Psychiatria polska最新文献_第2页

Psychiatric disorders among adolescents residing at Youth Educational Centers in Silesia in Poland. 居住在波兰西里西亚青年教育中心的青少年的精神疾病。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-08-30 DOI: 10.12740/PP/OnlineFirst/207301

Karolina Zofia Kamińska, Michał Ciołek, Izabela Rosół, Magdalena Matlakiewicz, Maria Potaczek, Lena Cichoń, Krzysztof Maria Wilczyński, Małgorzata Janas-Kozik

{"title":"Psychiatric disorders among adolescents residing at Youth Educational Centers in Silesia in Poland.","authors":"Karolina Zofia Kamińska, Michał Ciołek, Izabela Rosół, Magdalena Matlakiewicz, Maria Potaczek, Lena Cichoń, Krzysztof Maria Wilczyński, Małgorzata Janas-Kozik","doi":"10.12740/PP/OnlineFirst/207301","DOIUrl":"10.12740/PP/OnlineFirst/207301","url":null,"abstract":"Objectives: In Polish Youth Educational Centres underage individuals exhibiting signs of delinquency are accommodated. A significant concern is the presence of mental health disorders among these institutions' residents, which may influence their rehabilitation process. The aim of this study was to evaluate the prevalence of mental health disorders among residents of Youth Educational Centres in the Silesian Voivodeship.Methods: The study was conducted between February and November 2022 in two Youth Educational Centres located in the Silesian Voivodeship. 80 individuals participated in the study (60% boys, 40% girls). Participation was voluntary and anonymous. A semi-structured psychiatric interview K-SADS-PL was employed, incorporating questionnaires covering mania, depression, conduct disorders, and substance use disorders.Results: Among the study participants, 12.5% (n = 10) had been diagnosed with mental disorders prior to the start of the study. Criteria for Major Depressive Disorder were met by 26.25% of participants, including 20.8% of boys and 34.37% of girls, with irritability reported in 19 of the 21 individuals diagnosed with depression. Conduct disorders were observed in 52.5% of participants. Furthermore, 39% of respondents consumed alcohol at least three times per week, and 70% used cannabis at least once a week.Conclusions: Research on the mental health of adolescents in Youth Educational Centres in Poland highlights a high prevalence of depressive disorders and problematic patterns of psychoactive substance use among residents, which may negatively impact their functioning and prognosis. Interventions are essential to facilitate beneficial behavioural changes in these minors and to counteract their demoralisation.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"655-668"},"PeriodicalIF":1.5,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542029","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

Temperament traits based on TEMPS-A scale and the use of CBD and other psychoactive substances and medications - an original study. 基于TEMPS-A量表和使用CBD和其他精神活性物质和药物的气质特征-一项原创研究。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-08-30 DOI: 10.12740/PP/OnlineFirst/203503

Patryk Rodek, Aleksandra Barabasz-Gembczyk, Wojciech Mędrala, Helena Perenc, Karolina Pasieka, Weronika Wojtowicz, Przemysław Szyszka, Fabian Wesołek, Krzysztof Kucia

{"title":"Temperament traits based on TEMPS-A scale and the use of CBD and other psychoactive substances and medications - an original study.","authors":"Patryk Rodek, Aleksandra Barabasz-Gembczyk, Wojciech Mędrala, Helena Perenc, Karolina Pasieka, Weronika Wojtowicz, Przemysław Szyszka, Fabian Wesołek, Krzysztof Kucia","doi":"10.12740/PP/OnlineFirst/203503","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/203503","url":null,"abstract":"Objectives: To determine the relationship between the use of CBD, other psychoactive substances and medications, and temperament traits according to the TEMPS-A scale.Methods: A total of 173 individuals completed an online survey that included the TEMPS-A questionnaire and questions regarding socio-demographic characteristics, CBD use, other psychoactive substances, and medications. Statistical analysis was performed using Statistica 13. The Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis ANOVA, Chi2 test, and regression analysis were applied.Results: No significant differences in temperament traits were found between the CBD- using and non-CBD-using groups, regardless of the form in which CBD was used. The use of more than three psychoactive substances or medications was associated with greater hyperthymic and cyclothymic temperament. CBD users were more likely to smoke marijuana and cigarettes, and less likely to use non-opioid analgesics. Smoking marijuana was associated with lower levels of depressive temperament, while the use of painkillers, opioids and benzodiazepines was associated with higher levels of anxious temperament.Conclusions: CBD users did not differ in temperament from the control group, although correlations between the severity of temperament traits and the use of other substances and medications were observed. CBD use was associated with more frequent smoking of cigarettes and marijuana, and less frequent use of painkillers.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"60 4","pages":"669-698"},"PeriodicalIF":1.5,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138090","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

Letter to the Editor. Review of Community Psychiatry, edited by Andrzej Cechnicki and Jacek Wciórka, PZWL, Warsaw 2025. 给编辑的信。《社区精神病学评论》，由Andrzej Cechnicki和Jacek编辑Wciórka， PZWL，华沙2025。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/220387

Krzysztof Gierowski

引用次数: 0

Editorial. 社论。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/231533

Dominika Dudek, Jerzy A Sobański, Katarzyna Klasa

引用次数: 0

Treating PTSD in a cognitive-behavioural paradigm. 用认知-行为范式治疗PTSD。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/203770

Valentina Fedorovich

{"title":"Treating PTSD in a cognitive-behavioural paradigm.","authors":"Valentina Fedorovich","doi":"10.12740/PP/203770","DOIUrl":"https://doi.org/10.12740/PP/203770","url":null,"abstract":"Significant advances have been made over the past two decades, associated with an increase in methodologically advanced research, into the treatment of post-traumatic stress disorder (PTSD). However, interest in the topic of PTSD has not only not waned, but seems to be gaining strength. The main reason for this is the difficulty in clearly defining the phenomenon, which is related to the constant updating of the criteria for post-traumatic stress disorder in medical classifications. The search for general standards and methods of measuring this disorder in relation to the age of the patient is another area of dispute among specialists. The conceptualization of the patient's problem, on the other hand, is based on knowledge of psychopathology, which describes the mechanisms of formation and maintenance of disorders. The accuracy of the conceptualization is linked to appropriate psychotherapeutic interventions that result in the patient's improvement or recovery. Cognitive models of PTSD largely explain the functioning of people after traumatic life events. This paper presents the classic transaction model of stress and coping by Richard S. Lazarus and Susan Folkman, Anke Ehlers and David Clark's cognitive model of persistent PTSD, and the cognitive model of processing trauma according to Brewin et al. In addition, cognitive-behavioral psychotherapy methods with empirically proven efficacy in the treatment of PTSD in children, adolescents and adults are reviewed. However, psychotherapy models and programs for children and adolescents with PTSD are mostly a modified version of an adult PTSD treatment and require further clinical development. In addition, due to the introduction by WHO of a new nosological entity in the form of complex PTSD, new theoretical models, diagnostics tools, and validated methods are needed to help treat this disorder.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"60 3","pages":"349-366"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138057","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

Neurobiological etiology of impulsivity in the context of aggressive behaviors in schizophrenia. 精神分裂症患者攻击行为中冲动性的神经生物学病因。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/205876

Przemysław Norbert Cynkier, Filip Tomczuk, Janusz Heitzman

{"title":"Neurobiological etiology of impulsivity in the context of aggressive behaviors in schizophrenia.","authors":"Przemysław Norbert Cynkier, Filip Tomczuk, Janusz Heitzman","doi":"10.12740/PP/205876","DOIUrl":"https://doi.org/10.12740/PP/205876","url":null,"abstract":"The main aim of the article was to show the importance of impulsivity as a background to aggressive behaviour displayed by people on the schizophrenia spectrum with particular attention to its biological determinants, including genetic ones. Imaging tests of the central nervous system allow for locating the centres responsible for particular types of impulsiveness and for modulating impulsive reactions. Excessive impulsivity may be attributed to disturbances in serotoninergic, dopaminergic, and noradrenergic neurotransmission, as well as disrupted functioning of other neurochemical pathways due to genetic alterations (COMT, Ala72Ser, Val158Met, C957T, SLC6A4). Features indicating genetic diversity have been observed among people showing different forms of increased impulsiveness: motor, cognitive and lack of planning, which can be explained at the molecular level. Predicted to be among genes that predispose to mental and neurodevelopmental disorders accompanied by intense impulsiveness contributing to aggressive behaviour include neuroligins and neurexins. The basis for such hypotheses is provided by the results of analyses conducted on animal models. It should be assumed that the results of further genetic tests in this area will allow for a more precise determination of the risk of aggression from perpetrators with psychotic disorders. This will lead to development of more effective and individualized therapeutic programmes aimed at reducing the risk of dangerous behaviour in this group of offenders, more efficient implementation of protective measures, and thus reduce costs of psychiatric treatment of insane perpetrators of prohibited acts.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"60 3","pages":"399-412"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138082","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

Sensory processing disorder in individuals with psychiatric diagnoses - A literature review. 精神病患者的感觉加工障碍-文献综述。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/OnlineFirst/205726

Natalia Grobelna, Radosław Rutkowski, Filip Rybakowski, Janusz Rybakowski, Ewa Ferensztajn-Rochowiak

{"title":"Sensory processing disorder in individuals with psychiatric diagnoses - A literature review.","authors":"Natalia Grobelna, Radosław Rutkowski, Filip Rybakowski, Janusz Rybakowski, Ewa Ferensztajn-Rochowiak","doi":"10.12740/PP/OnlineFirst/205726","DOIUrl":"10.12740/PP/OnlineFirst/205726","url":null,"abstract":"The paper aims to present the relationship between sensory processing disorder (SPD) and psychiatric disorders, the resulting practical implications, and possible future research directions. Previous research has shown a significant relationship between SPD and a wide range of disorders, from the autism spectrum to affective and anxiety disorders and schizophrenia. Assessing SPD according to Winnie Dunn's Four Quadrant Model, identifies 4 types of sensory processing: Low Registration, Sensation Seeking, Sensory Sensitivity, and Sensation Avoiding. The model allows analysis of the functioning of people with psychiatric disorders, highlighting the importance of diagnosis and sensory therapy as an important component of support in psychiatric treatment. Understanding these relationships is essential for developing more effective therapeutic strategies that take into account the specificity of sensory processing in people with psychiatric disorders. The article highlights the potential benefits of using sensory therapy as an adjunct to traditional treatments and also underscores the need for further research to better understand the complexity of the relationship between SPD and psychiatric disorders, which could help improve patients' quality of life.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"509-532"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308927","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 interrater reliability of violence risk assessment using HCR 20 Version 3 and SAPROF in a sample of Polish forensic psychiatric patients and prison inmates. 在波兰法医精神病患者和监狱囚犯样本中使用HCR 20版本3和SAPROF进行暴力风险评估的互译者信度。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/205231

Marlena Banasik, Agnieszka Welento-Nowacka, Agnieszka Wojtowicz, Józef Krzysztof Gierowski

{"title":"The interrater reliability of violence risk assessment using HCR 20 Version 3 and SAPROF in a sample of Polish forensic psychiatric patients and prison inmates.","authors":"Marlena Banasik, Agnieszka Welento-Nowacka, Agnieszka Wojtowicz, Józef Krzysztof Gierowski","doi":"10.12740/PP/205231","DOIUrl":"https://doi.org/10.12740/PP/205231","url":null,"abstract":"Objectives: The aim of the study was to validate the reliability of the Historical Clinical Risk Management-20 Version 3 (HCR-20 V3) and the Structured Assessment of Protective Factors (SAPROF) assessment tools for use in Polish forensic psychiatry and penitentiary settings. Despite their global popularity and Polish-language adaptations, these methods remain underutilized in Poland.Methods: Data were collected with HCR-20 V3 and SAPROF from 401 male subjects, including forensic psychiatric patients and inmates, between 2020 and 2023. Assessments were conducted twice, six months apart, and they were independently analyzed by three trained investigators to calculate interrater reliability using Krippendorff's alpha.Results: The results demonstrated very good interrater reliability for historical risk assessments across groups. Reliability was slightly lower for clinical and dynamic risk factors, reflecting challenges in evaluating factors without direct contact with subjects. For inmates, limited psychological support and systemic post-release aid influenced the reliability of risk management evaluations. In contrast, external protection assessments were more reliable in inmates than forensic psychiatric patients, whose outcomes depended on uncertain post-release supervision and therapy availability.Conclusions: In the study, the importance was highlighted of integrating protective factors into risk assessments and it was confirmed that HCR-20 V3 and SAPROF produce reliable results when used by trained professionals. These findings address concerns among Polish practitioners regarding potential biases in SPJ tools. High interrater reliability of final risk and protection assessments reinforces the potential for broader adoption of these tools in Poland.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"60 3","pages":"367-382"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138134","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

Continuous glucose monitoring as a tool for psychological support - exploring metabolic control and psychological well-being after initial cgm implementation in adults with type 1 diabetes. 持续血糖监测作为心理支持的工具-探索成人1型糖尿病患者初始cgm实施后的代谢控制和心理健康。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/OnlineFirst/205875

Bartłomiej Matejko, Anna Drynda, Katarzyna Cyranka, Anna Juza, Katarzyna Nabrdalik, Hanna Kwiendacz, Paulina Szromek-Białek, Alina Strzała-Kłeczek, Aleksandra Araszkiewicz, Janusz Gumprecht, Dorota Zozulińska-Ziółkiewicz, Maciej Małecki, Tomasz Klupa

{"title":"Continuous glucose monitoring as a tool for psychological support - exploring metabolic control and psychological well-being after initial cgm implementation in adults with type 1 diabetes.","authors":"Bartłomiej Matejko, Anna Drynda, Katarzyna Cyranka, Anna Juza, Katarzyna Nabrdalik, Hanna Kwiendacz, Paulina Szromek-Białek, Alina Strzała-Kłeczek, Aleksandra Araszkiewicz, Janusz Gumprecht, Dorota Zozulińska-Ziółkiewicz, Maciej Małecki, Tomasz Klupa","doi":"10.12740/PP/OnlineFirst/205875","DOIUrl":"10.12740/PP/OnlineFirst/205875","url":null,"abstract":"Objectives: The initiation of reimbursement for intermittently scanned continuous glucose monitoring (isCGM)/ continuous glucose monitoring (CGM) for those 26 and older could greatly benefit people with type 1 diabetes (PwT1D). The aim of the study was to assess changes in quality of life, metabolic control, fear of hypoglycemia and selected psychological parameters after 3 months of implementation of the isCGM/CGM in PwT1D aged 26 and above.Methods: The study involved 57 PwT1D from five diabetology centers. To be included in the study, each participant had to be at least 26 years old, have a minimum of two years of diabetes history. Participants completed a set of validated questionnaires including the FSH-II, DDS, PSS10, DTSQs, WHO-5, PAID, DBQ, and a sociodemographic survey. They also downloaded pump/glucometer data and underwent HbA1c measurement at the beginning and again at the end of the study.Results: PwT1D reported higher treatment satisfaction measured by DTSQs. Well-being assessment according to WHO-5 was also higher, and the level of diabetes burnout measured by DBQ, fear of hypoglycemia assessed by HFS-II significantly decreased. Diabetic distress measured by means of total score of DDS lowered. Participants scored also lower on PAID upon follow up. The HbA1c level after three months of using the CGM system was significantly lower.Conclusions: The use of isCGM/CGM, even during relatively short observation, leads to improved quality of life, reduced fear of hypoglycemia and diabetes burnout, and lower HbA1c levels in PwT1D over the age of 26 who were naïve to this technology.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"473-491"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761129","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

Psychological and psychiatric service use among family caregivers of individuals with Angelman Syndrome: A cross-sectional study. 天使综合症患者家庭照顾者的心理和精神服务使用：一项横断面研究。

IF 1.5 4区医学

Psychiatria polska Pub Date : 2026-06-30 DOI: 10.12740/PP/OnlineFirst/206031

Jan Domaradzki, Karolina Pospieszyńska-Martysiuk, Hanna Dianow, Joanna Węgrzyn, Dariusz Walkowiak

{"title":"Psychological and psychiatric service use among family caregivers of individuals with Angelman Syndrome: A cross-sectional study.","authors":"Jan Domaradzki, Karolina Pospieszyńska-Martysiuk, Hanna Dianow, Joanna Węgrzyn, Dariusz Walkowiak","doi":"10.12740/PP/OnlineFirst/206031","DOIUrl":"10.12740/PP/OnlineFirst/206031","url":null,"abstract":"Objectives: This study aims to assess the perceived impact of caregiving for persons with Angelman Syndrome (AS) on the health of family caregivers and the extent and costs of using psychological and psychiatric services.Methods: An anonymous, computer-assisted online survey among 84 family caregivers was conducted in collaboration with the Foundation for Angelman Syndrome Therapeutics Poland.Results: 86.9% of caregivers experienced a negative impact of long-term caregiving on their physical and mental health. Many parents neglected their own health needs, including undergoing medical examinations (81%), taking prescribed medications (41.7%), engaging in physical activity (81%), and maintaining healthy dietary habits (53.5%). 63.1% of parents reported seeking specialist consultations or participating in health-related interventions, while 33.3% used professional psychological and psychiatric care, including pharmacotherapy (15.5%). A correlation was observed between the use of psychological and psychiatric ser- vices and both the age of the individual with AS and the occurrence of epileptic seizures in the past year. Most of the costs of the parents' psychological and psychiatric care incurred in 2024 were covered by private funds. While the total expenditure for such care amounted to 32,604.50 Euros, 96.2% of this sum was paid exclusively out of pocket.Conclusions: To alleviate caregiver stress and burden, there is an urgent need to develop effective interventions and emotional support systems for caregivers. It is necessary to adopt a comprehensive approach to the mental health of families of individuals with AS, incorporating professional psychological and psychiatric care. Additionally, adjustments in the reimburse ment system for psychiatric services provided to caregivers are needed.","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"493-508"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678538","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