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Wenlafaksyna XR, zastosowanie kliniczne większych dawek (> 150 mg) 文拉法辛XR，高剂量临床应用（>150 mg）
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0014
Paweł Mierzejewski
{"title":"Wenlafaksyna XR, zastosowanie kliniczne większych dawek (> 150 mg)","authors":"Paweł Mierzejewski","doi":"10.5603/psych.2020.0014","DOIUrl":"https://doi.org/10.5603/psych.2020.0014","url":null,"abstract":"This paper discusses the dual serotonergic-noradrenergic mechanism of action of venlafaxine, its indications for use, and dosage. Special attention was paid to the clinical application of higher doses of the drug, above 150 mg in the treatment of depression and anxiety disorders. Venlafaxine is one of the most effective antidepressants. The maximum recommended dose is 225 mg/day for anxiety disorders and 375 mg/day for major depression. The use of higher doses of the drug allows to take full advantage of its dual mechanism of action and improve its effectiveness.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42648222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between personality characteristics and the quality of life in patients with epilepsy 癫痫患者人格特征与生活质量的关系
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0012
A. Shamsi, Reyhaneh Sadat Tohidi, M. Shamekhi, H. Amirifard, Alireza Ansarimoghadam
{"title":"The relationship between personality characteristics and the quality of life in patients with epilepsy","authors":"A. Shamsi, Reyhaneh Sadat Tohidi, M. Shamekhi, H. Amirifard, Alireza Ansarimoghadam","doi":"10.5603/psych.2020.0012","DOIUrl":"https://doi.org/10.5603/psych.2020.0012","url":null,"abstract":"Introduction: Identification of effective factors in the quality of life (QOL) of patients with epilepsy is important in \u0000improving their quality of life. Regarding this, the present study aimed to investigate the relationship between personality \u0000characteristics and QOL in patients with epilepsy. \u0000 Material and methods: This cross-sectional study was conducted on 100 epileptic patients referred to Neurology \u0000Clinic of Ali-ibn Abi Talib Hospital in Zahedan, Iran in 2015. The NEO Personality Inventory (NEO-PI) and Short Form \u0000Health Survey (SF-12) questionnaires were used to determine the personality characteristics and QOL scores, respectively. \u0000 Results: The mean of QOL score was 28.94±4.58. Age, gender, marital status, education level, and duration of epilepsy \u0000had no significant correlation with the QOL. The QOL showed a negative correlation with openness to experience and \u0000neuroticism. However, this variable had a direct correlation with conscientiousness, agreeableness, and extraversion. \u0000There was a significant relationship between the predictor variables (extraversion and neuroticism) and the criterion \u0000variable (QOL). Therefore, extraversion and neuroticism can be considered as the predictors of the QOL. \u0000 Conclusions: The extraversion and neuroticism seem to be two predictors of the QOL in the epileptic patients. Accordingly, \u0000whereas the patients with high levels of neuroticism had low QOL, this value was higher in those with high \u0000levels of extraversion.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41845647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telewizyta (e-wizyta) na czas kryzysu epidemicznego — rekomendacje w zakresie prowadzenia wizyt online w opiece psychiatrycznej
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0011
Marek Krzystanek, M. Matuszczyk, I. Krupka-Matuszczyk, A. Koźmin-Burzyńska, Seweryn Segiet, J. Przybyło
{"title":"Telewizyta (e-wizyta) na czas kryzysu epidemicznego — rekomendacje w zakresie prowadzenia wizyt online w opiece psychiatrycznej","authors":"Marek Krzystanek, M. Matuszczyk, I. Krupka-Matuszczyk, A. Koźmin-Burzyńska, Seweryn Segiet, J. Przybyło","doi":"10.5603/psych.2020.0011","DOIUrl":"https://doi.org/10.5603/psych.2020.0011","url":null,"abstract":"Telepsychiatry includes the medical services through modern digital media. On-line psychiatric and psychotherapeutic treatment is effective and safe as well as therapeutically equivalent compared to traditional off-line treatment. In times of epidemic crisis and restrictions on outpatient advice, telepsychiatry is an alternative and recommended method. The article presents recommendations on conducting online visits in psychiatric care prepared by the Scientific Section of Telepsychiatry of the Polish Psychiatric Association. The form and subject of conducting tele-visits were discussed, including reactive and somatic factors, and a psychiatric and somatic tele-visit scheme was also proposed.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42617382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Pacjent z rozpoznaniem organicznych zaburzeń urojeniowych z odczynem depresyjnym — podejście interdyscyplinarne oraz postępowanie w przypadku dodatniego wyniku COVID-19
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0017
Michał Wroński, Zuzanna Dukaczewska, J. Samochowiec
{"title":"Pacjent z rozpoznaniem organicznych zaburzeń urojeniowych z odczynem depresyjnym — podejście interdyscyplinarne oraz postępowanie w przypadku dodatniego wyniku COVID-19","authors":"Michał Wroński, Zuzanna Dukaczewska, J. Samochowiec","doi":"10.5603/psych.2020.0017","DOIUrl":"https://doi.org/10.5603/psych.2020.0017","url":null,"abstract":"In this paper we share clinical observations and insights regarding the management and treatment of an uncooperative patient requiring an interdisciplinary approach due to diagnosis of delusional disorder, depressive symptoms, alcohol dependence syndrome, numerous complaints related to concomitant somatic diseases, and coronavirus infection (COVID-19). Our aim was to highlight the significance of a holistic approach to the patient, and scrupulous documentation of existing somatic diseases in psychiatric hospital discharge summary reports. Due to the common lack of compliance on the part of psychiatric patients, it proves utterly important to establish cooperation between healthcare providers and families of the mentally ill. Coronavirus infection (COVID-19) becomes another, additional complication in the management of psychiatric inpatients. We believe that the discussed interdisciplinary approach, together with increased family or institutional supervision can contribute to the improvement of psychiatric patients’ physical and mental health status as well as general functioning.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43791393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
„Odkochałem się w sobie” — uraz narcystyczny jako przyczyna pojawienia się objawów depresyjnych u młodych osób “我爱上了自恋型酸奶，这是年轻人出现抑郁症状的原因
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0018
Sławomir Murawiec
{"title":"„Odkochałem się w sobie” — uraz narcystyczny jako przyczyna pojawienia się objawów depresyjnych u młodych osób","authors":"Sławomir Murawiec","doi":"10.5603/psych.2020.0018","DOIUrl":"https://doi.org/10.5603/psych.2020.0018","url":null,"abstract":"The work presents a case report of a patient with symptoms classified as depression. An in-depth interview revealed a specific problem of this patient, as well as for many other people with similar constellations of psychological processes. On the one hand, high demands addressed to himself, that is expectation of the career level and achievements at worldwide importance. On the other hand, in a situation of confrontation with the requirements of studies and life circumstances, a sense of loss of self-esteem, a sense of lack of future, sense of lost life, self-destructive tendencies and active maintaining of inertness and self-destruction.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42654651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Farmakologiczne leczenie choroby Alzheimera — współczesne możliwości
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0016
L. Bidzan
{"title":"Farmakologiczne leczenie choroby Alzheimera — współczesne możliwości","authors":"L. Bidzan","doi":"10.5603/psych.2020.0016","DOIUrl":"https://doi.org/10.5603/psych.2020.0016","url":null,"abstract":"Approximately 46 million people worldwide have Alzheimer’s disease (AD). Treatments to prevent or slow down cognitive decline in AD remain an urgent therapeutic need. During the last decades the use of b secretase inhibitors as well as immunotherapy against Ab, antioxidants and anti-inflammatory agents as well as natural products and many others have been investigated. Although considerable efforts have been made to develop more effective therapeutic agents for AD therapy, clinical trials failed to reach efficacy endpoints in improving cognitive function in most cases to date or have been terminated due to adverse events. Current pharmacotherapy of AD is still limited to cholinesterase inhibitors and the N-methyl-D-aspartate antagonist memantine which were approved at the turn of the century. Despite critical opinions on the efficacy of acetylcholinesterase inhibitors and memantine, it should be said that these drugs improve memory and other cognitive functions throughout most of the duration of the disease. As Memantine, and the AChEIs target two different aspects of AD pathology their complementary mechanisms offer superior benefit as combination therapy. Moreover preclinical studies have shown that memantine and AChEIs have neuroprotective effects.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42845476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Arypiprazol w dawce maksymalnej 30 mg i w połączeniu z olanzapiną 最大剂量为30 mg的阿立哌唑与奥氮平联合用药
Psychiatria Pub Date : 2020-05-30 DOI: 10.5603/psych.2020.0013
Paweł Mierzejewski
{"title":"Arypiprazol w dawce maksymalnej 30 mg i w połączeniu z olanzapiną","authors":"Paweł Mierzejewski","doi":"10.5603/psych.2020.0013","DOIUrl":"https://doi.org/10.5603/psych.2020.0013","url":null,"abstract":"Aripiprazole is an antipsychotic drug with unique pharmacological properties showing ago-antagonistic effects against the D2 receptor and is classified as a III generation antipsychotic. Clinical and preclinical studies indicate efficacy and safety of high doses of aripiprazole in selected patients, supporting the decision to use the drug at a maximum dose of 30 mg/day. This paper presents the mechanism of action of high doses of aripiprazole and discusses clinical situations when it is appropriate to use the drug at the maximum dose. The second part of the study presents arguments for beneficial effects of the combination of aripiprazole with olanzapine and other antipsychotic drugs of II generation.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48266507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nowe technologie a zdrowie psychiczne — szanse i trudności
Psychiatria Pub Date : 2020-03-05 DOI: 10.5603/PSYCH.2020.0007
Ł. Cichocki, M. Karbownik
{"title":"Nowe technologie a zdrowie psychiczne — szanse i trudności","authors":"Ł. Cichocki, M. Karbownik","doi":"10.5603/PSYCH.2020.0007","DOIUrl":"https://doi.org/10.5603/PSYCH.2020.0007","url":null,"abstract":"The article describes the possible consequences of using/abusing new technologies in the context of mental health. It is an attempt to reflect how smartphones, e-mail, computer games, social media affect our lives, things we can do to increase potential benefits and minimize the risks associated with these technologies. Through not only scientific but also personal perspective, the authors try to bring the conclusions from work to life practice.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41877749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Konsekwencje zachowań agresywnych ze strony pacjentów z zaburzeniami psychicznymi dla personelu medycznego 精神障碍患者攻击行为对医务人员的影响
Psychiatria Pub Date : 2020-03-05 DOI: 10.5603/PSYCH.2020.0004
Anna Mosiołek, Jacek Gierus, Mateusz Margański, Katarzyna Margańska, A. Szulc
{"title":"Konsekwencje zachowań agresywnych ze strony pacjentów z zaburzeniami psychicznymi dla personelu medycznego","authors":"Anna Mosiołek, Jacek Gierus, Mateusz Margański, Katarzyna Margańska, A. Szulc","doi":"10.5603/PSYCH.2020.0004","DOIUrl":"https://doi.org/10.5603/PSYCH.2020.0004","url":null,"abstract":"Wstep: Badanie mialo na celu ocene czestości zachowan agresywnych ze strony pacjentow z zaburzeniami psychicznymi \u0000oraz deklarowane sposoby radzenia sobie przez personel medyczny w celu unikniecia konsekwencji agresji. \u0000 Material i metody: Badanie mialo charakter ankietowy, zostalo przeprowadzone jednorazowo, w 5 miastach w Polsce. \u0000Oceniono 102 ankiety wypelnione przez pracownikow medycznych pracujących w placowkach medycznych z pacjentami \u0000z zaburzeniami psychicznymi. Ankieta skladala sie z cześci demograficzno-opisowej oraz z 14 pytan dotyczących \u0000rodzajow agresji, czestości zachowan agresywnych, sposobow radzenia sobie z agresją oraz rodzaju szkod ponoszonych \u0000przez personel. \u0000 Wyniki: Wiekszośc badanych osob doświadczyla agresji ze strony pacjentow o co najmniej umiarkowanym zasileniu, \u0000a u znacznej cześci badanych wskutek tych zdarzen wyksztalcilo sie wypalenie zawodowe lub szkody psychiczne. Glownym \u0000sposobem radzenia sobie ze skutkami agresji jest omawianie sytuacji w zespole, nieco rzadziej — stosowanie procedur. \u0000 Wnioski: Poziom narazenia personelu na agresje nie spotyka sie z wystarczającymi środkami zapobiegawczymi. Autorzy \u0000rekomendują wdrazanie w placowkach ochrony zdrowia zarządzania ryzykiem klinicznym.","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46345933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Zespół Kasandry
Psychiatria Pub Date : 2020-03-05 DOI: 10.5603/psych.2020.0008
Justyna Holka-Pokorska, A. Kucharski
{"title":"Zespół Kasandry","authors":"Justyna Holka-Pokorska, A. Kucharski","doi":"10.5603/psych.2020.0008","DOIUrl":"https://doi.org/10.5603/psych.2020.0008","url":null,"abstract":"","PeriodicalId":39960,"journal":{"name":"Psychiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43773349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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