Psychiatria polska最新文献

Minority stress and the psychological well-being of non-heteronormative people: The mediating role of internal dialogues. 少数群体压力与非异性恋者的心理健康：内部对话的中介作用。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2025-03-30 DOI: 10.12740/PP/OnlineFirst/199788

Małgorzata M Puchalska-Wasyl, Izabela Jaroszek

{"title":"Minority stress and the psychological well-being of non-heteronormative people: The mediating role of internal dialogues.","authors":"Małgorzata M Puchalska-Wasyl, Izabela Jaroszek","doi":"10.12740/PP/OnlineFirst/199788","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/199788","url":null,"abstract":"Objectives: Non-heteronormative people experience minority stress, which co-occurs with suicidal thoughts, symptoms of depression, lower self-esteem, and low life satisfaction. The aim of the article is to establish the relationship between minority stress experienced by these people and their psychological well-being, and to determine whether internal dialogues mediate this relationship.Methods: 130 non-heterosexual people aged 18-46 were studied. In addition to the sociodemographic survey, the Minority Stress Scale (MSS), the Functions of Dialogues - Revised Questionnaire (FUND-R) and the Psychological Well-Being Scale (PWBS) were used.Results: It was found that psychological well-being correlates negatively with aspects of minority stress - expectation of rejection and hiding, but positively with the level of self-disclosure and satisfaction with self-disclosure. Ruminative dialogues mediate the negative relationships between the expectation of rejection and well-being as well as between hiding and well-being, while self-knowing dialogues mediate positive relationships between the level of disclosure and well-being as well as between satisfaction with disclosure and well-being.Conclusions: In order to improve the well-being of non-heteronormative patients/clients experiencing minority stress, in psychological or psychiatric practice it is worth reducing their ruminative dialogues and replacing them with self-knowing dialogues.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-15"},"PeriodicalIF":0.9,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotional conscience in individuals with affective disorders. 情感障碍患者的情感良知。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2025-02-28 DOI: 10.12740/PP/OnlineFirst/186661

Roksana Epa, Katarzyna Olszewska-Turek, Anna Rajtar, Barbara Bętkowska-Korpała, Dominika Dudek

{"title":"Emotional conscience in individuals with affective disorders.","authors":"Roksana Epa, Katarzyna Olszewska-Turek, Anna Rajtar, Barbara Bętkowska-Korpała, Dominika Dudek","doi":"10.12740/PP/OnlineFirst/186661","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/186661","url":null,"abstract":"Objectives: The aim of the study was to analyse the functioning of emotional conscience in individuals with mood disorders, taking into account the differences between patients with recurrent depression and patients with bipolar disorder. The dependence of the susceptibility to experiencing particular moral feelings on the symptoms of the illness - both on their type and severity - was also a subject of consideration.Methods: Results from 131 subjects were analysed, including 44 patients with bipolar disorder, 33 patients with recurrent depression and 54 individuals without a diagnosis of mental disorders. More women (67%) than men (33%) took part in the study, the average age of the respondents was 43 years. The following research methods were used: the Hamilton Depression Rating Scale (HAM-D), the Young Mania Rating Scale (YMRS) and the Moral Feelings Scale (SUM-5).Results: Statistically significant differences were observed between the examined groups in the functioning of emotional conscience assessed using the SUM-5. Patients with mood disorders described themselves as experiencing some of the distinguished moral emotions with different susceptibility than healthy individuals. Similarly, different experiencing of these types of feelings was noticed in groups of patients with recurrent depression and bipolar disorder. The dependence of the functioning of their emotional conscience on the type and severity of experienced symptoms, assessed on the HAM-D and YMRS scales, was also noted.Conclusions: The emotional conscience of people with mood disorders may have specific features, that are less pronounced in healthy subjects. Taking this into account seems to be an important aspect of understanding patients, helpful when building a healing relationship with them.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-17"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The use of vortioxetine in the treatment of depression following the failure of therapy with a selective serotonin reuptake inhibitor or a serotonin-norepinephrine reuptake inhibitor. 选择性5 -羟色胺再摄取抑制剂或5 -羟色胺-去甲肾上腺素再摄取抑制剂治疗失败后使用沃替西汀治疗抑郁症。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2025-02-27 DOI: 10.12740/PP/OnlineFirst/197146

Adam Wichniak, Marcin Iwański, Matija Mitrić

{"title":"The use of vortioxetine in the treatment of depression following the failure of therapy with a selective serotonin reuptake inhibitor or a serotonin-norepinephrine reuptake inhibitor.","authors":"Adam Wichniak, Marcin Iwański, Matija Mitrić","doi":"10.12740/PP/OnlineFirst/197146","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/197146","url":null,"abstract":"Up to 40% of patients with depression do not respond to first-line treatment and among those who do respond, only about half achieve remission. For this reason, guidelines for treating depression mainly focus on how to proceed in cases of treatment failure or only partial response. The aim of this review paper is to present studies evaluating the effectiveness of vortioxetine in treatment of patients with depression following treatment failure with an SSRI/SNRI drug. Vortioxetine is an effective antidepressant that, after treatment failure with an SSRI/SNRI drug, allows 32-55% of patients to achieve remission. However, the assessed dosing regimen of vortioxetine deviated from that used in the initial therapy of depression, i.e. by the second week (8th day) of therapy the dose was increased to the maximum - 20 mg/day and the period for treatment effectiveness assessment was 8-12 weeks. This dosing regimen more closely resembles the pharmacological approach utilised in the treatment of obsessive-compulsive disorder rather than depression. The administration of a high dose of vortioxetine did not negatively impact the tolerability of the treatment, even among patient groups at high risk of adverse events (elderly patients, co-existence of anxiety). The most common adverse effect was nausea; however, it was not observed that rapid dose escalation intensified this effect. This is most likely attributable to the receptor profile of vortioxetine.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-14"},"PeriodicalIF":0.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental minority stress and symptoms of depression and anxiety in women raising children in same-sex relationships. 在同性关系中养育子女的妇女的父母少数民族压力和抑郁和焦虑症状。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2025-02-27 DOI: 10.12740/PP/OnlineFirst/190770

Jowita Wycisk, Marzenna Zakrzewska

{"title":"Parental minority stress and symptoms of depression and anxiety in women raising children in same-sex relationships.","authors":"Jowita Wycisk, Marzenna Zakrzewska","doi":"10.12740/PP/OnlineFirst/190770","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/190770","url":null,"abstract":"Objectives: The purpose of this study was to examine the levels of depression and anxiety of lesbian and bisexual (LB) mothers raising children from a previous heterosexual relationship in a current same-sex relationship, on the basis of minority stress theory.Methods: 58 LB biological mothers, 33 LB co-mothers from same-sex relationships and 60 mothers from different-sex marriages participated in a questionnaire-based online survey. The groups were compared in terms of depression and anxiety severity (state and trait). In the LB groups, correlation analysis was conducted between the dependent variables and the number of encountered negative homophobic events, the expectation of rejection, self-concealment, and internalised homophobia. To examine whether the associations between these variables in LB biological mothers and co-mothers differed, moderation analysis was used.Results: The levels of depression and anxiety were similar across the groups. Among LB mothers, anxiety (state and trait) correlated mainly with internalised homophobia, whereas depression was linked to the expectation of rejection. Notably, among biological LB mothers, as opposed to co-mothers, there was an association between both depression and anxiety (state) and negative homophobic events.Conclusions: The lack of intergroup differences in levels of depression and anxiety, with correlations of these variables with minority stress, may indicate high resources (e.g. family resilience) of LB mothers. The cost of homophobic events is higher for LB biological mothers than for LB co-mothers. This may be attributed to the later emergence of non-heterosexual identity in LB biological mothers who have children from heteronormative relationships, leading to a heightened sense of threat when their custody rights are challenged.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-14"},"PeriodicalIF":0.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effectiveness of medical education in schizophrenia depending on the mental state and type of treatment in forensic psychiatric patients. 精神分裂症医学教育的有效性取决于法医精神病人的精神状态和治疗方式。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2025-01-13 DOI: 10.12740/PP/OnlineFirst/193181

Joanna Fojcik, Tomasz Sobierajski, Michał Górski, Ewa Martyniak, Agnieszka Borowska, Marek Krzystanek

{"title":"The effectiveness of medical education in schizophrenia depending on the mental state and type of treatment in forensic psychiatric patients.","authors":"Joanna Fojcik, Tomasz Sobierajski, Michał Górski, Ewa Martyniak, Agnieszka Borowska, Marek Krzystanek","doi":"10.12740/PP/OnlineFirst/193181","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/193181","url":null,"abstract":"Objectives: The main objective of the study was to answer the question of whether the clinical condition of the patient and the type of antipsychotic drug used affect the educational opportunities of patients hospitalised in forensic psychiatry departments participating in a health education programme.Methods: The study was conducted at the State Hospital for the Mentally and Neurologically Ill in Rybnik in the forensic psychiatry wards and lasted from December 2019 to May 2020. During the study, patients gained knowledge of health education. The study group consisted of 67 men aged 22-73 with a diagnosis of schizophrenia. The control group consisted of 40 patients aged 23-72 with the same diagnosis who were not educated. A dual measurement method was used (before and after the health education cycle) using the CGI-S scale and a proprietary questionnaire of patients' knowledge from the applied educational programme.Results: The study showed that the severity of mental illness symptoms had a significant impact on patients' educational opportunities. The variety of antipsychotic medications used (atypical and classic) did not affect patients' educational opportunities. In addition, the study showed that the educational level of the patients had a significant impact on their educational opportunities.Conclusions: The effectiveness of educational interventions depends on the severity of symptoms in patients diagnosed with schizophrenia, but does not depend on the type of pharmacotherapy used.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-22"},"PeriodicalIF":0.9,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Borderline personality - from psychoanalysis to epigenetics. Biological basis of attachment. 边缘人格——从精神分析到表观遗传学。依恋的生物学基础。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2024-12-31 DOI: 10.12740/PP/OnlineFirst/166492

Małgorzata Juraś-Darowny, Dominik Strzelecki, Monika Talarowska

{"title":"Borderline personality - from psychoanalysis to epigenetics. Biological basis of attachment.","authors":"Małgorzata Juraś-Darowny, Dominik Strzelecki, Monika Talarowska","doi":"10.12740/PP/OnlineFirst/166492","DOIUrl":"10.12740/PP/OnlineFirst/166492","url":null,"abstract":"In terms of object relations theory, borderline personality disorder (BPD) is characterized by a structural abnormality of identity, conflicting representations of self and others, and disorganization of attachment - a construct rooted in an individual's early experiences and central to the relationships established later in life. A special role in the formation of attachment style is attributed to the relationship with the caregiver and to difficult experiences or traumas from early developmental stages. These experiences not only provide the psychological basis for the development of an insecure attachment style, but also leave a biological mark in the body in the form of epigenetic modifications. Although research on epigenetic modifications in BPD is scarce, a growing body of evidence supports the importance of oxytocin - the \"social peptide\" underlying attachment - in the etiology of BPD. We believe that the study of epigenetic modifications that affect the action of oxytocin in the BPD clinical population will provide a better understanding of the basis and process of development of the disorder, as well as provide a therapeutic direction to work effectively in the major areas of BPD.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"997-1011"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41179741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

First-episode psychosis requiring electroconvulsive therapy following SARS-CoV-2 infection - Description of two cases. SARS-CoV-2感染后需要电休克治疗的首发精神病——两例病例描述

IF 0.9 4区医学

Psychiatria polska Pub Date : 2024-12-31 DOI: 10.12740/PP/186429

Patryk Rodek, Barbara Alli-Balogun, Krzysztof Kucia

{"title":"First-episode psychosis requiring electroconvulsive therapy following SARS-CoV-2 infection - Description of two cases.","authors":"Patryk Rodek, Barbara Alli-Balogun, Krzysztof Kucia","doi":"10.12740/PP/186429","DOIUrl":"10.12740/PP/186429","url":null,"abstract":"COVID-19 is a systemic disease. Since the beginning of the pandemic, there have been increasing reports of neuropsychiatric complications of the infection. The excessive inflammatory response during the infection induces changes in neurotransmission, which can result in nonspecific manifestations of affective and psychotic disorders, among other symptoms. We present descriptions of two cases involving previously untreated psychiatric patients, in whom the first-episode psychosis occurred immediately after SARS-CoV-2 infection. The commonality between both cases, besides the preceding SARS-CoV-2 infection, was the nonspecific and highly variable course of the psychotic disorder episode. This led to numerous diagnostic challenges and the necessity to change the diagnosis during treatment for both patients. In the case of a 58-year-old woman, persistent delusional disorders were initially diagnosed, followed by organic affective disorders. However, the evolution of symptoms ultimately led to the diagnosis of severe psychotic depression. In the case of a 68-year-old man, initially diagnosed psychotic depression turned out to be a first-episode of late-onset schizophrenia. Due to significant symptom exacerbation and evident treatment resistance, electroconvulsive therapy was implemented, resulting in complete symptomatic and functional remission. The first-episode psychosis post-COVID-19 is a newly emerging complication of infection, increasingly reported but still poorly defined and described in the literature. It appears to exhibit significant differences from previously encountered disease entities. The described cases underscore the ongoing need to consider a history of SARS-CoV-2 infection as a precipitating factor for first-episode psychoses, as it can impact both the course of the illness and diagnostic and therapeutic decisions.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"58 6","pages":"947-955"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial. 社论。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2024-12-31 DOI: 10.12740/PP/200299

Dominika Dudek, Jerzy A Sobański, Katarzyna Klasa

引用次数: 0

The usefulness of breathing and relaxation techniques influencing the autonomic nervous system state in psychiatry. A subjective review of contemporary research. Part 2 - Western tradition. 精神病学中影响自主神经系统状态的呼吸和放松技术的有用性。对当代研究的主观回顾。第二部分-西方传统。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2024-12-31 DOI: 10.12740/PP/186043

Katarzyna Klasa, Jerzy A Sobański, Krzysztof Rutkowski

{"title":"The usefulness of breathing and relaxation techniques influencing the autonomic nervous system state in psychiatry. A subjective review of contemporary research. Part 2 - Western tradition.","authors":"Katarzyna Klasa, Jerzy A Sobański, Krzysztof Rutkowski","doi":"10.12740/PP/186043","DOIUrl":"10.12740/PP/186043","url":null,"abstract":"The authors present a subjective review of recent research on the use of selected techniques influencing the state of the autonomic nervous system, based on the Western tradition, i.e. autogenic training by Johannes Heinrich Schultz and progressive muscle relaxation by Edmund Jacobson. The basic assumptions of both methods are discussed, taking into account the modifications that have occurred since their creation, pointing to their consequences and the necessity of taking them into account in research. The importance of including as accurate descriptions of the used interventions as possible in publications was also pointed out. The current subjective review focuses on studies of adults from clinical populations, suffering from mental disorders. Selected studies from the period 2020-2023 (July 30, 2023) and earlier ones, including literature reviews, listed in the PubMed database were included. The most important results and conclusions of the authors of previous research and reviews were discussed, including pointing out the numerous modifications of the discussed techniques, which make it difficult to compare the results, and the need for further, better quality research. The results of this subjective review allow us to agree with previous suggestions of the potential usefulness of autogenic training and progressive muscle relaxation as additional techniques in the treatment of mental health disorders.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"58 6","pages":"1023-1036"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in brain structure in people with gaming disorder. A review of neuroimaging studies. 游戏障碍患者大脑结构的变化。神经影像学研究综述。

IF 0.9 4区医学

Psychiatria polska Pub Date : 2024-12-31 DOI: 10.12740/PP/OnlineFirst/167394

Mateusz Wojtczak, Anna Walenda, Katarzyna Kucharska

{"title":"Changes in brain structure in people with gaming disorder. A review of neuroimaging studies.","authors":"Mateusz Wojtczak, Anna Walenda, Katarzyna Kucharska","doi":"10.12740/PP/OnlineFirst/167394","DOIUrl":"10.12740/PP/OnlineFirst/167394","url":null,"abstract":"This review aims to summarise the current knowledge on structural brain changes among people diagnosed with gaming disorder and the resulting clinical implications. The review will show the theoretical psychological and neurobiological models of computer gaming disorder in conjunction with the results of structural neuroimaging studies. Previous epidemiological studies indicate that the prevalence of gaming disorder in the population may reach approx. 2%. Researchers indicate that the aetiopathogenesis of computer game use disorder is complex and includes psychological, social, as well as neurological and hormonal factors. From the perspective of psychological research exploring gaming disorder, it can be concluded that a person has certain specific psychopathological features and/or symptoms, which, through mediating factors, such as the inability to cope with stress or negative emotions, influence the formation of the symptoms of the disorder. In the context of the neurobiology of behavioural addictions, researchers point to disorders in the mesocorticolimbic reward system, which is influenced by dysfunctional neuronal mechanisms of emotion and stress regulation. When describing structural changes in the brain, researchers most often report differences in the volume of grey matter, which include areas of the dorsolateral prefrontal cortex, temporooccipital cortex, superior and posterior parietal cortex, anterior cingulate cortex, cerebellum, insular cortex, limbic system, and basal ganglia.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1047-1066"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0