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Editors

Dan L. Dumitrascu, Wolfgang Soellner

PROCEEDINGS of

© Copyright 2014 by MEDIMOND s.r.l.Via G. Verdi 15/1, 40065 Pianoro (Bologna), Italy

www.medimond.com • info@medimond.com

All rights reserved. No part of this publication may be reproduced,stored in a retrieval system, or transmitted, in any form,or by any means, electronic, mechanical, photocopying,

recording or otherwise, without the prior permission,in writing, from the publisher.

Printed in June 2014 by Editografica • Bologna (Italy)

ISBN 978-88-7587-701-9

is a registered trademark owned by Medimond s.r.l.

monduzzi editoreInternatIonal ProceedIngs dIvIsIon

FOREWORD

We have the great pleasure to introduce to you the first volume of proceedings from an European Meeting on Psychosomatic Medicine. Indeed, EAPM (the European Association for Psychosomatic Medicine), founded 2012 in Aarhus, merged from the European Association for Consultation-Liaison Psychiatry and Psychosomatics and the European Psychosomatic Research Network. The young association first met in Cambridge in 2013 and this year again in Sibiu. The romantic Transylvanian city situated in the middle of Romania, hosted a very good meeting with a participation of almost 300 attendants from 39 countries from all continents. Beside psychiatrists interested in the community practice, different specialists shared research and experience: internists, family doctors, gastroenterologists, cardiologists, psychologists and even surgeons, etc. The main topics were: the psychosomatic approach of the elderly; the gut-brain axis and the effect of socio-cultural changes on the health. The meeting attracted not only experienced psychosomaticians, but also many trainees. The meeting offered to doctors and psychologists from Central and East Europe the possibility to participate, the venue being closer and easier to reach. Indeed, the intentions of the organizers were achieved by the higher attendance from this part of Europe.

Most of the papers presented during the EAPM meeting in Sibiu are now displayed in front of you: the Monduzzi Editore International Proceedings Division agreed to publish it online and to upload them on their site. Thus, words from Sibiu will remain coined in papers and thus, available to all those who in the future will be interested in the current issues of psychosomatic medicine, and much later, in the early history of EAPM.

We want to mention that this is a selection of presentations at the 2nd Annual Conference of the EAPM, focusing on presentations from Eastern Europe, but not only. The best abstracts of the presentations are published in the Journal of Psychosomatic Research, 2014; 76 (6): 495-520, and the other abstracts are published in Psychologische Medizin 1/2014, Suppl.

This volume presents a diversity of topics, thus we decided to publish them in a common volume, where all contributions were inserted in the alphabetical order of the first author. The contributors keep the responsibility for the texts included in this book.

We are convinced that most of you, our readers, will find at least something new and useful in this proceedings volume.

Prof. Dan L. Dumitrascu President EAPM 2014 Meeting

Prof. Wolfgang Söllner President EAPM

© Medimond 2014 III

Index

Major Depressive Episode and Perimenopause Armean S.M., Matyas K.A., Buzoianu A.D., Micluția I.V................................................................................ 1

Psychotherapy versus Drug Therapy in Somatoform Disorders Artimon H.M., Bradu-Iamandescu I., Răulea C. ............................................................................................. 9

Beneficial Influences of Music on Choral Performers Avram L., Lupu J................................................................................................................................................ 13

The factors associated with improving quality of life in psychological rehabilitation and usual care groups of patients after cardiac surgery Beresnevaite M., Benetis R., Rasinskiene S., Kinduris S............................................................................. 17

Schizo-affective disorder and Kallman de Morsier syndrome. Case presentation Boloş A., Chiriţă V., Chiriţă R. .......................................................................................................................... 23

The Role of Tumour Necrosis Factor Alpha Inhibitors in Psychiatric Comorbidities in Psoriasis: Literature Review Botiṣ C., Criṣan M., Micluṭia I. .......................................................................................................................... 27

Psychological Defense and Cognitive Strategies in Thyroid Dysfunction Patients in Comorbidity with Depression Bouleanu E.-L., Iliovici P.-I., Moșoiu C., Beldean L. ...................................................................................... 34

The individual and community impact of the prevention programs assessment results, in the light of psychosomatic medicine Brumboiu I., Tzaneva V., Manole F., Dinescu S., Halloumi B., Lingefjard M. ............................................ 42

Relationship between psychiatric disorders, perception and coping with pain in chronic low back pain patients Ciaramella A., Poli P. ......................................................................................................................................... 48

The “Structured Phenomenological Hypnotic Protocol” (SPHP) for Treatment of Chronic Pain. Case Reports Ciaramella A., Micco P., Rossi M., Rossi S. ................................................................................................... 54

The influence of classic music on the blood glucose level in type 2 diabetic patients Cioca I.E. ............................................................................................................................................................. 60

Interoceptive awareness and resting heart rate variability in women Costa R.M., Oliveira T.F..................................................................................................................................... 64

Anxiety And Bronchoscopic Examination: Is There A Link? Crișan C., Vremaroiu P., Simon M., Pintea S., Pop M., Nuna M., Sabău L. ................................................ 68

Managing Anxiety before Colonoscopy by an Ad-Hoc Video Tape David L., Pop G., Dumitrașcu D.L. ................................................................................................................... 74

Teaching psychosomatic medicine to nurses: the Romanian experience David L................................................................................................................................................................. 78

Opportunities for psychosocial oncology care in Romania - professional perspectives Degi Cs., Cimpianu M. ....................................................................................................................................... 82

Drug Allergic Reactions and Distress Vulnerability Diaconescu L...................................................................................................................................................... 86

Psychosomatic Symptoms in Academic Settings: Investigating Coping Strategies for the Early Detection of Risk Diaconescu L., Cioca I., Frunză A., Popa-Velea O......................................................................................... 90

Quality of Life and Mental Resilience in Patients with Parkinson's Disease: An Explorative, Qualitative Study Dobbelaere K., Pickut B. ................................................................................................................................... 94

The impact of psychological stress on blood pressure in middle school pupils and the role of other risk factors in its occurrence Domnariu C.D., Duca Ş., Domnariu H.P.......................................................................................................... 98

Correlations between depressive symptoms and quality of life in metastatic breast cancer patients during chemotherapy Dragomir B.I., Câmpean A. ............................................................................................................................... 104

Lack of instrumental and emotional support is a marker for risk of postnatal depression Duca Ş., Domnariu C.D., Domnariu H.P.......................................................................................................... 110

The CEEPUS network on psychosomatic medicine: achievements and perspectives Dumitrașcu D.L., Băban A., Tkalcic M., Schuessler G.................................................................................. 114

Psychosomatic aspects of upper limb reconstruction using propeller perforator flaps Dumitrașcu D.I., GeorgescuAl.V. ..................................................................................................................... 118

Role of Anger and Coping Mechanisms in Patients with Irritable Bowel Syndrome Fadgyas Stănculete M., Pojoga C., Dumitrașcu D.L. .................................................................................... 122

Functional Dyspepsia Assesment in Patients from a Single Medical Center from Oradea, Romania Frățilă O., Iliaș T. ................................................................................................................................................ 126

Self-perception in dental aesthetics - A study in two ethnic groups Grecu A.G., Dumitrașcu D.L., Ciutrila I., Gasparik C., Lassere J.F., Colosi H., Culic B., Dudea D. ........ 130

Assessment Methods of the Somatization Process Related to the Nurses with Risk of Developing the Burnout Syndrome Grigorescu S., Nedelcu L., Grigorescu D., Rogozea L. ................................................................................ 136

Friedrich Schiller – from a psychosomatic viewpoint Häfner S............................................................................................................................................................... 140

Physician’s communication skills from patient’s perspective Hoțoleanu C., Dumitrașcu D.L.......................................................................................................................... 144

Immixture of Internet Health Related Information in Medical Communication Iamandescu I.B................................................................................................................................................... 148

On the Problem of the Efficacy of Psychotherapy in Diabetic Foot Ulcer Patients Isachenkova O.................................................................................................................................................... 152

The benefit of self-help groups during and after inpatient psychosomatic treatment – a qualitative study Laumen K., Langenbach M............................................................................................................................... 156

Low-grade Inflammation: a Linking Mechanism between Anxiety and Metabolic Syndrome? Lupu D., Albu A., Dumitraşcu D.L.................................................................................................................... 162

Constipation. Psychosomatic Causes and Apitherapeutic Remedies Matran I.M., Sârca L.N. ...................................................................................................................................... 168

Romanian Culture Specific Expression and Psychological Impact of Anxiety Micluţia I. ............................................................................................................................................................. 172

Study on the Correlation between Psychological Disorders, Clinical and Biological Parameters and the Evolution of Patients with Philadelphia Negative - Chronic Myeloproliferative Neoplasms Mihăilă R.G., Olteanu A., Lienerth D., Cătană A., Flucuș O., Buș C., Cipăian RC., Mihăilă R.................. 176

The Influence of Psyche on the Evolution of an Acute Myeloid Leukemia Mihăilă R.G., Morar S. ........................................................................................................................................ 182

Depressive Symptoms in Obese Diabetes Patients. Pilot Study Mocan A.Ş., Dumitraş D.E., Iancu S.Ş., Băban A.S. ...................................................................................... 188

Effectiveness of media literacy in reducing internalization of the body shape model and body image dissatisfaction. A pilot study Munguía L., Raich R.M., Mora M., Espinoza P., Roses R. ............................................................................ 192

Insights on postpartum mood: why childbirth is associated with depression and mixed feelings? Mureșan-Madar A., Băban A............................................................................................................................. 196

Psychiatric Comorbidities in Bronchial Asthma Nicoară M.D. ....................................................................................................................................................... 200

The Modulation of Preoperative Anxiety by the Cognitive Avoidance Mechanisms in Surgical Patients Ones M., Andercou O. ....................................................................................................................................... 204

Culture bound aspects and multidisciplinary approach of anxiety and depression Păunescu R., Dudea D., Micluţia I.................................................................................................................... 210

The anxiety of the patients in front of the dentist Picoș A.M., Picoș A............................................................................................................................................ 218

The Impact of Cardiovascular Diseases on Late Life Depression Podea D.M., Pit I., Ratoi F.................................................................................................................................. 222

Biomarkers of Chronic Psychological Stress in Functional Gastrointestinal Disorders Popa S.L., Dumitrașcu D.L................................................................................................................................ 228

Resilience in academic settings: importance and predictive factors Popa-Velea O. ..................................................................................................................................................... 232

Consonantist Psychosomatics. Contribution of Doctor Ştefan Odobleja to the Concept of Psychosomatics Popescu N., Popescu G.A................................................................................................................................. 238

Quality of life in patients with type 2 diabetes mellitus Porojan M., Poanta L., Dumitrașcu D.L........................................................................................................... 242

Specific Patterns of Psychosomatic Disorders in Older People Prada G.I., Alexa I.D. .......................................................................................................................................... 248

Cognitive Impairment in Parkinson Disease Prodan L., Drăghici A., Roman-Filip C. ........................................................................................................... 254

Assessment of Stress Level in Psychiatry Ward Medical Personnel Rogozea L., Constantin D., Grigorescu S., Badau D., Nedelcu L................................................................ 258

«Mirror, mirror…»: psychopathology in a sample of patients with facial dermatoses Rukavishnikov G.V., Petrova N.N., Smirnova I.O. ......................................................................................... 262

Intervention cognitive strategies in neurosurgical patients. Case study Săceleanu V., Mara D., Săceleanu A., Roman Filip C. .................................................................................. 268

The Role of Worry and Related Psychological Constructs in Predicting IBS Symptoms in Clinical Population Ștefan S., Dumitrașcu D.L................................................................................................................................. 276

Accentuated personality traits in patients with functional dyspepsia Svintsitskyy A., Revenok K., Malyarov S., Korendovych I........................................................................... 282

Building resilience on adolescents with cancer: a psychoeducational program Vâjâean C., Băban A. ......................................................................................................................................... 286

Affective underpinnings of the clinical relationship Veríssimo R. ....................................................................................................................................................... 292

Towards An Anthropological Conception of Emotions in Psychosomatic Medicine von Boetticher D. ............................................................................................................................................... 302

On The Use of Conceptual Research for Psychosomatic Medicine in a World of Rapid Cultural Change von Boetticher D. ............................................................................................................................................... 307

Laxative and diuretics misuse in liver transplant recipients Zimbrean P., Emre S. ......................................................................................................................................... 311

© Medimond 1

Author Index

Albu A., 162 Alexa I.D., 248 Andercou O., 204 Armean S.M., 1 Artimon H.M., 9 Avram L., 13 Badau D., 258 Beldean L., 34 Benetis R., 17 Beresnevaite M., 17 Boloş A., 23 Botiṣ C., 27 Bouleanu E.-L., 34 Bradu-Iamandescu I., 9 Brumboiu I., 42 Buzoianu A.D., 1 Buș C., 176 Băban A., 114, 196, 286 Băban A.S., 188 Chiriţă R., 23 Chiriţă V., 23 Ciaramella A., 48, 54 Cimpianu M., 82 Cioca I., 90 Cioca I.E., 60 Cipăian RC., 176 Ciutrila I., 130 Colosi H., 130 Constantin D., 258 Costa R.M., 64 Crișan C., 68 Criṣan M., 27 Culic B., 130 Câmpean A., 104 Cătană A., 176 David L., 74, 78 Degi Cs., 82 Diaconescu L., 86, 90 Dinescu S., 42 Dobbelaere K., 94 Domnariu C.D., 98, 110 Domnariu H.P., 98, 110

Dragomir B.I., 104 Drăghici A., 254 Duca Ş., 98, 110 Dudea D., 130, 210 Dumitraş D.E., 188 Dumitraşcu D.L., 162 Dumitrașcu D.I., 118 Dumitrașcu D.L., 74, 114, 122, 130, 144, 228, 242, 276 Emre S., 311 Espinoza P., 192 Fadgyas Stănculete M., 122 Flucuș O., 176 Frunză A., 90 Frățilă O., 126 Gasparik C., 130 GeorgescuAl.V., 118 Grecu A.G., 130 Grigorescu D., 136 Grigorescu S., 136, 258 Halloumi B., 42 Hoțoleanu C., 144 Häfner S., 140 Iamandescu I.B., 148 Iancu S.Ş., 188 Iliaș T., 126 Iliovici P.-I., 34 Isachenkova O., 152 Kinduris S., 17 Korendovych I., 282 Langenbach M., 156 Lassere J.F., 130 Laumen K., 156 Lienerth D., 176 Lingefjard M., 42 Lupu D., 162 Lupu J., 13 Malyarov S., 282 Manole F., 42 Mara D., 268 Matran I.M., 168 Matyas K.A., 1

© Medimond 2

Micco P., 54 Micluţia I., 172, 210 Micluția I.V., 1 Micluṭia I., 27 Mihăilă R., 176 Mihăilă R.G., 176, 182 Mocan A.Ş., 188 Mora M., 192 Morar S., 182 Moșoiu C., 34 Munguía L., 192 Mureșan-Madar A., 196 Nedelcu L., 136, 258 Nicoară M.D., 200 Nuna M., 68 Oliveira T.F., 64 Olteanu A., 176 Ones M., 204 Petrova N.N., 262 Pickut B., 94 Picoș A., 218 Picoș A.M., 218 Pintea S., 68 Pit I., 222 Poanta L., 242 Podea D.M., 222 Pojoga C., 122 Poli P., 48 Pop G., 74 Pop M., 68 Popa S.L., 228 Popa-Velea O., 90, 232 Popescu G.A., 238 Popescu N., 238 Porojan M., 242 Prada G.I., 248 Prodan L., 254 Păunescu R., 210 Raich R.M., 192 Rasinskiene S., 17 Ratoi F., 222 Revenok K., 282 Rogozea L., 136, 258 Roman Filip C., 268 Roman-Filip C., 254 Roses R., 192

Rossi M., 54 Rossi S., 54 Rukavishnikov G.V., 262 Răulea C., 9 Sabău L., 68 Schuessler G., 114 Simon M., 68 Smirnova I.O., 262 Svintsitskyy A., 282 Sârca L.N., 168 Săceleanu A., 268 Săceleanu V., 268 Tkalcic M., 114 Tzaneva V., 42 Veríssimo R., 292 von Boetticher D., 302, 307 Vremaroiu P., 68 Vâjâean C., 286 Zimbrean P., 311 Ștefan S., 276