Marina Economou

Marina Economou
National and Kapodistrian University of Athens | uoa · First Department of Psychiatry

Professor

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161
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Publications

Publications (161)
Article
Full-text available
Existing research on the association between COVID-19 vaccination and quantitatively measured mental health outcomes is scarce. We conducted a cross-sectional telephone survey on a random sample of 1039 adult Greek citizens in June 2021. Among the participants, 39.6% were vaccinated with two doses, 23.1% with one dose, 21.4% were planning to become...
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Background: Bullying is one widespread violence type that threatens adolescent’s well-being in family, school, and neighborhood. This study aimed to estimate the percentages of the last 12 months bullying behaviors- types among Greek adolescents, and to identify the associations between these behaviors and adolescents’ aggression and mental health-...
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Adolescent aggression has received a wide and longtime attention in scientific research, because of the extent of the phenomenon in this age group and of the negative consequences it inflicts on affected adolescents, and their human environments. The aim of this cross-sectional study was to determine the proportion (of high levels) of aggressive be...
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The impact of the COVID-19 pandemic on the mental health of healthcare professionals is currently under research and prevalence of mental health symptoms across the world vary a lot. Moreover, knowledge and perceptions of healthcare professionals towards the new coronavirus is yet to be explored since very few data have been published to date. Thus...
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Purpose: Adherence to treatment can be defined as the degree to which a patient's behavior is consonant with medical or health advice he or she receive as part of his treatment regimen. The aim of this study was: 1) to measure the rate of treatment adherence to among patients with lung cancer from the prospect of both patients and physicians, 2) t...
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The present study aims to explore the economic distress and pertinent coping strategies in families with a member suffering from a severe mental illness. Furthermore it endeavors to gauge the impact of illness burden and that of the Greek recession on economic distress, while disentangling their contribution. In total, 190 key relatives of people w...
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Introduction Stigma is omnipresent in human societies, both globally and historically; while it is also discerned in other primates. On these grounds, it has been suggested to be the product of natural selection and therefore to protect against threats to effective group functioning. Nonetheless, in contemporary society, stigma raises fundamental e...
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Introduction The illusion of invulnerability has been linked to lower perceived risk and increased engagement in risky behaviors among youth. Therefore, it has been purported to influence young people’s poor adherence to public health measures aiming to contain the COVID-19 pandemic. Concomitantly, beliefs about the virus and mental health may also...
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Introduction Converging evidence substantiates a negative impact of the COVID-19 pandemic on the mental health of frontline workers. Nonetheless, there is paucity of research on paramedics. Objectives To estimate the prevalence of stress, anxiety and depression in frontline paramedics in the Athens region, Greece, and to investigate the coping ski...
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Infliximab (IFX) is a chimeric monoclonal antibody biologic drug that works against tumor necrosis factor alpha (TNF-α) and is used to treat autoimmune diseases. This is case of a 45year old female patient who had suicidal thoughts after receiving infusions with IFX. She did not report any family psychiatric history. She was diagnosed with ulcerati...
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Problem gambling emerges as a serious and ever growing problem of modern societies, largely affecting adolescents as well. The etiology of gambling disorder is complex and multifaceted as it is governed by multiple and interrelated factors. In this context and in light of the pervasive financial crisis in Greece, we conducted a study in order to ex...
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The objective of this cross-sectional survey was to estimate the association between multiple socioeconomic, and health-related characteristics, COVID-19 related attitudes and adoption of public health preventive behaviors. A national cross-sectional survey among 1205 adults was conducted in April 2020 in Greece. Multivariable ordered logistic regr...
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Objective: As the coronavirus (COVID-19) pandemic sweeps across the world, it is causing widespread concern, fear and stress, all of which are natural and normal reactions to the changing and uncertain situation that everyone finds themselves in. Methods: In this general review, we examined the literature about the psychological effects of COVID...
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To describe mental health workers' attitudes to severe mental illness and to explore its socio-demographic and professional correlates, including the influence of empathy. A total of 127 mental health staff working on the psychiatric hospitals of Attica participated in the study. Stigma was assessed with the Attitudes to Severe Mental Illness scale...
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The present article explores the concept of stigma from a historical and theoretical perspective. At first, the conceptual origin of the term "stigma" is presented as well as its subsequent course and incorporation in the scientific field. The term stigma originates from ancient Greek language and in particular from the verb «στίζω», which means "t...
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Objectives: The 22q11.2 deletion syndrome is one of the most prevalent genetic disorders and children suffering from this syndrome have been found to have a substantially greater risk for the development of schizophrenia and bipolar disorder. Psychiatric medications such as antipsychotics are commonly used in individuals with 22q11.2DS. Experimen...
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Objective: To investigate possible correlations between stigma and burnout of nurses and non-graduate professional caregivers of elderly with dementia in nursing homes. Background: Research on dementia stigma in health care professionals as well as its relationship with their well-being is seriously lacking. Methods: This cross-sectional study...
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Financial crisis has significant impact on the mental health of the population, resulting in increasing incidence of mental disorders and suicides. Specific social and financial factors mediate the effects of financial crisis on mental health, such as poverty, financial difficulties and unemployment. During the recent international financial crisis...
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Objective Our aim was to investigate the relationship of quality of life, psychopathological symptoms and ways of coping of nursing staff in two General Hospitals in Greece. Method This was a cross-sectional study of 302 nurses in two General Hospitals in Greece between October and November of 2015. Data collection was performed using three questi...
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In Greece no study has ever been conducted on the prevalence of problem gambling. Therefore, a cross-sectional survey was carried out amid the recession aiming to (1) estimate past year prevalence of problem gambling, (2) explore socio-economic and demographic differences among gamblers and non gamblers, (3) explore socio-economic and demographic d...
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Autism spectrum disorders (ASDs) are a group of heterogeneous neu-rodevelopmental conditions characterized by deficits in social communication and social interaction and restricted, repetitive patterns of behaviors, interests, or activities. For many years, psychoanalysis and neurobiology have been in opposite camps regarding the understanding of a...
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The interplay between objective and subjective measures of economic hardship on influencing mental health has not been explored during a period of enduring recession. The present study aims to fill this gap by investigating the relationship between income and economic difficulties in evoking major depression and suicidality in Greece, while taking...
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Psychosocial rehabilitation for people with chronic-severe mental illness mainly aims to social integration by restoring independent functioning in the community, improving quality of life, and addressing risk factors that lead to social disability. Support groups (SG) are usually part of this multilevel mental health process. Given that non-adhere...
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During previous financial crises as well as the recent global financial crisis, a strong impact of the crisis on the population mental health in many countries has been observed. Similarly, in Greece, a series of epidemiological studies pointed out the consequences of the economic crisis on the population mental health. However, there is limited da...
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Background Only a handful of studies have explored the effect of the financial crisis on public attitudes to mental illness. Aims This study examines changes in lay attitudes to depression and psychiatric medication between 2009 and 2014 in Attica region. Furthermore, it explored a potential interaction with employment status. Methods Data were d...
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Introduction The spinal perineurial cyst is a rare anomaly of the nervous system. It is also known as Tarlov cyst, since it was described for the first time by Isadore M. Tarlov. The pathology is defined as a cystic dilatation between the perineurium and endoneurium of spinal nerve roots, located at the level of the spinal ganglion and filled with...
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Chronic illness and its management constitute a major challenge for global health. The chronicity of a disease creates significant emotional pressures, and the requirements of long-term care have a significant impact on family functioning. Conversely, the functioning of the family can itself affect the course of chronic illness. Nowadays, psychosoc...
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A large number of people with mental health problems do not receive any treatment and in a large number of patients under care the treatment is interrupted. Non-compliance to treatment, observed in many different settings, is a major challenge in providing mental health care. The aim of the present study was to assess the demographic, social and ps...
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Objective: Our aim was to investigate the relationship of quality of life, psychopathological symptoms and ways of coping of nursing staff in two General Hospitals in Greece. Method: This was a cross-sectional study of 302 nurses in two General Hospitals in Greece between October and November of 2015. Data collection was performed using three qu...
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The beneficial effect of nature on patients with mental disorders is of particular importance. There has been an increase in mental illnesses in recent years, but research on the design of healing gardens for mental and behavioural disorders remains limited. This paper is part of a wider study that aims to investigate the effect of selected design...
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Greek financial crisis has incurred adverse effects on the mental health of the population; however existing research is constrained in the adult population. Therefore, the present study aims to shed light on the mental health state of adolescents during the recession. In this context 2,150 adolescents were recruited from a random and representativ...
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Increased reaction time (RT) and variability of RT in fast decision tasks is observed in patients with schizophrenia and their first degree relatives. This study used modelling of the RT distribution with the aim of identifying novel candidate endophenotypes for schizophrenia. 20 patients with schizophrenia, 15 siblings of patients and 25 healthy c...
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Globally, it has been demonstrated that the most common mental disorders of old age are anxiety disorders, affective (depressive) disorders, cognitive disorders and substance related disorders. Older adults have also a high risk for suicide and drug induced psychiatric symptoms. Many mental disorders of old age can be prevented, ameliorated, or eve...
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ABSTRACT Introduction: The poor understanding of dementia leads to mistaken beliefs which create the stigma that surrounds the disease. The definition of stigma and the role it plays in defining the experience of the people with dementia is well documented in the literature. Methods: For the scope of this review there has been a search of research...
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Major depression is a common mental health disorder and one of the most pressing public health concerns worldwide. No nationwide survey, which investigates the prevalence of a particular mental disorder, has ever been conducted in Cyprus. The present study aims to fill this gap by attempting to explore the prevalence and correlates of major depress...
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Purpose: Problem gambling in adolescents has recently emerged as a pressing public health concern. In this context and in light of the pervasive financial crisis in Greece, the present study aimed to explore adolescents' gambling involvement in Athens region to estimate the prevalence of its problematic form and to identify its risk/protective fac...
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Background Although the need for integration of mental health services into primary care is well established little has been done. The outbreak of the recession found the Greek mental health system in transition. As a response to the crisis, governments implemented horizontal budget cuts instead of health reforms. This resulted in an unfavorable si...
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Medical students' attitudes to mental illnesses and psychiatry may be reshaped during the psychiatric training, with important implications in their future practice of the profession. Therefore, the present study set out to explore the impact of the psychiatric clerkship in students' attitudes, while taking into consideration the site of their prac...
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Background: Aggressive behaviours are common during adolescence. In Greece, adolescents and their families experience a severe and enduring recession with potentially adverse impact on mental health. Aim: This study aimed to examine the correlation between adolescents' aggressive behaviour and economic factors. Methods: The Buss-Perry Aggressi...
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Aims Since evaluation regarding the impact of mental illness related internalized stigma is scarce, there is a great need for psychometric instruments which could contribute to understanding its adverse effects among Greek patients with severe mental illness. The Brief Internalized Stigma of Mental Illness (ISMI) scale is one of the most widely use...
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Buy Article Permissions and Reprints Abstract In the recent study by Verhoeven and Egger, 2015 and the recent letter to the editor by Boot et al. 2015 an emphasis is given to the best possible pharmacological treatment of 22q11-2 Deletion-Syndrome related psychoses. We would like to present the case of a 23-year old Cypriot patient with 22q11.2 de...
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Stigma and mental health literacy affect access to and quality of treatment of major depression. Though mental health professionals seem better able to recognize major depression than the general public, they often hold similarly stigmatizing attitudes towards people suffering from the disorder. These attitudes are shaped jointly by the public stig...
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Objective: The relationship of insomnia with Post-Traumatic Stress Disorder (PTSD) one month after wildfires and more specifically with the experience of ‘fear of imminent death’ were investigated. Methods: Ninety-two randomly chosen victims of wildfires in the Greek province of Ilia, were assessed through a specifically designed semi-structured ps...
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Introduction: The stigma of mental illness and the ensuing social exclusion are due to the lack of knowledge on the causality of mental illness. Aim: The purpose of this study was to record the stigmatic attitudes of health professionals towards depression, patients suffering from it and the available therapeutic approaches. Material and method...
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Bipolar disorder (BD) is a serious, debilitating mental illness with frequent relapses and often challenging symptoms. The nature of its clinical manifestations, including severe mood swings, can be a significant stressor for caregivers. The patient’s relatives may experience severe distress, which impinges on the overall family functioning and may...
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The Wechsler Adult Intelligence Scale (WAIS) is considered the most reliable and commonly used intelligence test. Ηowever, in some cases WAIS it is difficult to administer to clinical populations such as patients with psychosis. The Raven Progressive Matrices (RPM) is an intelligence test which is substantially shorter than the WAIS and its adminis...
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Purpose A series of repeated cross-sectional surveys conducted in 2008, 2009, 2011 and 2013 were conducted with the aim of estimating the prevalence of major depression and suicidality as well as of investigating its risk factors. The present report concentrates on the 2013 survey. Methods A random and representative sample of 2.188 people was tele...
Article
Rises in unemployment as a corollary to the global economic crisis may impinge on the prevalence of depression disproportionally for the two genders. Therefore, differences in the prevalence of the disorder as a function of gender and age were explored in four nationwide surveys in Greece in 2008, 2009, 2011 and 2013. Results indicate that in 2013,...
Chapter
The global financial crisis has triggered a sustained recession in Greece with wide-ranging socioeconomic consequences. Throughout the 5 years of economic turmoil in the country, unemployment rates have rocketed, while financial strain has become omnipresent. As a corollary of these, the population health has declined, while substantial increases i...
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Background: The financial crisis has yielded adverse effects on the population worldwide, as evidenced by elevated rates of major depression. International recommendations for offsetting the mental health impact of the recession highlight the need for effective treatment, including reduction in the stigma attached to the disorder. Aims: This stu...
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Gambling has long been considered to constitute a recreational activity in most cultures worldwide. While most people gamble or have gambled at least once in their lifetime, only a minority proceeds to develop pathological gambling. Gambling addiction is typically observed in men, has an early onset and causes serious psychosocial and financial pro...
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Introduction: Zolpidem is a nonbenzodiazepine sedative-hypnotic agent which binds selectively to the benzodiazepine ω1-receptor subtype in the central nervous system. Case Presentation: This is case of 56-year old woman suffering from Breathing Pattern Disorder. Her symptoms of insomnia as well as her craving for anxiolytic effect of zolpidem, that...
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The present research paper aims at assessing the effectiveness of a psychoeducational intervention in relatives' groups of patients with schizophrenia or schizoaffective disorder. It examines the possible influence of the intervention on family members as well as on the course of the patient illness. Of a total of 131 relatives, 83 consisted the ex...
Chapter
Although men and women are basically similar, their subsequent developing differences pertain in reproductive hormones, behavioral characteristics, defense mechanisms, social and work tasks. The onset of action of gonadal hormones in the fetal brain as well as the duration of this action differs between men and women. Therefore, hormones affect and...
Chapter
Since 2007 the western civilization is experiencing a global financial crisis, leading to the European sovereign-debt crisis. This crisis has affected many peoples’ everyday lives extremely, due to the intolerable psychological burden associated with the consequences of: (a) unemployment or fear of losing one’s work (leading to increased stress lev...
Article
The chronicity and recurrent nature of manic and depressive episodes in bipolar disorder render it a major public health concern. Not surprisingly, the development of effective treatment interventions is a priority. The impact of family psychoeducation, as an adjunct to pharmacotherapy, has also received heightened attention. The present study ende...
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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...
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Families constitute a primary source of care for people with severe mental illness but often face substantial difficulties in fulfilling their role. Family psychoeducational interventions have been developed to address these problems with established efficacy and effectiveness. Among the variants of family psychoeducation, the relatives group is pa...
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The media seem to have played a prominent role in shaping the contemporary social image of people with mental illness, by perpetuating the stigma attached to it. Worldwide, a vast amount of research findings converge to the stigmatizing representation of people with mental illness by the media, with reference to the dominant stereotype of violence....
Chapter
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There are no reports that investigate the association of insomnia with early PTSD in victims of wildfires. Within this context, we sought to investigate the association of insomnia and early PTSD in a sample of people who were affected by the wildfires in the region of Ilia, Greece. In the present study it was found that insomnia and sleep related...
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Therapeutic interventions in chronic mental illness face the important challenge to pursuit the quality of life (QOL) of patients. Insight into chronic mental illness, though a prerequisite for treatment adherence and a positive therapeutic outcome, has shown adverse associations with subjective QOL. This study aims to explore the contribution of p...