Urszula Maria Marchewka, Wojciech Marchewka, Lech Popiołek, Krzysztof Bryniarski
{"title":"Comparison of stress levels and the factors that induce it between medical and dental students in the clinical years of their training.","authors":"Urszula Maria Marchewka, Wojciech Marchewka, Lech Popiołek, Krzysztof Bryniarski","doi":"10.12740/PP/191858","DOIUrl":"https://doi.org/10.12740/PP/191858","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of our study was to acknowledge the levels of stress, the main stressors and the difficulties of being a dentistry and medicine student.</p><p><strong>Methods: </strong>A total of 994 clinical students from both dental and medical undergraduate degrees at Jagiellonian University Medical College in Kraków, Poland were enrolled in the study, of whom 830 were medical and 164 were dental students. We used two independent international stress questionnaires, both validated for the Polish translation and environment: the Perceived Stress Scale and the Perceived Medical School Stress Instrument.</p><p><strong>Results: </strong>Both medical and dental students had high levels of stress: 20.9 ± 7.37 and 21.24 ± 6.84, respectively. The level of stress was slightly higher among dental students, however, the results were not significant (p = 0.767). Dental students significantly more often were concerned that they will not be able to endure the long hours and responsibilities associated with clinical training (p = 0.001), however, medical student significantly more often agreed that medical school fosters a sense of anonymity and feelings of isolation among the students (p = 0.01).</p><p><strong>Conclusions: </strong>Polish clinical medical and dental students experience high levels of stress, which is slightly higher among dental ones.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 4","pages":"597-611"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769123","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}
{"title":"Methods of preventing postpartum depression. The role of physical activity, mobile applications and psychosocial interventions.","authors":"Adrianna Falenta, Natalia Droździok, Magdalena Piegza","doi":"10.12740/PP/OnlineFirst/193252","DOIUrl":"10.12740/PP/OnlineFirst/193252","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this narrative review is to collect and analyze research on selected methods of preventing postpartum depression.</p><p><strong>Material and methods: </strong>The literature review for this work was carried out in the scientific database PubMed. The analysis and further description were developed based on the PRISMA protocol. Only English-language research, published between 2018 and 2023 were included.</p><p><strong>Results: </strong>Research has not definitively proved a correlation between physical activity and preventing postpartum depression. The effective strategies that may reduce the risk of postpartum depression include mindfulness meditation, providing pregnant women with social support and professional medical care, as well as participating in educational programs during pregnancy. Additionally, internet programs and mobile apps based on cognitive-behavioral therapy can be an effective form of psychological support for pregnant women.</p><p><strong>Conclusions: </strong>There are a few effective strategies that may reduce the risk of postpartum depression. The research has shown that the key is to provide women with holistic and multidisciplinary care, as well as identifying groups at highest risk of postpartum depression, in order to offer them professional support as quickly as possible.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"531-548"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485707","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}
Patrycja Kurowska, Cezary Wojtyła, Anna Królak, Janusz Ostrowski, Wojciech Giermaziak
{"title":"Cannabis and cannabinoids in the treatment of post-traumatic stress disorder: A literature review and analysis of the content of websites of Polish clinics specializing in medical marijuana treatment.","authors":"Patrycja Kurowska, Cezary Wojtyła, Anna Królak, Janusz Ostrowski, Wojciech Giermaziak","doi":"10.12740/PP/192416","DOIUrl":"https://doi.org/10.12740/PP/192416","url":null,"abstract":"<p><p>The latest scientific literature shows that the incidence of post-traumatic stress disorder (PTSD) in Poland has increased significantly. The rise in the number of people affected by PTSD translates into a growing demand for specialist support and treatment of this disease entity. Polish clinics specialising in therapy with the so-called medical marijuana (MM) describe it as a raw material with potential for the treatment of PTSD and an alternative to conventional treatment methods. The paper presents the basic medicines used in PTSD treatment. The authors carried out a review of the literature evaluating the efficacy and safety of cannabis and cannabinoids in the treatment of PTSD. In addition, the article refers to papers highlighting the negative mental health consequences of marijuana use, with particular emphasis on its impact on the course of PTSD. Previously published studies relating the attitudes of psychiatrists towards the use of MM are also discussed. The manner of presenting the potential of Cannabis sp. and their products in the treatment of PTSD on the websites of Polish medical marijuana clinics was analysed, discussed and critically evaluated. Currently, there is no sufficient solid evidence to recommend MM or cannabinoids to treat PTSD, but people struggling with this disorder reach for Cannabis sp. products for their anxiolytic, sedative, hypnotic, and antipsychotic effects. In anticipation of new data from randomised, large-scale, controlled trials, it is advisable to develop available sources of information and appropriate oversight to counteract harmful marketing of medical marijuana.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 4","pages":"577-596"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769082","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}
{"title":"Editorial.","authors":"Dominika Dudek, Jerzy A Sobański, Katarzyna Klasa","doi":"10.12740/PP/210153","DOIUrl":"https://doi.org/10.12740/PP/210153","url":null,"abstract":"<p><p>no summary.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 4","pages":"513-514"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769094","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}
Amanda Krzywdzińska-Rogowska, Aleksandra Gozdanek, Anna Bauer, Barbara Radomyska, Kamil K Hozyasz
{"title":"Anxiety and stress in parents as well as the burden of raising a child with classical galactosemia.","authors":"Amanda Krzywdzińska-Rogowska, Aleksandra Gozdanek, Anna Bauer, Barbara Radomyska, Kamil K Hozyasz","doi":"10.12740/PP/190678","DOIUrl":"https://doi.org/10.12740/PP/190678","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to measure anxiety and stress in parents of children with classical galactosemia compared to parents of healthy children and to determine the association of anxiety and stress with the burden of raising an affected child among Polish parents.</p><p><strong>Methods: </strong>The study involved 94 parents of children with classical galactosemia and 87 parents of healthy children. Anxiety and stress were measured using the Polish adaptations of the State-Trait Anxiety Inventory (STAI) and the Perceived Stress Questionnaire (PSQ). The burden of raising a sick child was assessed using the Galactosemia Quality of Life Survey.</p><p><strong>Results: </strong>Parents of children with classic galactosemia showed increased levels of anxiety and stress. Compared to fathers, mothers of such children manifested significantly higher levels of anxiety, emotional tension and general, external and intrapsychic stress. In mothers, the level of general stress correlated positively with the age of the child with classic galactosemia. Differences in parenting style, social sphere and anxiety about the future state of health of the children were found between Polish and Dutch parents.</p><p><strong>Conclusions: </strong>The emotional state of parents of children with classical galactosemia warrants the need for development of dedicated intervention and prevention programs to improve the quality of life and mental health of families caring for patients with inborn metabolic diseases.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 4","pages":"659-677"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769071","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}
{"title":"Depression and ineffective reproduction, i.e. psychiatric aspects of infertility.","authors":"Damian Zieliński, Kamila Tokarczyk, Magdalena Piegza","doi":"10.12740/PP/OnlineFirst/191103","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/191103","url":null,"abstract":"<p><p>Depressive disorders are one of the most common psychiatric problems in the general population, and they often also affect people struggling with infertility. It has been proven that this problem is widespread in many countries around the world and affects both women and men, but with greater intensity of depressive symptoms in infertile women. Assisted reproductive technologies, such as in vitro fertilization, are a key method in the treatment of infertility, but they may also increase the risk of depression related to unsuccessful conception attempts. Antidepressants, especially SSRIs commonly used to treat symptoms of depression, can have many negative effects on fertility, but the risk of infertility is statistically lower with drug therapy than with untreated depression. Psychological support, including psychotherapy, can be an important element of infertility treatment, increasing the chances of getting pregnant by relieving stress, reducing the severity of symptoms of mental disorders, and thus improving the quality of life. The following study aims to provide information on the interdependence between depression and infertility, highlight the scale of the phenomenon of co-occurrence of depressive symptoms and infertility, and present directions for counteracting this problem.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 4","pages":"517-530"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769120","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}
Psychiatria polskaPub Date : 2025-08-31DOI: 10.12740/PP/OnlineFirst/192464
Adrian Andrzej Chrobak, Sylwia Bielak, Dominik Nowaczek, Aleksandra Żyrkowska, Krzysztof Styczeń, Anna Maria Sobczak, Magdalena Fafrowicz, Amira Bryll, Tadeusz Marek, Dominika Dudek, Marcin Siwek
{"title":"Is there a relationship between resting state connectivity within large-scale functional networks and implicit motor learning impairments in schizophrenia and bipolar disorder?","authors":"Adrian Andrzej Chrobak, Sylwia Bielak, Dominik Nowaczek, Aleksandra Żyrkowska, Krzysztof Styczeń, Anna Maria Sobczak, Magdalena Fafrowicz, Amira Bryll, Tadeusz Marek, Dominika Dudek, Marcin Siwek","doi":"10.12740/PP/OnlineFirst/192464","DOIUrl":"10.12740/PP/OnlineFirst/192464","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this exploratory study is to evaluate whether implicit motor learning impairments observed in schizophrenia (SZ) and bipolar disorder (BD) are associated with the resting state functional connectivity (rs-FC) within large-scale functional networks.</p><p><strong>Methods: </strong>The study involved 30 BD patients, 30 SZ patients and 30 healthy controls (HC). Implicit motor learning was evaluated with the use of serial reaction time task (SRTT). Prior to the training patients underwent resting state functional magnetic resonance imaging (rsfMRI) examination. We have measured rs-FC within salience network (SAN), default mode network (DMN), frontoparietal network (FPN), sensorimotor network (SMN), limbic network (LN) and visual network (VIN) and their associations with implicit motor learning indices.</p><p><strong>Results: </strong>rs-FC within SAN, DMN, FPN, SMN, LN and VIN reveal no significant association with implicit motor learning indices. BD, SZ and HC groups did not differ in terms of rs-FC within abovementioned networks.</p><p><strong>Conclusions: </strong>We have shown that in the studied groups SRTT performance could not be predicted by rs-FC within the major large-scale functional networks, i.e., SMN, FPN, VIN, LN, SAN and DMN. The observation of the independence of implicit motor learning from the initial activity of these systems is important for proper understanding of neuronal underpinnings of this process and planning further neuroimaging research on this topic.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"565-576"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392788","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}
Psychiatria polskaPub Date : 2025-08-31DOI: 10.12740/PP/OnlineFirst/192685
Kamila Tokarczyk, Karolina Sas, Magdalena Piegza
{"title":"The association between beta-blockers use and depression - narrative review.","authors":"Kamila Tokarczyk, Karolina Sas, Magdalena Piegza","doi":"10.12740/PP/OnlineFirst/192685","DOIUrl":"10.12740/PP/OnlineFirst/192685","url":null,"abstract":"<p><p>Depressive symptoms are increasingly observed in people with somatic diseases, while depression increases the likelihood of coronary heart disease and has a negative impact on its course. Due to the widespread use of beta-blockers in cardiovascular diseases and the increased likelihood of depressive symptoms in this group of patients, the impact of the use of beta-blockers on the frequency of induction or severity of depressive symptoms was analyzed. The focus was primarily on the central effect of beta blockers on mood, but the effect of their peripheral action was also taken into account. The issue was examined based on the most commonly used medications. More lipophilic substances penetrate the central nervous system to a greater extent, usually leading to a higher incidence of depressive symptoms; however, this effect can vary depending on the study cited. It was noted that carvedilol, bisoprolol and propranolol did not induce depressive symptoms, unlike metoprolol, which in most studies showed a positive effect on the development or worsening of depressive symptoms. Based on the analysis of medical data, it was concluded that beta-blockers have no significant effect on the induction of depressive symptoms or this effect is clinically insignificant, and selected groups of these drugs may prevent the induction of depression or reduce its symptoms. Moreover, a positive effect of beta-blockers on reducing the level of anxiety was noted, and it was emphasized that they may cause both fatigue and sleep disorders in patients using them.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"549-563"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606251","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}
Marek Balicki, Daria Biechowska, Andrzej Cechnicki, Izabela Ciuńczyk, Katarzyna Głowacka-Cieślicka, Hanna Karakuła-Juchnowicz, Joanna Krzyżanowska-Zbucka, Tomasz Szafrański, Katarzyna Szczerbowska, Maria Załuska, Jacek Wciórka
{"title":"Recommendations of <i>the Working Group of the Congress on Mental Health and the Agreement for the Implementation of the National Mental Health Programme</i> on systemic changes in adult psychiatric care. Part 1. Checklist for statutory solutions.","authors":"Marek Balicki, Daria Biechowska, Andrzej Cechnicki, Izabela Ciuńczyk, Katarzyna Głowacka-Cieślicka, Hanna Karakuła-Juchnowicz, Joanna Krzyżanowska-Zbucka, Tomasz Szafrański, Katarzyna Szczerbowska, Maria Załuska, Jacek Wciórka","doi":"10.12740/PP/210181","DOIUrl":"10.12740/PP/210181","url":null,"abstract":"<p><p>The primary objective of the National Mental Health Program (NPOZP) is to provide people with mental disorders, including addicts and those experiencing a mental crisis, with comprehensive and comprehensive care and support appropriate to their needs. The implementation of this objective in the area of psychiatric care for adults is to be achieved, among others, by popularizing an integrated and comprehensive model of mental health care based on the model of community care. A key element of the future mental health care system should be a network of community mental health centers. The presented document contains recommendations regarding statutory changes related to the community reform of the mental health care system in Poland. It is presented in the form of a checklist facilitating the assessment of progress or lack of progress in the scope of the proposed changes. The following are presented in turn: general issues, organization of mental health centers, principles of assessing the quality of care, provincial plans for the areas of operation of mental health centers, the method of concluding agreements and principles of financing mental health centers in the form of a lump sum per population. The presented recommendations express the position of pro-reform social movements gathered around the Mental Health Congress and the Agreement for the NPOZP.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 4","pages":"679-696"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769109","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}
Psychiatria polskaPub Date : 2025-08-31DOI: 10.12740/PP/OnlineFirst/190436
Joanna Fojcik, Mchał Górski, Marek Krzystanek
{"title":"Effectiveness of health education in forensic psychiatry departments.","authors":"Joanna Fojcik, Mchał Górski, Marek Krzystanek","doi":"10.12740/PP/OnlineFirst/190436","DOIUrl":"10.12740/PP/OnlineFirst/190436","url":null,"abstract":"<p><strong>Objectives: </strong>The subject of the study was to assess the therapeutic value of the author's health education programme developed for a group of patients of forensic psychiatry wards conducted in a group of patients long-term isolated from their natural environment. The main goal of the study was to answer the question of whether health education conducted in forensic psychiatry wards is effective and what value it represents in the process of treatment and rehabilitation of patients in forensic psychiatry wards.</p><p><strong>Methods: </strong>The study was conducted at the State Hospital for the Nervous and Mentally Ill in Rybnik in the forensic psychiatry wards from December 2019 to May 2020. During the study, patients gained knowledge in the field of broad health education. The study group consisted of 67 men between the ages of 22 and 73 with a diagnosis of schizophrenia. The method of measuring twice (before the health education cycle and after its completion) was applied using a proprietary questionnaire of patients' knowledge from the applied educational programme.</p><p><strong>Results: </strong>After the implementation of the health education programme, there was a significant improvement in patients' knowledge.</p><p><strong>Conclusions: </strong>Educational activities carried out among patients of forensic psychiatry departments effectively increase their knowledge level.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"643-658"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771750","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}