Psychiatria polska最新文献

{"title":"When eating inedible things: Determining the prevalence of pica disorder in a group of Polish adolescents aged 15-19 years.","authors":"Michał Kamil Górski, Renata Polaniak, Beata Całyniuk, Marta Buczkowska, Joanna Fojcik, Jolanta Borowska-Malinowska, Joanna Domagalska, Katarzyna Antoniak-Sobczak, Karolina Górska, Judyta Pluta, Lucyna Ścisło","doi":"10.12740/PP/OnlineFirst/202942","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/202942","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the prevalence of pica among Polish adolescents aged 15-19 years, to identify the most commonly consumed inedible substances, and independent factors that increase the risk of pica.</p><p><strong>Methods: </strong>The study was conducted with the participation of 1,696 secondary school students from all over Poland. Multiple random sampling was used. A three-part self-designed questionnaire, which included recall questions, diagnostic questions for pica disorder and an assessment of mental state was used in the study. The study assessed the relationships between selected variables, characteristics for other eating disorders, and drinking (e.g. place of residence, level of physical activity, having siblings or level of parental education). The questionnaire was validated before the study.</p><p><strong>Results: </strong>3.2% of respondents ate starch in the form of raw flour, paper or tissue, 5.7% ate nasal discharge and 0.2% ate glass particles. 1.5% of respondents needed to see a specialist because they had eaten a non-nutritive substance. 10% of respondents characterized the severity of family stress above the 90th percentile, similarly, 9.4% of respondents described the high severity of school stress. 37.1% of the respondents engaged in self-injurious behavior.</p><p><strong>Conclusions: </strong>Diagnostic criteria for pica were met by 5.7% of respondents. The most common non-nutritive substances consumed by respondents were: nasal discharge, raw starch and hair. Independent factors that increased the risk of pica included living in a city, the presence of self-aggressive behavior, the presence of suicidal thoughts and high levels of stress at school.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-18"},"PeriodicalIF":1.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837427","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":"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":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Letter to the Editorial Office. Institutional Isolation and the Mental Health of Minors in Resocialization Facilities.","authors":"Anna Dąbrowska","doi":"10.12740/PP/199866","DOIUrl":"https://doi.org/10.12740/PP/199866","url":null,"abstract":"","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"161-164"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668143","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":"Observing patient rights in the area of psychiatric health care in the era of the COVID-19 pandemic.","authors":"Dariusz Zawadzki, Agnieszka Ciastkowska-Berlikowska","doi":"10.12740/PP/175653","DOIUrl":"https://doi.org/10.12740/PP/175653","url":null,"abstract":"<p><strong>Objectives: </strong>The work concerns the assessment of compliance with patient rights in the area of psychiatric health care during the COVID-19 pandemic.</p><p><strong>Methods: </strong>The analysis of compliance with patients' rights was made on the basis of complaints submitted to the Office of the Patient Ombudsman. Reports sent to the Department of Mental Health regarding suspected non-compliance with patient rights were retrospectively analyzed. Structure and dynamics indicators were used to assess changes over time.</p><p><strong>Results: </strong>After analyzing reports since 2020, we have observed a decrease in the number of cases considered by the Department of Mental Health. In 2021, for all rights, there was a decline in the number of applications processed. According to reports on the observance of patients' rights in the area of psychiatric health care, this may be due to the lack of possibility of personal contact with the Psychiatric Hospital Patient Ombudsman. In addition, during the pandemic, a reduction in the number of cases was observed, which was related to limited access to in-person contact. The scope of reported cases also changed during the pandemic. In the years 2018-2021, most cases concerned assistance in asserting rights in matters related to admission, treatment, conditions of stay and discharge from psychiatric hospitals.</p><p><strong>Conclusions: </strong>Regarding the scope of applications and complaints considered under the provisions of the Act on Patient Rights and the Patient Ombudsman in 2018-2021, most cases concerned the right to health services, followed by the right to information about one's health and the right to consent to the provision of health services. In the case of applications and complaints considered under the provisions of the Mental Health Protection Act in the years 2018-2021, most cases concerned admission and treatment without consent in a psychiatric hospital, the use of direct coercion in accordance with specific regulations and discharge from the hospital of a person treated with consent.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"61-76"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668144","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":"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":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"The influence of the Snoezelen method on postural stability and the risk of falls in people with paranoid schizophrenia.","authors":"Urszula Żmudzińska, Agnieszka Smrokowska-Reichmann, Anna Ścisłowska-Czarnecka, Magdalena Markowska, Katarzyna Filar-Mierzwa","doi":"10.12740/PP/188582","DOIUrl":"https://doi.org/10.12740/PP/188582","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to describe the changes in the postural stabilisation, quality of life, cognitive functions and behaviour of patients with paranoid schizophrenia who have undergone the Snoezelen therapy and the auctorial sensorimotor exercise program.</p><p><strong>Methods: </strong>The study was conducted on 55 patients aged 55 to 75 years. Group S underwent therapy in the Snoezelen room for nine weeks, group ES underwent the Snoezelen therapy and were also subjected to auctorial sensorimotor exercise programme, and group C were not given any therapeutic intervention. The Biosway portable balance system, the Berg Balance Scale, Tinetti Test and the Timed Up & Go Test were used to evaluate the effects of the therapy.</p><p><strong>Results: </strong>In group ES, statistically significant changes were observed in all tested indicators; in group S such changes were observed in the Limit of Stability test, Tinetti Test and TUG test; while in group C, no statistically significant changes were found.</p><p><strong>Conclusions: </strong>The Snoezelen therapy had a significant impact on changes in postural control rations and a reduced risk of falls. The auctorial sensorimotor exercise programme increased the impact of the Snoezelen room on postural stability measured using the Biosway platform and the risk of falls assessed using the TUG test.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"25-38"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668146","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":"The psychological functions of tattooing in relation to mental body representations and self-esteem in women in emerging adulthood.","authors":"Beata Mirucka, Klaudia Jabłońska, Wacław Bąk","doi":"10.12740/PP/188016","DOIUrl":"https://doi.org/10.12740/PP/188016","url":null,"abstract":"<p><strong>Objectives: </strong>Tattooing as a permanent way of modifying the body is most likely to be closely related to the way the bodily self is experienced. Previous research in tattooed people has mainly addressed their self-esteem and sense of uniqueness. In contrast, the elaboration of bodily experiences in the form of mental representations: body image, body schema and sense of body have rarely been addressed. To date, the psychological functions of tattooing and the associated psychological mechanisms underlying the acts of tattooing have also not been explored. The research presented here is an attempt to fill this lack. Their main aim was to explore the associations of the psychological functions of tattooing with psychological representations of the body and self-esteem in women in emerging adulthood.</p><p><strong>Methods: </strong>The following methods were used in the study: (1) The Tattoo Psychological Function Questionnaire, (2) The Battery of Tests of The Body Psychological Representations BT-BSR and (3) Rosenberg's Self-Esteem Scale (SES).</p><p><strong>Results: </strong>Depending on the arrangement of the psychological functions of tattooing, the subjects differed in terms of psychological representations of the body and self-esteem. Women in whom the domina nt function of the tattoo was the expression of emotions were characterised by weaker mental representations of the body (body image, body schema and sense of body), as well as a lower level of self-esteem compared to women in whom the dominant function of the tattoos was self-creation.</p><p><strong>Conclusions: </strong>The present study shows that among women with tattoos there are significant differences in the way the body is experienced as expressed in mental representations of the body. The pattern of mental functions of tattoos in which expression of emotion dominates over self-creation remains significantly related to weaker body image, body schema and sense of body, as well as to lower levels of self-esteem.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"105-122"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668147","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":"Satisfaction with women's body image after childbirth and its relation to eating disorders: A cross-sectional study in Silesia Province, Poland.","authors":"Karolina Helena Krupa-Kotara, Paulina Helisz, Weronika Gwioździk, Maria Kujawińska, Mateusz Krystian Grajek, Eliza Działach, Jarosław Markowski","doi":"10.12740/PP/189457","DOIUrl":"https://doi.org/10.12740/PP/189457","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the potential increased risk of eating disorders among women during the first year after childbirth.</p><p><strong>Methods: </strong>In this study involving 288 women between the ages of 21 and 45, the SCOFF questionnaire was used. This tool was used to evaluate and analyse the collected responses, using a predetermined dataset. After data collection, in-depth statistical analysis was performed using Statistica 13.3 software. Analytical techniques included the χ2 test, Kruskal-Wallis rank ANOVA and Mann-Whitney U test.</p><p><strong>Results: </strong>The results were considered statistically significant at a threshold of p ≤ 0.05. The results underscore that most women have concerns about their postpartum weight. The infant feeding method showed a clear correlation with satisfaction with current body weight. Women who chose to breastfeed were more likely to report satisfaction with their body weight. Interestingly, about 50% of female respondents showed a predisposition to developing an eating disorder.</p><p><strong>Conclusions: </strong>This propensity appears to depend on variables such as the chosen method of feeding the baby, weight satisfaction and body mass index (BMI). To ensure the well-being of both mothers and infants, a comprehensive study of eating disorders in the perinatal phase is necessary. There is therefore an urgent need for educational initiatives that include mental well-being and nutritional knowledge, targeting pregnant and postpartum women.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"89-103"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668145","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":"Letter to the Editor. Civic policy in mental health care, or the \"culture of trust.\"","authors":"Andrzej Cechnicki","doi":"10.12740/PP/199865","DOIUrl":"https://doi.org/10.12740/PP/199865","url":null,"abstract":"","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"153-159"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668142","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/203642","DOIUrl":"https://doi.org/10.12740/PP/203642","url":null,"abstract":"<p><p>No summary.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"59 1","pages":"3-4"},"PeriodicalIF":0.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668141","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}