Differences in Subjective Transition Outcomes Between Transgender and Gender-Diverse Individuals Who Completed Mandatory Psychiatric Assessment and Those Who Received Gender-Affirmative Medical Treatment in Croatia: A Cross-Sectional Online Survey.

The aim of this study was to evaluate different aspects of transition outcomes in groups of transgender and gender diverse (TGD) people based on their transition status. We divided the 70 TGD participants (19 individuals assigned male at birth and 51 assigned female at birth) into two groups: those who had completed their psychiatric and psychological evaluation (PPE), which is mandatory in Croatia, and those who had undergone gender-affirming medical treatment (GAMT) (both gender-affirming hormone treatment and gender-affirming surgery). The online survey included sociodemographic questions and a custom-designed nine-item scale.

Referrals For Gender-Affirming Hormone Treatment in Croatia's National Network for Transgender Healthcare.

A network of healthcare professionals specializing in transgender care was established in Croatia in 2011, and legal advancements were subsequently made in 2014. Both achievements made gender transition more transparent and thus more attainable in Croatia. This observational study was conducted to assess the number of transgender individuals initiating gender-affirming hormone treatment (GAHT) in Croatia and describes trends in age and sex assigned at birth.

A multicenter international prospective study of the validity and reliability of a COVID-19-specific health-related quality of life questionnaire.

Purpose: To develop and validate a health-related quality of life (HRQoL) questionnaire for patients with current or previous coronavirus disease (COVID-19) in an international setting.

Methods: This multicenter international methodology study followed standardized guidelines for a four-phase questionnaire development. Here, we report on the pretesting and validation of our international questionnaire.

What Makes Forensic Psychiatric Experts Change Their Opinion in Supplemental Evaluations?

There are cases in forensic psychiatric evaluations with inconclusive information or with important information missing. In such situations, when new information becomes available the judge may ask an expert to supplement his/her report in the light of new information. For the purpose of this study, we collected 42 supplemental evaluations written in the University Psychiatric Hospital Vrapče to determine possible factors which were associated with changes in supplemental evaluations.

BARONESS CHARLOTTA CASTELLI GLEMBAY - WAS SHE HYPERSEXUAL?

Hypersexuality disorder (or sexual addiction or excessive sexual drive or compulsive sexual behaviour disorder) is a controversial condition that is present in the International Classification of Disease but not in the Diagnostic and Statistical Manual for Mental Disorders. It is defined as a clinical syndrome characterised by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. The condition is more prevalent in men than in women.

The Assessment of Psychopathic Traits in Perpertrators with Schizophrenia and Psychopathy as Comorbidity.

This paper discusses the assessment of psychopatic traits in perpetrators with schizofrenia in the light of common assumption that perpetrators with schizofrenia are not homogenic group but rather heterogenic group whose future risk does not rest exclusively on the psychopathology of the underlying disease. Our sample consists of 150 perperators with schizofrenia who commited a criminal act and were subjects of forensic evaluation in the University Hospital of Psychiatry Vrapče, Center for Forensic Psychiatry throughout a period of 11 years. All data were extracted from written evaluations.

Psychiatric and Forensic Differences Between Men Charged with Sex Offences and Men Charged with Other Offences.

Studies on differences between individuals convicted of sexual offences and nonsexual offences are sparse and there is an on-going debate as to whether sexual offenders differ from other offenders. The primary aim of this study was to determine demographic characteristics, prevalence of mental disorders, alcohol and drug use at the time of the crime and the criminal responsibility of individuals charged with sexual offences, compared to nonsexual crimes, with the aim of bringing awareness to the similarities and differences between men charged with sex offences and those charged with other crimes. This is a single-institution retrospective study of subjects charged with sexual offences and sent for institutional psychiatric evaluation to a Forensic Psychiatric Centre in an urban, academic, tertiary-care center.

Psychiatric and Forensic Characteristics of Sex Offenders With Child and With Adult Victims.

This study presents psychiatric and forensic characteristics of people accused of a sexual crime and sent for evaluation. Data were drawn from the only institutional psychiatric forensic assessment center in Croatia, during a 9-year period, from January 1, 2010 to December 31, 2018. There were 72 cases of sex offenses: 37 with child victims and 35 with adult victims.

Sex Offenders in Croatia: Fifteen Years Later.

Background: The aim of the study was to compare the characteristics of sex offenders today, and those who committed a sex crime fifteen years ago, in regard to their psychiatric-forensic aspects.

Subjects And Methods: Data from the University psychiatric hospital Vrapče, Center for forensic psychiatry on court people sent for psychiatric and forensic evaluation, who were accused of sex offense in two time frames (1998-2001 and 2010-2016) were analysed. In total there were 50 and 57 male subjects sent for an evaluation.

The attitudes of medical doctors, nurses and lay people towards schizophrenia, depression and PTSD.

Background: The stigma attached to mental illness has negative effects on individuals who experience the condition, and, while it is present in the attitudes of both lay people and mental health professionals, it is reduced in people who have had previous contact with those with mental illness. The present study focused on the influence of medical professionals' contact with individuals with three mental disorders, namely, schizophrenia, depression and posttraumatic stress disorder (PTSD), in order to determine whether it is contact in general or specific contact with a certain disorder that reduces stigma.

Subjects And Methods: A total of 270 nurses, 30 medical doctors and 87 lay people (>75% women) assessed 15 items for each of the mental disorders on a Likert-type scale.

Impact of a Nursing in Psychiatry Course on Students' Attitudes Toward Mental Health Disorders.

Negative attitudes toward patients with mental illnesses are not uncommon among health professionals, and lead to poorer quality and outcomes of care. Because attitudes are formed early in life, the current study aimed to investigate if teaching psychiatry in secondary school nursing students (i.e.

An Unusual Case of Infertility: Urethral Coitus Due to Cribriform Hymen.

Urethral coitus is a rare type of sexual practice, usually due to vaginal agenesis or hymeneal anomalies. We report a case of urethral coitus in a healthy couple who were evaluated for infertility. The female partner had cribriform hymen and dilated urethral orifice but did not report any problems except infertility and her genital anatomy was normal.

[THE FIRST CROATIAN GUIDELINES FOR DIAGNOSIS, TREATMENT AND FOLLOW-UP OF PERSONS WITH PREMATURE EJACULATION].

Premature ejaculation (PE) is a sexual disorder with high prevalence, defined by three characteristics: short intravaginal ejaculation latency time, poor control over delaying ejaculation and personal and/or partner distress. The diagnosis is reached by a thorough and comprehensive history taking, which should include presence/absence of other ­co-morbid conditions (e.g.

The sociocultural aspects, professional characteristics, and motivational factors of the first fellows of the European committee of sexual medicine.

Introduction: After a century of development in the field of sexology and decades of attempts to establish the field of sexual medicine, the first examination that led to the qualification as Fellows of the European Committee of Sexual Medicine (FECSM) was held in December 2012.

Aim: This study aims to describe the first European specialists in sexual medicine, their clinical practice, motivation, and professional self-identification.

Methods: A web-based survey of the first FECSM on demographic data, data on the practices of their work (gender of clients, setting, and time frame), and reasons for entering the sexual medicine (five-point Likert rating of motives and open question on other reasons) was conducted.

Neutron single particle structure in 131Sn and direct neutron capture cross sections.

Recent calculations suggest that the rate of neutron capture by (130)Sn has a significant impact on late-time nucleosynthesis in the r process. Direct capture into low-lying bound states is expected to be significant in neutron capture near the N=82 closed shell, so r-process reaction rates may be strongly impacted by the properties of neutron single particle states in this region. In order to investigate these properties, the (d,p) reaction has been studied in inverse kinematics using a 630 MeV beam of (130)Sn (4.

Patients with combat-related and war-related posttraumatic stress disorder 10 years after diagnosis.

Aim: To establish how many patients diagnosed with posttraumatic stress disorder (PTSD) in 1996 used psychiatric facilities and had psychiatric symptoms 10 years later, and assess their sociodemographic characteristics, comorbid disorders, and type of treatment.

Methods: Medical records of patients diagnosed with PTSD in 1996 were reviewed in the period 2007-2009 and the patients who contacted a psychiatrist in that period (n=85) and those who did not (n=158) were compared.

Results: There were 36.

Does post-traumatic stress disorder carry a higher risk of sexual dysfunctions?

Introduction: Previous studies have shown that patients with post-traumatic stress disorder (PTSD) have a higher incidence of sexual dysfunction. However, such studies have not examined the influence of traumatic experience on sexual dysfunction.

Aim: This study was conducted to compare various components of sexual functioning among five groups of males: (i) untreated patients with PTSD; (ii) patients with PTSD treated with selective serotonin reuptake inhibitors (SSRIs); (iii) untreated patients with subthreshold PTSD symptoms; (iv) patients with subthreshold PTSD symptoms treated with SSRIs; and (v) subjects who had suffered a traumatic experience but presented no mental disorder.

Adverse effects of benzodiazepines in psychiatric outpatients.

Background: Benzodiazepines are among the most frequently prescribed drugs. Of all their side effects, hip fractures and possibility of developing dependence are usually studied.

Objective: The aim of this study was to determine how often do psychiatric outpatients suffer from adverse effects of benzodiazepines, and which adverse effects do they notice.

Adolescents' attitudes toward schizophrenia, depression and PTSD.

The objective of this study was to compare adolescents' attitudes toward schizophrenia, depression, and posttraumatic stress disorder (PTSD). Stigmatizing attitudes toward these three mental disorders were evaluated in 325 senior students from medical, commercial, and grammar high schools in Croatia using a 45-item questionnaire. Results indicated that stigmatizing attitudes toward PTSD were at the same level as attitudes toward depression and were less stigmatizing than were attitudes toward schizophrenia.