Psychiatria polska最新文献_第10页

Treatment of insomnia in older adults. Recommendations of the Polish Sleep Research Society, Polish Society of Family Medicine and the Polish Psychiatric Association. 老年人失眠的治疗。波兰睡眠研究协会、波兰家庭医学协会和波兰精神病学协会的建议。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-06-30 DOI: 10.12740/PP/OnlineFirst/161597

Adam Wichniak, Przemysław Bieńkowski, Rafał Dąbrowski, Agnieszka Mastalerz-Migas, Joanna Rymaszewska

{"title":"Treatment of insomnia in older adults. Recommendations of the Polish Sleep Research Society, Polish Society of Family Medicine and the Polish Psychiatric Association.","authors":"Adam Wichniak, Przemysław Bieńkowski, Rafał Dąbrowski, Agnieszka Mastalerz-Migas, Joanna Rymaszewska","doi":"10.12740/PP/OnlineFirst/161597","DOIUrl":"10.12740/PP/OnlineFirst/161597","url":null,"abstract":"Insomnia is one of the most common health problems in developed countries. Its prevalence increases with age, with up to one in two people over the age of 65 experiencing symptoms of insomnia. The older people are also the patients who mostly commonly are among chronic sleep medication users. The aim of this article is to present the current recommendations for the management of insomnia in people over 65 years of age. The recommendations were prepared as a position of an expert panel, which included people from a number of clinical disciplines: family medicine, cardiology, psychiatry, sleep medicine and clinical psychopharmacology. The first step in treating sleep disorders is to establish proper diagnosis and, if possible, to initiate causal treatment. Moreover, cognitive and behavioural therapy for insomnia should also be used as the primary form of treatment, which can be supplemented, if not sufficiently effective, with pharmacological treatment. The main group of drugs used for treating insomnia are nonbenzodiazepine sedative hypnotics (zolpidem, zopiclone, eszopiclone, zaleplon). However, these drugs do not fully meet the needs of people over 65 years of age, primarily with regard to treatment safety. Therefore other classes of medicines, which are used for treatment of mental disorders, are prescribed off-label in this group of patients. Melatonin in a prolonged-release form is also indicated for this age group due to the high safety of the therapy. The management of insomnia in people over 65 years of age is a challenging task, given the need to seek compromise between treatment efficacy and safety. The treatment plan also has to take into account comorbidities as well as drugs used to treat them.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"495-516"},"PeriodicalIF":1.7,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9687068","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: 1

Editorial. 社论。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/166426

Dominika Dudek, Jerzy A Sobański, Katarzyna Klasa

引用次数: 0

Sense of coherence and perception of self-influence on the disease course among patients with schizophrenia including quality of life - pilot studies. 包括生活质量在内的精神分裂症患者疾病病程的连贯感和自我影响感知-初步研究

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/140127

Joanna Biczak, Grzegorz Iniewicz, Łukasz Cichocki

{"title":"Sense of coherence and perception of self-influence on the disease course among patients with schizophrenia including quality of life - pilot studies.","authors":"Joanna Biczak, Grzegorz Iniewicz, Łukasz Cichocki","doi":"10.12740/PP/OnlineFirst/140127","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/140127","url":null,"abstract":"Objectives: Current research studies reveal many protective and risk factors for relapse among patients with schizophrenia. The main aim of this study was to make an attempt at identifying the relationship between sense of coherence, self-influence on the disease course and quality of life determined by patients' suffering from schizophrenia current state of health.Methods: The study involved 50 patients, diagnosed with schizophrenia by the ICD-10 criteria, who were/ were not suffering from relapse in 2-year period from last hospitalization. In order to measure sense of coherence, self-influence on the disease course and quality of life, patients were asked to complete: Sense of Coherence Scale (SOC-29), Brief Measure to Assess Perception of Self-Influence on the Disease Course - Version for Schizophrenia and Sense of the Quality of Life Questionnaire.Results: Statistical analysis revealed no differences in sense of coherence, perception of self-influence on the disease course and quality of life among patient with relapse or during remission. Nevertheless, the relation between sense of coherence and quality of life was observed in both groups. Patients who were suffering from relapse had their metaphysical (spiritual) quality of life also correlated with perception of self-influence on the disease course.Conclusions: This pilot study leads to conclusion that sense of coherence - along with its manageability and meaningfulness components - may be closely related to psychophysical, psychosocial and subjective quality of life for patients suffering from schizophrenia, both in long remission and currently experiencing a relapse.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"57 2","pages":"311-323"},"PeriodicalIF":1.7,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682901","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

Cognitive and emotional support for the family of a person with frontotemporal degeneration - with particular consideration given to a minor. 为额颞叶退化患者的家庭提供认知和情感支持，对未成年人给予特别考虑。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/142390

Sylwia Pyrtek, Arkadiusz Badziński, Monika Adamczyk-Sowa

{"title":"Cognitive and emotional support for the family of a person with frontotemporal degeneration - with particular consideration given to a minor.","authors":"Sylwia Pyrtek, Arkadiusz Badziński, Monika Adamczyk-Sowa","doi":"10.12740/PP/OnlineFirst/142390","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/142390","url":null,"abstract":"The diagnosis of frontotemporal degeneration changes the entire family, being an unexpected and emotionally burdening experience for all the individuals in the family. Confrontation with problems that are diametrically different from those that occur in the family system without a person with a major neurocognitive disorder requires the development of new coping strategies. If these coping mechanisms are to be useful, they should undergo successive modifications that consider the progression of the neurodegenerative disease and the dynamics of the family system. Providing the information on different aspects of this group of diseases is the basic form of supporting families with frontotemporal degeneration. Growing up in the family with a parent affected by frontotemporal degeneration is a crucial, though non-normative, developmental experience of a child. It results in an irreversible loss of the existing relationship and the necessity to form another relationship with an affected parent. The paper focuses on providing support for a minor. Graphic medicine can be a support tool, which combines verbal communication with graphics, and, as a result, it provides knowledge on health problems and also creates the possibility of expressing emotions triggered by the presence of the disease in the family.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"57 2","pages":"443-456"},"PeriodicalIF":1.7,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676562","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

Application of 360° virtual reality videos in the assessment of paranoia in schizophrenia patients: a pilot study. 360°虚拟现实视频在精神分裂症患者偏执狂评估中的应用:一项试点研究。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/142992

Dawid Kruk, Iga Plencler, Piotr Walecki, Artur Daren, Przemysław Stankiewicz, Klaudia Proniewska, Agnieszka Nowak, Andrzej Cechnicki, Marcin Siwek

{"title":"Application of 360° virtual reality videos in the assessment of paranoia in schizophrenia patients: a pilot study.","authors":"Dawid Kruk, Iga Plencler, Piotr Walecki, Artur Daren, Przemysław Stankiewicz, Klaudia Proniewska, Agnieszka Nowak, Andrzej Cechnicki, Marcin Siwek","doi":"10.12740/PP/OnlineFirst/142992","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/142992","url":null,"abstract":"Objectives: Virtual Reality (VR) has been widely used in psychiatry, including psychotic disorders. The main advantage of VR is its high ecological validity and controllability of the virtual environment. Our main goal was to test whether, similarly to computer-generated VR, 360-degree videos are able to elicit a state of social paranoia in prone individuals.Methods: Sixteen schizophrenia patients and twenty-three healthy individuals were assessed using Leibowitz Social Anxiety Scale and additionally, in the patient group, the Positive and Negative Syndrome Scale (PANSS-6) and Peters Delusional Inventory (PDI) were used. The participants viewed four 360-degree videos with and without social content on a VR headset. Meanwhile, subjects' heart rate was measured continuously. After the exposure, both groups were assessed with Social State Paranoia Scale (SSPS) and asked about momentary anxiety and sense of presence.Results: The schizophrenia patients reported higher momentary anxiety, although the results of SSPS did not differ significantly between groups. In the control group the heart rate decreased between first non-social and social video, whereas in the patient group it did not differ significantly. There was a significant correlation of paranoid ideation experienced on daily basis (PDI) and elicited in VR (SSPS) in the patient group.Conclusions: In conclusion, paranoid responses can be triggered in patients with schizophrenia by 360-degree videos.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"57 2","pages":"325-338"},"PeriodicalIF":1.7,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064725","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: 1

Functional disorders - new proposals for definition, psychosomatics, somatization. 功能障碍-定义的新建议，心身学，躯体化。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/141960

Sławomir Czachowski

{"title":"Functional disorders - new proposals for definition, psychosomatics, somatization.","authors":"Sławomir Czachowski","doi":"10.12740/PP/OnlineFirst/141960","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/141960","url":null,"abstract":"Functional Disorders are common medical problems both in primary and in secondary health care. The mechanisms that cause symptoms such as primary pain, fatigue, dizziness are still unknown. Various classifications, including ICD-10 or DSM-5, describe these conditions differently, and new proposals are being developed e.g. in ICD-11, RDoC. Many controversies are evoked by lack of unequivocal explanatory theory. The early psychoanalytical concept has been modified by other explanations, such as immunological abnormalities, dysfunction of vegetative system and HPA axis, central sensitization, diverted processes of perception or predictive processes within cognitive homeostasis dysregulation. Insufficient scientific evidence makes therapies unsuccessful and justifies further study. Psychotherapy, pharmacology and complementary medicine are supplemented by new experimental methods of treatment connected with progress in neuroscience. The recently developed non-invasive Transcranial Direct Current Stimulation (tDCS), Transcranial Magnetic Stimulation (TMS) and - neurofeedback (EEG-NF), based on EEG registration, are undergoing tests. Applying complex mathematical algorithms to localized bioelectrical signal sources makes it possible to modulate and reshape connections of neuronal networks within specific cortex areas. This article presents the current state of knowledge concerning functional disorders, highlighting the ways in which different definitions of FD have an impact on approaches to treatment.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"57 2","pages":"421-430"},"PeriodicalIF":1.7,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676563","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

Between submission and pain. Shades of BDSM practices. 在屈服和痛苦之间。BDSM实践的阴影。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/138632

Grzegorz Iniewicz, Anna Niebudek

引用次数: 0

Anal dyspareunia - biological and psychosocial correlates of painful anal intercourses in population. 肛门性交困难——人群中肛门性交疼痛的生物学和社会心理相关因素。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/145891

Aleksandra Plewka, Dominik Haak

引用次数: 1

Psychometric Evaluation of the Polish adaptation of a Self-Report Form of the DSM-5 Level of Personality Functioning Scale (LPFS-SR). DSM-5人格功能水平量表(LPFS-SR)自我报告表波兰版的心理测量学评价。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/142888

Patryk Łakuta, Jan Cieciuch, Włodzimierz Strus, Leslie C Morey

{"title":"Psychometric Evaluation of the Polish adaptation of a Self-Report Form of the DSM-5 Level of Personality Functioning Scale (LPFS-SR).","authors":"Patryk Łakuta, Jan Cieciuch, Włodzimierz Strus, Leslie C Morey","doi":"10.12740/PP/OnlineFirst/142888","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/142888","url":null,"abstract":"Objectives: This study examined psychometric properties of the Polish adaptation of a Self-Report Form of the DSM-5 Level of Personality Functioning Scale (LPFS-SR). It is a scale designed to measure general impairment, jointly with a detailed assessment of distinguished components of personality functioning characterized in terms of disturbances in self (identity and self-direction) and interpersonal (empathy and intimacy) functioning - Criterion A in the DSM-5 Alternative Model for Personality Disorders (AMPD).Methods: The study involved a non-clinical sample of N = 242 adults (52.9% female; Mage = 30.63 years; SDage = 11.81 years). To provide an evaluation of the criterion validity, Personality Inventory for DSM-5 (PID-5), Personality Inventory for ICD-11 (PiCD), Level of Personality Functioning Scale - Brief Form 2.0 (LPFS-BF 2.0), and Big Five Inventory-2 (BFI-2) were administered.Results: Our data supported that identity, self-direction, intimacy, and empathy components of the LPFS-SR can be characterized by a single, global dimension of personality dysfunction, consistent with the assumption that DSM-5 Criterion A is a relatively homogeneous construct. The LPFS-SR showed good reliability estimates and demonstrated conceptually sound associations with the PD severity index and related measures of personality functioning. Moreover, all the LPFS-SR components manifested at least partial distinction from maladaptive personality traits (i.e., Criterion B in the DSM-5 AMPD).Conclusions: These findings provide support for the validity of the Polish adaptation of the LPFS-SR as an operationalization of impairment in the core and common features of personality pathology described in the DSM-5 alternative model.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"57 2","pages":"261-274"},"PeriodicalIF":1.7,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064721","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: 1

Gut microbiota and intestinal barrier-related markers in patients with anorexia nervosa: Systematic review. 神经性厌食症患者的肠道微生物群和肠道屏障相关标志物:系统综述。

IF 1.7 4区医学

Psychiatria polska Pub Date : 2023-04-30 DOI: 10.12740/PP/OnlineFirst/140069

Joanna Rog, Karolina Skonieczna-Żydecka, Dariusz Juchnowicz, Olga Padała, Igor Łoniewski, Barbara Budzyńska, Hanna Karakula-Juchnowicz

{"title":"Gut microbiota and intestinal barrier-related markers in patients with anorexia nervosa: Systematic review.","authors":"Joanna Rog, Karolina Skonieczna-Żydecka, Dariusz Juchnowicz, Olga Padała, Igor Łoniewski, Barbara Budzyńska, Hanna Karakula-Juchnowicz","doi":"10.12740/PP/OnlineFirst/140069","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/140069","url":null,"abstract":"The aim of this systematic review was to determine: 1. alternations of gut microbiota community; 2. intestinal barrier-related markers; 3. relationship between the intestinal ecosystem and health-related factors in AN individuals. We conducted a systematic literature search (PubMed/Embase/ClinicalTrials registry) until 30 September 2020 for studies reporting gut microbiome and intestinal barrier-related markers in patients with AN. Six studies on intestinal microbiota were eligible for this review, including three papers also describing intestinal barrier markers. Among five studies analyzing microbiota diversity, four of them found differences between AN patients and healthy controls (HC). The studies confirm alterations of the markers, which can affect intestinal barrier integrity of patients with ED. The systematic review confirms changes in the gut ecosystem of patients with eating disorder, without a clear consensus of microbiota patterns in AN. Damage of intestinal barrier integrity is poorly documented in AN patients and needs more attention in further studies.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"57 2","pages":"355-374"},"PeriodicalIF":1.7,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064722","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: 1