Psychiatria polska最新文献

{"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":"https://doi.org/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":"1-18"},"PeriodicalIF":0.9,"publicationDate":"2024-12-10","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}

{"title":"The influence of mindfulness training in virtual reality on symptom severity and cognitive functioning of patients with schizophrenia and schizoaffective psychosis - a case series pilot study.","authors":"Iga Plencler, Stanisław Radoń, Andrzej Cechnicki, Przemysław Stankiewicz, Artur Daren, Aneta Kalisz, Piotr Błądziński, Marcin Siwek","doi":"10.12740/PP/OnlineFirst/194444","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/194444","url":null,"abstract":"<p><strong>Objectives: </strong>An idiographic evaluation of the effectiveness of including Mindfulness Skills Training in Virtual Reality (MST-VR) in the treatment of patients with schizophrenia disorders and its comparison with the results of a group effects analysis.</p><p><strong>Methods: </strong>Twenty-five patients with schizophrenia and schizoaffective psychosis were assessed at 4-week intervals (one month before training, at the beginning and the end of training) using: Positive and Negative Syndrome Scale (PANSS-6), Quick Inventory of Depressive Symptomatology (QIDS), Beck Depression Inventory (BDI®-II), Beck Anxiety Inventory (BAI), State-Trait Anxiety Inventory (STAI), Perceived Stress Scale (PSS-10) and Addenbrooke's Cognitive Examination III (ACE-III). The Reliable Change Index (RCI) was used for statistical evaluation, and Cohen's d was used to assess effect size.</p><p><strong>Results: </strong>Twenty patients (80%) achieved improvements in the severity of general symptoms, positive and negative symptoms, stress, anxiety, depression, and cognitive functioning. Individual patients showed deterioration in anxiety (2 patients, 8%) and stress (1 patient, 4%). The RCI method showed greater sensitivity in detecting changes than standard monographic statistical methods.</p><p><strong>Conclusions: </strong>The MST-VR intervention as an adjunctive treatment for patients with schizophrenia and schizoaffective psychosis is safe and beneficial. The RCI method is valuable in assessing the dynamics of individual patient outcomes.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-12"},"PeriodicalIF":1.1,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041122","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":"Psychiatrists' reactions to a patient's suicide - narrative review.","authors":"Zuzanna Joanna Wingralek, Karol Kasprzak, Agnieszka Dyzma-Kasprzak, Dariusz Juchnowicz, Hanna Karakuła-Juchnowicz","doi":"10.12740/PP/OnlineFirst/193253","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/193253","url":null,"abstract":"<p><strong>Introduction: </strong>The suicide of a patient can have a profound impact on the emotional state and professional practice of clinicians. The aim of the study was to: (1) determine the prevalence of the psychiatrists' experience of patient suicide; (2) compare doctors' responses to the patient's death conditioned by various causes; (3) identify the impact of patient suicide on the emotional state and professional practice of psychiatrists; (4) identify possible interventions and mental support for doctors.</p><p><strong>Material and methods: </strong>A comprehensive review of literature in Polish and English was conducted, sourcing from PubMed and Google Scholar with keywords: \"patient suicide\", \"psychiatrists' reactions\" and \"mental support\" databases from 1983 to 7 March 2024. A total of 56 publications, including 41 original research papers and 15 review articles, were analysed using the SANRA scale to ensure the quality of the review.</p><p><strong>Results: </strong>Between 38.8% and 91.5% of psychiatrists experienced patient suicide in their practice, which involved the following consequences: (1) a change in emotional state (the appearance of sadness, fear, disbelief, anger, grief, shame; less often stress reaction and the syndrome of post-traumatic stress disorder); (2) impact on professional practice (doubt in one's competence, fear of professional responsibility or criticism, increased number of consultations, excessive compliance with safety measures, too frequent hospitalisations of patients). Adequate mental support, including especially from more experienced colleagues and loved ones, significantly reduced the negative reactions of doctors.</p><p><strong>Conclusions: </strong>It is important to recognise the problem of the enormous emotional burden of a patient suicide death on psychiatrists and the impact on their professional practice, as well as building among them an efficient training and mental support system.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-16"},"PeriodicalIF":0.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606225","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 association between beta-blockers use and depression - narrative review.","authors":"Kamila Tokarczyk, Karolina Sas, Magdalena Piegza","doi":"10.12740/PP/OnlineFirst/192685","DOIUrl":"https://doi.org/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":"1-15"},"PeriodicalIF":0.9,"publicationDate":"2024-11-27","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}

{"title":"Can AI-assisted therapy (PARO robot) be a treatment option for children hospitalised in an acute mental health ward?","authors":"Agnieszka Kałwa, Lidia Popek, Natasza Żurowska, Monika Opidowicz, Katarzyna Malinowska, Agata Jabłońska, Jakub Wojtasik, Alina Borkowska","doi":"10.12740/PP/OnlineFirst/188053","DOIUrl":"https://doi.org/10.12740/PP/OnlineFirst/188053","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to assess changes that occur in the behavioural and emotional sphere in psychiatrically hospitalised children with serious self-aggressive tendencies after therapy using interaction with the PARO therapeutic robot.</p><p><strong>Methods: </strong>The study is of a pilot and observational nature. It was carried out over the course of three weeks. It included patients admitted to a psychiatric hospital due to threats to life and health, who were divided, by randomisation, into an experimental group (working with the PARO robot) and a control group (working with a plush toy). The methods used were related to both external observation and children's self-description.</p><p><strong>Results: </strong>The results suggest that interaction with the PARO robot can increase positive and decrease negative emotions. This is also related to the increase in the number of interactions between children.</p><p><strong>Conclusions: </strong>The study results encourage further activities in the area of introducing artificial intelligence as a therapeutic potential that can be used by children with mental disorders hospitalised due to threats to life and health.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"1-10"},"PeriodicalIF":0.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625722","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 role of selected polymorphisms in regulation of gene CD38 expression and their effect on the clinical picture of autism spectrum disorders - preliminary study.","authors":"Krzysztof Maria Wilczyński, Aleksandra Auguściak-Duma, Lena Cichoń, Aleksandra Stasik, Małgorzata Janas-Kozik","doi":"10.12740/PP/OnlineFirst/166125","DOIUrl":"10.12740/PP/OnlineFirst/166125","url":null,"abstract":"<p><strong>Objectives: </strong>Clinical effects observed in cases of oxytocin deficiency can also manifest themselves in disorders of mechanisms responsible, for example, for its secretion. For oxytocin, this function is played by - among others - the cluster of differentiation antigen 38 (CD38). Existing literature along with the correlation between protein CD38 and oxytocin secretion raise interest in the context of their possible relation to the clinical picture and development of the autism spectrum disorders (ASD). The aim of the study was to analyze the correlations between polymorphisms rs3796863 and rs6449197 in gene CD38, the level of gene expression and the clinical picture and the risk of ASD diagnosis.</p><p><strong>Methods: </strong>The study included 59 individuals with the mean age of 15.05 years with IQ > 90. The participants were divided into two groups: the studied group consisting of 37 persons with confirmed ASD diagnoses and the control group including 22 neurotypical individuals. Diagnosis verification was carried out via the ADOS-2 protocol.</p><p><strong>Results: </strong>The comparative analysis with the standardized population based on the 1000Genomes database with the presence of clinically significant intensification of ASD traits showed the correlation of alleles \"T\" of polymorphisms rs3796863 and rs6449197, which are more frequent in the general population and are treated as \"wild\". In the inter-group analysis, this type of dependency was weaker, and the genotype of the control group was somehow intermediate between the studied group and the standardized population. In the ΔΔCt analysis, the normalized value of the relative expression level of gene CD38 showed that in the studied group the expression level was around 1.1-1.2 times higher than in the control group.</p><p><strong>Conclusions: </strong>The obtained results show that a significant correlation with the severity of autism spectrum disorder traits is mainly observed in the carriers of wild variants of the studied polymorphisms, in which the related increase in the expression level of gene CD38 is also observed.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"801-814"},"PeriodicalIF":0.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944380","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 patient's mental health from the perspective of consultation-liaison psychiatry at the stage of qualification for mechanical circulatory support implantation.","authors":"Izabela Agnieszka Jaworska, Robert Pudlo, Anna Mierzyńska, Agnieszka Kuczaj, Ewa Piotrowicz, Agnieszka Biełka, Piotr Przybyłowski","doi":"10.12740/PP/193247","DOIUrl":"10.12740/PP/193247","url":null,"abstract":"<p><p>During qualification for mechanical circulatory support, the comprehensive assessment of a patient's mental state is an integral element of the overall medical evaluation. It encompasses a range of psychosocial issues, and as such provides information helpful in the selection of a suitable candidate for the required treatment, and sometimes identifies contraindications to it. It allows ensuring that the patient meets expectations regarding both mental health stability and adherence to medical recommendations. It is also helpful in an early detection and diagnosis of mental problems before the surgery, which can increase the possibility of implementation of appropriate treatment and intervention. Due to the lack of generally accepted guidelines, this assessment can be subjective to some extent, especially if it takes place outside experienced transplant centres. This article presents the core principles of mental status evaluation and psychosocial factors increasing the risk of poor prognosis in this group. The article aims to share with psychiatrists and psychologists the clinical experience and comprehensive knowledge about psychosocial eligibility criteria for mechanical circulatory support or heart transplantation.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"58 5","pages":"815-825"},"PeriodicalIF":0.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041521","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":"Medical confidentiality in the Polish legal system: a real or illusory instrument of patient privacy protection?","authors":"Robert Pudlo, Małgorzata Pudlo, Marcin Burdzik","doi":"10.12740/PP/OnlineFirst/166174","DOIUrl":"10.12740/PP/OnlineFirst/166174","url":null,"abstract":"<p><p>Health information provided by patients in the doctor's office belongs to the sphere of their private life. Medical confidentiality is intended to prevent unwarranted interference with the content of this information, both by state authorities and private entities. Thus, it is an instrument to protect the individual's constitutional right to privacy and, at the same time, guarantee an effective diagnostic and therapeutic process. For these reasons, access to the information covered by medical secrecy should be exceptional, especially since this data is highly sensitive in nature. This is especially true of psychiatric confidentiality. Contrary to these seemingly obvious assumptions, the Polish legislator introduces into the legal system further legal solutions that seriously interfere in the sphere of information about an individual's health. This makes medical (psychiatric) secrecy an institution of illusory nature and violates the patient's constitutional right to privacy. It also negatively affects the effectiveness of the diagnostic and therapeutic process. The latter requires complete trust in the doctor-patient relationship and, thus, full confidentiality. The article discusses the ratio legis of medical secrecy, the interrelation of psychiatric and medical secrecy, and the prerequisites for abrogating these secrets. It then discusses the relationship between medical confidentiality and other legal duties incumbent on physicians. Against the backdrop of these considerations, legal solutions that reflect the tendency to weaken the legal protection of medical confidentiality and thus pose a real threat to the information covered by it, were analyzed. Słowa klucze.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":" ","pages":"895-907"},"PeriodicalIF":0.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164082","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":"Forty years of seasonal affective disorder.","authors":"Janusz Rybakowski","doi":"10.12740/PP/186721","DOIUrl":"10.12740/PP/186721","url":null,"abstract":"<p><p>In 2024, we observe the fortieth anniversary of the publication, where, for the first time, the term of Seasonal Affective Disorder (SAD) was used. Presently, SAD is regarded as a special category of mood disorder. In the American Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), the seasonality makes a specifier, \"with seasonal pattern\", both for recurrent depression or Major Depressive Disorder (MDD), and for Bipolar Disorder (BD). The most spectacular phenomenon among SAD is winter depression. Its symptomatology is mostly similar to atypical depression, characterized by excessive sleepiness and carbohydrate craving. SAD can pertain up to one fifth of persons with MDD or BD and is more frequent in women. SAD can be considered as an extreme expression of the central nervous system (CNS) changes related to circannual rhythm of lighting. The seasonal changes of the CNS function apply to the secretion of melatonin, the neurotransmitters dopamine and serotonin and the hypothalamic-pituitary-adrenal axis. In the circadian and circannual processes, a significant role is played by so-called \"clock genes\". SAD may be a legacy of Homo neanderthalensis. In winter depression, the therapeutic effect is obtained by an exposition to bright light (bright light therapy - BLT) as well as to blue light or using the method of dawn simulation. The therapeutic effect of phototherapy has also been ascertained in non-seasonal depression. As a counterpoint to this mechanism, promising trials have been undertaken in manic states by light restriction using blue light blocking glasses.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"58 5","pages":"747-759"},"PeriodicalIF":0.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041503","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":"Cognitive behavioral therapy for adolescents with eating disorders, with particular regard to clinical perfectionism.","authors":"Magdalena Chęć, Sylwia Michałowska","doi":"10.12740/PP/175717","DOIUrl":"10.12740/PP/175717","url":null,"abstract":"<p><p>Eating disorders are a considerable and prevalent problem among adolescents. Due to their significant adverse health consequences, it is of key importance to examine available treatment options and their effects. Despite the shared criteria for eating disorders in adolescents and adults, the diagnostic and therapeutic processes in the former require distinct specialist interventions, including the entire family environment. Available research suggests that family-based treatment (FBT) and enhanced cognitive behavioural therapy (CBT-E) are particularly beneficial in the management of eating disorders and prevention of relapse in young patients. Since clinical perfectionism is postulated to be an important mechanism underlying the development and maintenance of eating disorders, its consideration in therapy may contribute to faster and long-term recovery. This article presents available evidence on the effectiveness of psychosocial interventions in adolescents with eating disorders and clinical perfectionism, with a particular focus on differences in the use of CBT-E and FBT. The presented knowledge may facilitate clinical decisions concerning selection of the most effective methods and forms of intervention adapted to case conceptualisation in adolescents with eating disorders.</p>","PeriodicalId":20863,"journal":{"name":"Psychiatria polska","volume":"58 5","pages":"773-788"},"PeriodicalIF":0.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041492","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}