeing are warranted.

To conduct a needs analysis amongst psychiatry trainees in the Sligo/Leitrim Mental Health Service to inform the development of a NCHD Wellness at Work Committee and assess its impact over over a six month period from January 2024 – July 2024.

Following Clinical Director ethical approval, an anonymous online survey was shared with NCHD’s through email to assess their workplace wellbeing needs. Results were collected and analysed using Microsoft Excel leading to the creation and implementation of an action plan. At the end of the period, another anonymous online survey was shared through email to assess the usefulness of the project.

16 out of 23 local NCHD’s responded to the needs analysis.

88% identified ‘Physical Health’ as the top priority for the committee, while 75% endorsed the ‘Psychosocial work Environment’ and ‘Mental Health and Wellbeing’. The ‘Physical Work Environment’ and ‘Healthy Eating’ were chosen by 44%.

In terms of a wellness at work development program, the most frequently requested item was ‘Activities to support mental health’ (69%), followed by ‘Corporate Leisure Centre discounts’ at 63%, ‘Stress Management’ and ‘Exercise/physical activity classes’ both at 56% and ‘Access to healthy food’ and ‘Sports participation’ options both at 50%.

‘Not enough time’ was identified as the greatest barrier to participation by 69% with equal variations across preferred timing of activities.

The action plan included the improvement of the physical work environment along with the arrangement of a financial planning webinar, Human Resources Coaching, Occupational Health and Health Promotion sessions. Information was shared by email on the Cycle to Work scheme and the Living Well stress reduction program along with social events including a breakfast club, provision of time and facilitites pre-trainee teaching for social interaction and a regular social dinner.

An impact assessment survey provided 12 responses from a total requested of 16 with all 12 responding indicating a positive impact. The missing 4 responses were due to trainees moving location.

This is, to our knowledge, the first quality improvement project to date involving the creation of an NCHD Wellness at Work Committee in Ireland.

The results will be used to inform and encourage the development of similar initiatives Deanery wide.

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By 1920, the Rockefeller Foundation had set out to systematically improve medical education and clinical practice. This wealthy, formidable agent for change initially focused on surveying the state of medical education world-wide and then targeting individual research institutes and universities with funding aimed at improving their facilities.

The aim was to increase understanding of how the Foundation’s focus on improving medical education and practice changed over time.

The Rockefeller Foundation archive documents the philanthropic activities of the Foundation. Employing a social-history methodology, the primary sources utilised involved officer diaries, including that of Alan Gregg who directed support for medical research and education globally throughout the 1930s and 1940s. Also examined were contemporary journals such as The British Medical Journal, the New England Journal of Medicine, and The Lancet; contemporary newspapers such as the New York Times, The Illustrated London News, and the Times of India, among others. The evidence from the diaries was compared with that of journals, newspapers, and other primary sources.

Initially the Foundation employed a disease-control model aimed at eradicating hookworm, malaria, and yellow fever. However, over time the Foundation changed its focus and developed a special interest in building the discipline of psychiatry. Gregg came to firmly believe that the funding of mental health research and teaching should be given the same resources as any other branch of medicine. Gregg supported initiatives to include psychiatry in standard medical school curricula and he also directed Foundation funding toward individual researchers in the field of mental health. He eventually came to serve as an advisor to the National Institute of Mental Health and the psychiatry section of the Department of Veterans Affairs.

The focus of the Rockefeller Foundation changed over time. Using meticulous planning, the Foundation moved from a laboratory-based, disease-eradication model to developing a deep commitment to promoting scientific psychiatry internationally.

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Whilst the DSM has streamlined research and standardized diagnoses, it faces criticism for falling short in addressing the intricate nature of psychiatric disorders. By relying on checklist-based diagnoses, it overlooks critical dimensions such as personality traits, cognitive functions, the motives driving maladaptive behaviors, and the unique narratives of individuals. In contrast, the Perspectives of Psychiatry (PoP) presents a comprehensive framework that enhances the understanding and treatment of mental health conditions. It integrates diverse origins of psychiatric disorders while emphasizing a thorough evaluation of a patient’s life story. The global reach of PoP, with textbooks translated into multiple languages, has led to the creation of an international fellowship program for clinicians and students worldwide.

The speakers will explore the PoP framework and share how this system is 1) implemented at Johns Hopkins (Baltimore, MD) in clinical practice and teaching, and 2) taught to international students with the newly established Perspectives of Psychiatry International Learners Program (PoPPIL).

Faculty from Johns Hopkins will outline how the PoP has been applied at their institution for the past 40 years, while international students from Sweden, Australia, and Ecuador will share their experiences from the PoPPIL.

The PoP provides a structured and integrated framework for clinical practice and teaching. It explicates the rationale behind various treatment methods — medications, psychosocial interventions, motivational strategies, and consolation — whilst enabling patients to contribute more discerningly in their own recovery. Patients undergo a comprehensive and systematic evaluation, before this information is analyzed from each of the 4 perspectives (figure 1). This encourages clinicians to consider the patient holistically, rather than as a collection of symptoms, leading to the creation of management plans that not only addresses their psychiatric symptoms but also their social needs and personal goals. These plans can then be used to work collaboratively and effectively with other providers such as social services, general practitioners and psychologists. The framework is now part of the core curriculum for all psychiatry residents at Johns Hopkins and since 2024, international students can partake in an immersive learning experience which includes clinical observation and teaching. The PoPPIL has also facilitated grassroot global communication among medical students, junior doctors and leading experts.

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Moving beyond diagnostic checklists to a framework grounded in intelligible concepts can propel advancements in psychiatry. The program at Johns Hopkins illustrates how these concepts can be effectively applied in clinical settings and shared with students from around the world.

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Although the collaborative partnership of the psychiatrist, patient and family is vital to recovery from a mental disorder, many patients and their family members are not satisfied with the communication with the psychiatrist. They believe that they are not actively involved in creating a treatment plan and that they do not have enough information about the diagnosis and treatment.

Objective of the study is to improve the communication skills of young psychiatrists for collaboration with patients and their families.

Recognising the pressing need to address dissatisfaction with communication, we implemented the EUFAMI Prospect Common Ground three-way communication program, which we adapted for our study. We measured the increase in communication skills using a self-assessment questionnaire.

Participants: three groups of patients diagnosed with severe mental illness, family members, and young psychiatrists have been working in small groups separately and together in large groups.

Our study’s results are promising. The majority of participants expressed satisfaction with the training method. Their feedback highlighted acquiring new communication skills, which they believe will strengthen the collaborative relationship between patients, family members, and psychiatrists.

A training program for improving communication skills for young psychiatrists proves to be useful for improving the creation of a therapeutic relationship of cooperation with patients and their family members.

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