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Psychiatry,7(2002),342358.

CraddockN.,ODonovanMC,OwenM.J.,"Thegeneticsofschizophreniaandbipolardisorder:

dissectingpsychosis",Journal of Medical Genetics,42(2005),193204.

DikeosD.G.,VassosE,PapadimitriouG.N.,"GeneticcounselinginSchizophrenia",n:Kasper

S,PapadimitriouGN(eds)Schizophrenia, Biopsychosocial Approaches and Current Chal-

lenges,SecondEdition,InformaHealthcare,UK,2009,p.p.322332.

KarayiorgouM.,GogosJ.A.,"Schizophreniagenetics:uncoveringpositionalcandidategenes",

European Journal of Human Genetics,14(2006),512519.

OwenM.J.,CraddockN.,JablenskyA.,"Thegeneticdecontructionofpsychosis",Schizophrenia

Bulletin,33(2007),905911.

.., .., "

",,82(2002),4456.

PapadimitriouG.N.,LinkowskiP.,DelabreC.,MedlewiczJ.,"Suicideonthepaternalandma

ternalsidesofdepressedpatientswithalifetimehistoryofattemptedsuicide",Acta Psychi-

atrica Scandinavica,83(1991),417419.

PapadimitriouG.N.,DikeosD.G.,StefanisC.N.,"PsychiatricgeneticresearchinGreece",Psy-

chiatric Genetics,9(1999),115121.

PapadimitriouG.N.,DikeosD.G.,"Howdoesrecentknowledgeontheheredityofschizophrenia

affectgeneticcounseling?"Current Psychiatry Reports,5(2003),23940

SchosserA.,McGuffinP.,"Geneticandepigeneticfactorsinschizophrenia",In:KasperS,Pa

padimitriouGN(eds)Schizophrenia, Biopsychosocial Approaches and Current Challenges,

SecondEdition,InformaHealthcare,UK,2009,p.p.7886.

Stefanis C.N., DikeosD.G., PapadimitriouG.N., "Clinical strategies in genetic research", In:

MendlewiczJ,PapadimitriouGN(eds),Genetics of Mental Disorders Part I. Theoretical As-

pects,BaillieresClinicalPsychiatry, InternationalPracticeandResearch,BailliereTindall,

London,1995,I:118.

StefanisN.C.,HenquetC.,AvramopoulosD.etal.,"COMTVal158Metmoderationofstressin

ducedpsychosis",Psychol Med 37(2007),16511656.

StefanisC.N.,StefanisS.C.,"Schizophrenia:Historicalrootsandbriefreviewofrecentresearch

developments".In:Schizophrenia, Biopsychosocial Approaches and Current Challenges,Sec

ondEdition,Informahealthcare,UK,2009,p.p.115.

32

SullivanP.F.,KendlerK.S.,NealeM.C.,"Schizophreniaasacomplextrait:evidencefromameta

analysisoftwinstudies",Arch Gen Psychiatry60(2003),11871192.

TheEuropeanNetworkofSchizophrenia.NetworksfortheStudyofGeneEnvironmentInterac

tions (EUGEI): schizophrenia aetiology:Do geneenvironment interactions hold theKey?

Schiz Res 2008,102,2126.

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Arch. Gen. Psychiatry 63 (2006), 490499.

Blumenthal S., Levander T., Violence and Mental Disorder: A Critical Aid to the Assessment and

Management of Risk. London, England, Jessica Kingsley, 2000.

Naudts K., Hodgins S., "Neurobiological Correlates of Violent Behavior Among Persons With

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374-381.

Charney D.S., "Psychobiological Mechanisms of Resilience and Vulnerability: Implications for

Successful Adaptation to Extreme Stress", Am J Psychiatry 161 (2004), 195-216.

Dusek J.A., Otu H.H., Wohlhueter A.L., Bhasin M., Zerbini L.F., Joseph M.G., Benson H.,

Libermann T.A., "Genomic Counter-Stress Changes Induced by the Relaxation Response",

PLoS ONE 3(7) (2008), e2576.

Jonas S., Phillips E.M., ACSM Exersice is Medicine: A clinicians guide to exercise prescription.

American College of Sports Medicine, Lipincott, Williams and Wilkins, Philadelphia, USA,

2009.

McEwen B.S., "Protective and damaging effects of stress mediators", N Engl J Med 338 (1998),

171-179.

Milstein J.M., "Introducing Spirituality in Medical Care: Transition From Hopelessness to

Wholeness", JAMA 299(20) (2008), 2440-2441.

Moussavi S., Chatterji S., Verdes E., Tandon A., Patel V., Ustun B., "Depression, chronic diseases,

and decrements in health: results from the World Health Surveys", Lancet 370 (2007),

851-858

Sterling P., Eyer J., "Allostasis, a new paradigm to explain arousal pathology", In: Fisher S,

Reason J (Eds.), Handbook of Life Stress, Cognition and Health, John Wiley & Sons, New

York, 1988, p. p. 629-649.

Otto M.W., Church T.S., Craft L.L., Greer T.L., Smits J.A.J., Trivedi M.H.., "Exercise for mood

and anxiety disorders", Prim Care Companion J Clin Psychiatry 9(4) (2007), 287-294.

Snchez-Villegas A., Delgado-Rodrguez M., Alonso A., Schlatter J., Lahortiga F., Serra Majem

L., Martnez-Gonzlez M.A., "Association of the Mediterranean Dietary Pattern With the

Incidence of Depression", Arch Gen Psychiatry 66(10) (2009), 1090-1098.

Theleritis C.G., Paparrigopoulos T.J., Papadimitriou G.N., "The importance of efficient depres-

sion management in primary care", Ann Intern Med 148 (7) (2008) 562.

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BurnardP.,Learning Human Skills,3rdEdition,Oxford,ButterworthHeinemannLtd,1995.

Hopson B., "Counselling and Helping", In: Holdsworth R. (Ed.), Psychology for Careers

Counselling,London.Macmillan,1982.

., ,,,2004.

., ,5.,,1999.

McLeodJ.,An Introduction to Counselling,Buckingham,OpenUniversityPress,1993.

RowanS.,Ordinary Ecstasy. Humanistic Psychology in Action,2ndEdition.London.Routledge,

1988.

TschudinV.,Counselling Skills for Nurses,4thEdition,London,BalliereTindall,1995.

85

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(WPA)1996

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2000,:,

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), ,

,

, www.epipsi.gr, www.

openthedoors.com,www.depressionanxiety.gr,www.dipoliki.gr)

(2106515600).

(2106515600)

2008.,

,

. ( , 9:0018:00)

,

.

.

.,

.,

,

.

,

.,,

,,

.

,.

91

, ,

,

.

AngermeyerM.C.,DietrichS.,"Publicbeliefsaboutandattitudestowardspeoplewithmental

illness:areviewofpopulationstudies",Acta Psychiatr Scand 113(2006),163197.

Corrigan P.W.&Kleinen P., "The impact ofmental illness stigma" In: P.W. Corrigan (Ed.),

Practical strategies for research and social change, Washington DC, American Psy

chologicalAssociation,2005.

CorriganP.W.,RiverL.P.,LundinR.K.etal,"Threestrategiesforchangingattributionsabout

severementalillness",Schizophr Bull27(2001),187195.

GoffmanE.,Stigma: Notes on the management of spoiled identity, London: Penguin books.

1963.

EconomouM.,GramandaniC.,RichardsonC.,&StefanisC.,"Publicattitudestowardspeople

withschizophreniainGreece",World Psychiatry,4(2005),4044.

LevinsonM.C.,DrussB.G.,DombrowskiE.A.,RosenheckR.A.,"Barriers toprimarymedical

care among patients at a community mental health center", Psychiatr. Serv. 54 (2003),

11581160.

Sartorius N. & Schulze H. Reducing the stigma of mental illness, New York, Cambridge

UniversityPress(2005)2.

SchulzeB.&AngermeyerM.C., "Subjective experiences of stigma.A focus group study of

schizophrenicpatients, their relatives andmental healthprofessionals",Social Science &

Medicine, 56(2003),299312.

.,.,.,.,.,"

:"

., 13(3)(2006).

2843.

., ., ., "

:1

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93

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(1979), (1984),

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(1987).

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Progressive Matrices Test (J.C. Raven), Wechsler Adult Intelligent Scale ..]

( , . .

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, . . , . . & ., 2000).

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follow up ,

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100

..,

, , , 1984.

..,

, , , 2007.

. ., ., ., ., . "-

. ", , 89 (2005), 51-59.

.., " " : ., .,

, , , 2006.

.., ., , ., ., . ., "

", , 87(2004),

25-45.

.., ., ., ., -

. , 95 (2006), 63-73.

.., . ,

, 1994.

.., (. .) , , , 1990,

124-28.

Beck J.S., Cognitive Therapy: Basics and Beyond, New York, Guilford Press, 1995.

Boeker H., Kleiser M., Lehman D., Jaenke L., Bogerts B., Northoff G., "Executive dysfunction,

self, and ego pathology in schizophrenia: an exploratory study of neuropsychology and

personality", Compr Psychiatry, Jan-Feb; 47 (1) (2006), 7-19.

Bozikas V.P., Kosmidis M.H., Kiosseoglou G., Karavatos A., "Neuropsychological profile of

cognitively impaired patients with schizophrenia", Comprehensive Psychiatry, Vol. 47, Issue

2 (2006), p. 136-143.

Farkas M.D., O Brien W.F., and Nemes P.B., "A graduate level curriculum in psychiatric

rehabilitation: Filling a need, Psychosocial Rehabilitation Journal,12(2) (1988), 53-66.

Freeman A., Simon K.M., Beutler L.E., Arkowitz A., Comprehensive Handbook of Cognitive

Therapy, New York, Plenum Press, 1989.

Giebler U., Georgescu D., Niethammer M., Thiel C., Cognitive dysfunctions predicting the

outcome of rehabilitation in schizophrenia, European Psychiatry, Volume 12, Supplement

2, 1997, Page 156s.

Griffiths R.D., "Rehabilitation of chronic psychotic patients: An assessment of their psychological

handicap, an evaluation of the effectiveness of rehabilitation, and observations of the factors,

which predict outcome", Psychol. Medicine 4 (1974) 316-325.

101

Hawton K.A., Kirk J., "Problem solving", In: Hawton K.A., Kirk J., Clark D.M. (eds), Cognitive

behaviour therapy for psychiatric problems. A practical guide, Oxford, Oxford University

Press 1989, 406-426.

Lezak M.D., Neuropsychological Assessment, New York, Oxford, Oxford University Press. 1995.

Karidi M.V., Tzedaki M. & Stefanis N., Self-Stigmatisation Study. First International Conference

on Reducing Stigma and Discrimination Because of Schizophrenia. Leipzig. Book of

Abstracts, 45, 2001.

Karidi M.V., Papakonstantinou K., Stefanis N., Zografou M., Karamouzi G., Skaltsi P., et al,

"Occupational Abilities and Performance Scale: Reliability-Validity Assessment Factor

Analysis", Soc Psychiatry Psychiatr Epidemiol 40 (2005) 417-24.

Karidi M.V., Theleritis C., Stefanis N.C.," Stigma and schizophrenia", Lancet 373 (2009). (9672),

1335-1336.

Karidi M.V., Stefanis C.N., Thleritis C., Tzedaki M., Rabavilas A.D., Stefanis N.C., "Perceived

social stigma, self-concept, and self-stigmatization of patient with schizophrenia", Compr

Psychiatry 51 (2010), 19-30.

Karidi .V. (Aeginition Hospital - Greece), Flowerdew J. (Alisa Hospital Scotland). Feliu

(Hospital Psiqyiatrico Spain), Ferguson A. (Northern Ireland Association for Mental

Health N. Ireland), Rebeiro N. (Hospital Miguel Bombarda Portugal), Moisiadou E.

(Centre de Readaptation Greece), Kuna . (Pro Mente Informis Austria), Anderson K.

(Baggensuddens Therapeutic Community Sweden), Schock I. (Dachverband Psychsozialer

Germany), Siguroardottir S. (National University Hospital Iceland), McDaid P. (Western

Health Board Ireland), Helios Model: Promoting Independence, Greece, Published by E.U.

Helios Programme, 1995.

Karidi, M.V., Tzedaki M., Kondilis K., Armeniakou A., Karamouzi G., Zografos M., Coccosi

M., Antonopoulou V., Scaltsi P., Stefanis C.N., Rehabilitation Outcome in Relation to

Psychosocial - Psychiatric Factors in Psychotic Patients University of Athens, Department

of Psychiatry, Eginition Hospital, Athens VII World Congress of Psychiatry, Abstracts,

Session 65 (434), 12-19 October 1989, Athens.

McClure M.M., Bowie C.R., Patterson T.L., Heaton R.K., Weaver C., Anderson H., Harvey P.D.,

"Correlations of functional capacity and neuropsychological performance in older patients

with schizophrenia: evidence for specificity of relationships?", Schizophr Res, 2007 Jan; 89

(1-3), 330-338.

Walls R.T., Zane T., Werner T.J., "The Vocational Behavior Checklist" (experimental edition),

Dunbar, WV: Research and Training Center Press, 1978.

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EMCDDA, Selected issue. "Successful treatment", In: EMCDDA 2002, Annual report on the

state of the drugs problem in the European Union and Norway, 2002.

HEALTH AND CONSUMER PROTECTION DIRECTORATE GENERAL, EUReport Qual

ity of Treatment Services in Europe Drug Treatment Situation and Exchange of Good

Practice, Centre for Interdisciplinary Addiction Research, University of Hamburg, 2008.

., ., ., :

40

, , , 2008.

., ., ., 34 ,

, , 2009.

(2009): 2008: . , .

., .,

, 4/2009 ( 12), 47175.

National Institute on Drug Abuse (NIDA), National Institutes of Health (1999), Principles of

drug addiction treatment. A researchbased guide, NIH Publication No. 994180 Printed

October 1999.

OKANA, : 19992002.

, , 2002.

http://www.dart.gov.gr

http://europa.eu/legislation_summaries

http://www.ektepn.gr

http://www.emcdda.europa.eu

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http://www.nida.nih.gov

http://www.prevention.gr

147

.

,

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,

-

(DSM-IV), -

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. 1840, Huss

. 1960

. 60, Jellinek

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.

Bleuler,

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. 1977, Edwards

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148

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Davis K.M, Wu J.Y., "Role of glumatergic and GABAergic systems in alcoholism", J Biomed Sci

8 (2001), 7-19.

Hughes P.H., Baldwin D.C., Sheehan D.V., Conrad S., Storr C.L., "Resident physician substance

use, by specialty", Am J Psychiatry 149 (1992) 1348.

Jellinek E.M., The disease concept of alcoholism, New Haven, CT, College and University Press,

1960.

Liappas I.A., Jenner F.A., Vicente B., "Withdrawal symptom", Journal of the Royal College of

Physicians of London, 21(3) (1987), 214-218.

.., ., , , ITACA , 2004.

.., .., ., & , &

. ITACA , 2006.

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2008, 2009).

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Currie C., Gabhainn .S., Godeau E., Roberts C., Smith R,, Currie D., Picket W., Richter M.,

Morgan A., Barnekow V., Inequalities in Young Peoples Health. World Health Organization,

2008.

Hibell B., Guttormsson U., Ahlstrom S., Balakiereva O., Bjarnason T., Kokkevi A., Kraus L.,

The 2007 ESPAD report: Substance use among students in 35 European countries. CAN,

Council of Europe, Pompidou Group, Stockholm, 2009.

Kokkevi A., Gabhainn .S, Spyropoulou M. and the Risk Behaviour Focus Group of the

HSBC, "Early initiation of cannabis use: a crossnational European perspective", Journal of

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Diener E., Oishi S., Lucas R.E., "Personality, culture, and subjective well being: Emotional and

cognitive evaluation of life", Annual Review of Psychology 54 (2003) 403-425.

Elias N., . ,

, ,1997.

Frede M., , . , , 2008.

Ginieri-Coccossis M., Triadafillou E., Tomaras V., Liappas I.A., Christodoulou G.N., Papadimitriou

G.N., "Quality of life differences between psychiatrically and physically ill individuals: The

use of WHOQOL-100" Greek version. Available:http://www.annals-general-psychiatry.com/

content/8/1/23. March 2009.

Kennedy L., Northcott H., Kinzel C., "Subjective evaluation of well-being: problems and

prospects", Social Indicators Research 51 (978), 457-474.

Kickbusch I., "The Contribution of the World Health Organization to a New Public Health and

Health Promotion", American Journal of Public Health 93(3) (2003), 383-388.

Lehman A.F., Ward N.C., Linn L.S., "Chronic mental patients: the quality of life issue", American

Journal of Psychiatry139 (1982), 1271-1276.

Maynard Keynes J., , ., , 2009.

Najman J.M., Levine S., "Evaluating the impact of medical care and technologies on the quality of

life: A review and critique", Social Science and Medicine 15F (1981), 107-115.

Nutbeam D., "Health Promotion Glossary", Health Promotion International 13(4) (1998) 349-364.

Orley J., Kuyken W. (Eds), Quality of life Assessment: International perspectives, Springer-Verlag,

Berlin, Germany, 1994.

Power M., Bullinger M., Harper A., "The World Health Organization Quality of Life Group: The

World Health Organization WHOQOL-100: tests of the universality of quality of life in 15

different cultural groups worldwide", Health Psychology 5 (1999) ,495-505.

Testa M., Simonson D., "Assessment of Quality-of-Life Outcomes", The New England Journal of

Medicine 334(13) (1996), 835-840.

Williams B., , . , , 2009.

The WHOQOL Group: Study protocol for the World Health Organization project to develop a

174

quality of life assessment instrument (WHOQOL), Quality of Life Research 2 (1993), 153-159.

The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL):

position paper from the World Health Organization. Social Science and Medicine 41(10)

(1995), 1403-1409.

The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL):

development and general psychometric properties. Social Science and Medicine 46(12) (1998),

1569-1585.

World Health Organization, Constitution, WHO, Geneva, 1948.

World Health Organization, Health for All Targets, WHO, Copenhagen, Denmark, 1984.

World Health Organization, Summary report of the working group on concepts and principles of

health promotion, Copehagen, 9-13 July 1984, The Journal of the Institute of Health Education

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