Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY最新文献

{"title":"An analysis of verbal fluency task performance profiles in patients with vascular brain pathology","authors":"E. Szepietowska, Anna Kuzaka","doi":"10.15557/pipk.2021.0002","DOIUrl":"https://doi.org/10.15557/pipk.2021.0002","url":null,"abstract":"Aim: Considering the data on the important role of verbal fluency tasks in neuropsychological diagnosis and the models of hemispherically specialised modulation of processes essential for different types of verbal fluency, we made an attempt to identify differences in correct and incorrect performance of 5 verbal fluency tasks between patients with vascular cerebral pathology, including hypertension, and healthy individuals. We also analysed task performance profiles within the groups. Materials and methods: The study included healthy volunteers (n = 36), hypertensive individuals (n = 33), and patients after left (n = 15) or right hemisphere stroke (n = 30) – 114 subjects in total. We used the Frenchay Aphasia Screening Test (FAST) to exclude patients with significant language difficulties/aphasia. We used 5 verbal fluency tasks: semantic (Animals), phonemic (“k”), verb fluency and two emotional tasks: Joy and Fear. We used general linear models for repeated measures for the analysis of correctly and incorrectly performed tasks. Results: The profiles of correct responses for all 5 tasks were similar in all groups, with quantitative intergroup differences. The highest number of correct responses appeared in the semantic, phonemic and verb fluency tasks, whereas the lowest number in the emotional tasks. Hypertensive individuals scored statistically insignificantly lower than healthy individuals, whereas patients after right/left hemisphere stroke scored significantly lower compared to both these groups. Despite a large number of errors, healthy individuals had the highest scores. Patients after right hemisphere stroke showed little differentiation in the number of correct responses in subsequent tasks. There were no intergroup differences in the level of performance of emotional tasks with different valences (positive and negative). Healthy and hypertensive individuals were characterised by a distinct heterogeneity of correct and incorrect responses in various tasks. Patients with brain pathology, regardless of its lateralisation, performed these tasks at a similar level, with left hemisphere damage resulting in the highest number of errors, mainly in semantic and phonemic tasks, and with right hemisphere pathology associated with errors in all types of tasks. The difficulties in patients with left hemisphere damage may result from weaker phonological and lexical processes, including access to semantic features of a word, while the low scores of patients with right hemisphere damage may be a consequence of impaired attention and executive processes. Conclusions: Patients with vascular pathology of the brain hemispheres achieved significantly lower scores in all types of fluency, while hypertensive individuals scored insignificantly lower than healthy subjects. This means that the method can be useful in differentiating between healthy individuals and patients with central nervous system damage, as well as those at risk. Future research should focus","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43656408","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}

{"title":"Nutritional versus behavioural intervention in children with avoidant/restrictive food intake disorder","authors":"Katarzyna Bąbik, P. Ostaszewski, A. Horváth, Warsaw Poland Humanities","doi":"10.15557/pipk.2021.0001","DOIUrl":"https://doi.org/10.15557/pipk.2021.0001","url":null,"abstract":"Objective: The aim of the study was to determine the effectiveness of nutritional intervention compared to behavioural intervention to increase food acceptance and improve the nutritional status among children with avoidant/restrictive food intake disorder. Method: Six participants (3–4 years old) diagnosed with avoidant/restrictive food intake disorder took part in the study. They were randomly assigned to one of the two interventions, either a nutritional or behavioural approach. Results: The percentage of food acceptance increased for patients in the behavioural intervention group, but not for the nutritional intervention group (until later implementation of behavioural intervention). Moreover, the z-score for body mass index increased only after implementing behavioural intervention. The total score on the Montreal Children’s Hospital Feeding Scale decreased only after implementation of intervention based on behavioural approach. Inappropriate mealtime behaviour decreased across all participants after implementation of behavioural intervention. Discussion: Behavioural intervention seems to be promising for children with avoidant/restrictive food intake disorder to increase the oral intake of solid food and improve their growth.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41768276","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}

{"title":"Venlafaxine as an analgesic in the treatment of chronic pain in patients with depression – scientific evidence and clinical cases","authors":"A. Antosik-Wójcińska, Warszawski Uniwersytet Medyczny Warszawa Polska Katedra i Klinika Psychiatryczna","doi":"10.15557/pipk.2021.0008","DOIUrl":"https://doi.org/10.15557/pipk.2021.0008","url":null,"abstract":"Depression is sometimes referred to as the state of “mental pain” as its symptoms generate a state of generalised suffering. Mental distress is very often accompanied by physical pain. The prevalence of somatic symptoms in the population of patients with depression varies significantly depending on the study population and ranges from 30 to 95%. The incidence and severity of pain are correlated with the aging process and they tend to increase with age. The most common pain symptoms in depression include headache, back and lower back pain, pain of joints and limbs, migraine headaches and abdominal pain. The pain may sometimes mask depression by coming to the fore in the clinical picture and making it difficult to establish an accurate diagnosis. The fact that antidepressants are effective in chronic pain syndromes, while not all antidepressants show the same analgesic efficacy, is the direct evidence for the common pathogenetic mechanisms of chronic pain and depression. Tricyclic antidepressants were the first antidepressants to be used in the treatment of pain symptoms in various disease states. Numerous studies have confirmed the analgesic efficacy of serotonin and noradrenaline reuptake inhibitors, which are characterised by a much better tolerance and a more favourable safety profile compared to tricyclic antidepressants; however, their analgesic effect is clearly marked only at doses that, in addition to the effect on serotonergic transmission, also affect the noradrenergic transmission. The article summarises the scientific evidence for the purposefulness of the use of venlafaxine in the treatment of chronic pain, in particular pain syndromes associated with depression, and presents two clinical cases with a commentary.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47033316","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}

{"title":"Late-onset ADHD: does it exist?","authors":"K. Cholewa, T. Sobow, Warszawa Polska Centrum Terapii Dialog","doi":"10.15557/pipk.2021.0006","DOIUrl":"https://doi.org/10.15557/pipk.2021.0006","url":null,"abstract":"According to current classification systems, attention-deficit/hyperactivity disorder (ADHD) cannot be diagnosed unless its symptoms have been present already in childhood. Recently, this view has begun to be challenged with the thesis that the disorder may have its onset later in life (adolescence or young adulthood). The Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria for ADHD are more liberal than those of the International Classification of Disease (ICD). Moreover, reports have begun to emerge demonstrating a different clinical picture in patients diagnosed with ADHD according to current guidelines and in a cohort with the onset in adulthood. The symptomatology of the disease in adults differs from that presented by children. Additionally, theories on the different etiopathogenesis of these entities have been advanced. These data have led to the proposal of distinguishing late-onset ADHD. There are also critical voices in the literature that question the possibility of developing ADHD symptoms in adulthood. Despite insufficient data and arguments to support the thesis of late-onset ADHD, there is a need for discussion and further exploration of the age at which ADHD may appear.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42932765","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}

{"title":"How do we help people regain control over their lives? An introduction to method of levels therapy","authors":"Jakub Grzegrzółka, Leeds United Kingdom Restore Control Ltd, W. Mansell, Leeds United Kingdom Northpoint Wellbeing Ltd","doi":"10.15557/pipk.2021.0005","DOIUrl":"https://doi.org/10.15557/pipk.2021.0005","url":null,"abstract":"There are many different approaches to psychotherapy. Research indicates comparable effectiveness of various therapies, despite having different theoretical assumptions and using different therapeutic methods. In recent years, many researchers have attempted to understand such results by investigating specific and common factors in psychotherapy. It has been suggested that further developments in the field should aim to investigate factors underlying mental health problems and the principles informing the process of change in psychotherapy. In the current article, we will present perceptual control theory as a scientifically grounded approach that integrates theory and practice. Transdiagnostic principles explain the sources of emotional distress and the process of psychological change in psychotherapy. The main aim of the article is to introduce method of levels therapy, which has been created as a direct application of perceptual control theory principles. Description of the process of therapy is accompanied by clinical examples.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47600047","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}

{"title":"Children’s Behaviour Questionnaire Very Short Form (CBQ VSF) and its adaptation to the population of the Czech Republic","authors":"Petra Potměšilová, Miloň Potměšil","doi":"10.15557/PIPK.2020.0030","DOIUrl":"https://doi.org/10.15557/PIPK.2020.0030","url":null,"abstract":"This study provides information on the adaptation of the CBQ VSF (Children’s Behavior Questionnaire Very Short Form) temperament description questionnaire. Objectives: The aim of the study was to adapt the CBQ VSF temperament questionnaire to the Czech child population for possible distribution to child psychologists for research purposes. Materials and methods: The data were obtained from a representative sample of parents of 840 children, 442 boys (53%) and 398 girls (47%), between the ages of 3 and 7 years. Results: The tool was tested in terms of its factor structure and the internal consistency and attributes of each item, all with respect to the age and gender of children in the target group. Scales were created for boys and girls and stratified by age and gender. Upon the completion of the work, the CBQ VSF questionnaire was adapted for use in research activities targeting the Czech population. Study limits: The results are based on the parental evaluation, but this was entirely consistent with the process of creation of the original tool.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":"20 1","pages":"234-240"},"PeriodicalIF":0.4,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42578667","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}

{"title":"Anxiety, depression and health locus of control in secondary school students during the COVID-19 pandemic","authors":"M. Kuty-Pachecka, M. Kozlowska, K. Skórska, K. Gucwa, M. Trzebińska, P. Stȩpień-Grzelak, E. Z̵urawska","doi":"10.15557/PIPK.2020.0029","DOIUrl":"https://doi.org/10.15557/PIPK.2020.0029","url":null,"abstract":"Introduction: During the COVID-19 pandemic young people are experiencing anxiety and tension associated with an unusual, unclear and unpredictable situation. Deterioration of the economic situation resulting from the pandemic, social distancing, school closure and a real threat to health and life are strong anxiety-inducing factors. Aim: The aim of the study was to determine the level of depression among adolescents and which of the factors related to the pandemic (health-related anxieties and restrictions) were the most difficult for them. We also wanted to verify the differences in depression and anxiety in girls and boys, and the relationship between anxiety, depression and health locus of control in adolescents. Method: The study covered 296 people from 17 to 19 years old. The research was carried out using the Kutcher Adolescent Depression Scale (KADS), the State-Trait Anxiety Inventory (STAI) and the Multidimensional Health Locus of Control (MHLC). Results: The results of the study indicate that the youth experience elevated levels of depression during the COVID-19 pandemic. 75% of the participants experienced depression symptoms. The severity of the perceived state of anxiety and depressive symptoms was significantly higher among adolescent girls than among boys. In addition, individuals who reported anxious thoughts about the possibility of someone in their family contracting COVID-19 experienced significantly higher levels of depressive symptoms than those who did not. Additionally, the internal health locus of control negatively correlated with both anxiety as a state and depression, while the external (chance-related) health locus of control correlated positively with depression and anxiety.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43482966","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}

{"title":"A retrospective assessment of parental attitudes in alcohol dependent and non-dependent groups","authors":"Ewa Wojtynkiewicz","doi":"10.15557/PIPK.2020.0031","DOIUrl":"https://doi.org/10.15557/PIPK.2020.0031","url":null,"abstract":"Aim: The aim of the studies was to verify whether an alcohol-dependent group differs in terms of retrospectively assessed parental attitudes from a non-dependent group (study 1) as well as whether there are differences between individuals with alcohol dependence having or not having an addicted parent in terms of the retrospectively assessed parental attitudes (study 2). Materials and methods: 121 individuals with alcohol dependence and 121 people with no dependence took part in study 1 (in both groups there were 37 women and 84 men). 221 individuals with alcohol dependence (55 women and 166 men) participated in study 2. Mieczysław Plopa’s Questionnaire of Retrospective Assessment of Parental Attitudes (KPR-Roc) and Alcohol Use Disorder Identification Test (AUDIT) were used in the studies. Results: The outcome of study 1 proved that the individuals with alcohol dependence score higher in comparison with those non-dependent in terms of variables Mother Protectiveness, Father Demanding and Father Inconsequence and score lower for variables Father Acceptance/Rejection and Father Autonomy. The results of study 2 show that alcohol-dependent women with a family history of alcohol addiction tended to score lower for variables Mother Acceptance/Rejection, Father Acceptance/Rejection, Father Autonomy and Father Protectiveness in comparison with the non-dependent women with no family history of alcohol addiction. Whereas men addicted to alcohol with a family history of alcohol addiction score higher for the variable Father Acceptance/Rejection and higher concerning variables Father Demanding and Father Inconsequence in comparison with the addicted male group with no family history of alcohol addiction. Conclusion: Alcohol-dependent individuals have a tendency to assess more adversely the father’s attitude in comparison with the non-dependent group. Having an alcohol-dependent parent among individuals with alcohol dependence differentiates mainly the retrospective assessment of the father.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43046014","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}

{"title":"Assessment of intensity of posttraumatic stress symptoms in parents of children with blood cancer at different time points following diagnosis","authors":"E. Chrapek, A. Gmitrowicz","doi":"10.15557/PIPK.2020.0033","DOIUrl":"https://doi.org/10.15557/PIPK.2020.0033","url":null,"abstract":"In the recent years, there has been a remarkable progress in treatment of cancer in children. Nevertheless, it still remains a disease that represents a real threat to a child’s life. This threat as well as a deep fear for a child’s life which is strongly associated with it have a key impact on psychological difficulties experienced by parents at the time of establishing their child’s diagnosis and throughout therapy. Aim: The study was focused on assessment of the dynamics of posttraumatic symptoms intensity in parents of children suffering from blood cancers depending on a period of time that passed since the moment the disease was diagnosed. Materials and methods: A prospective study model was applied – the parents were assessed at three time points, i.e. up to one month (t1), six months (t2) and one year (t3) following their child’s diagnosis. The study included 47 parents of children diagnosed with leukaemia or lymphoma. The number of the subjects taking part in successive measurements was 32 (t2) and 31 (t3), respectively. The Impact of Event Scale – Revised (IES-R) was used to assess severity of posttraumatic stress symptoms in the parents. Results: Severity of posttraumatic stress symptoms in the parents decreased within one year following their child’s diagnosis. An analysis of intensity of particular dimensions of posttraumatic stress at the successive time points revealed their variability. The level of symptoms related to avoidance did not decrease significantly in the period between one and six months following the diagnosis, or between six months and one year following the diagnosis. Conclusions: The study results provide grounds for putting forward of recommendations concerning diagnostic and therapeutic measures. At the time of diagnosis, parents should be provided with special psychological intervention, whereas, at next stages of a child’s treatment, therapists should focus their attention mostly on avoidance symptoms and the role they play in the process of parents’ adaptation to their child’s illness.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":"20 1","pages":"267-273"},"PeriodicalIF":0.4,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43358069","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}

{"title":"Burden among family caregivers of mechanically-ventilated patients","authors":"Karolina Szatkowska","doi":"10.15557/PIPK.2020.0036","DOIUrl":"https://doi.org/10.15557/PIPK.2020.0036","url":null,"abstract":"The constant progress of medicine makes it possible to create safe and comfortable conditions for home treatment for mechanically ventilated patients with chronic respiratory failure. The specificity of such care presents caregivers with challenges related to many nursing and organizational activities. Caring for patients using respiratory therapy is associated with taking responsibility for its course, reorganising everyday life and changing the way of performing the current roles, including limiting social roles. Therefore, it requires caregivers to be able to cope with various, very often new tasks, which can be physically and mentally burdening. The burden of care is the entirety of experiences and difficulties that a family member encounters when caring for a loved one. The article aims to characterise the concept of the feeling of being burdened with care and to present a research review showing its specificity in the group of caregivers of mechanically ventilated patients in a home setting. Also, the study will present research reports indicating a group of factors that may increase this negative consequence of care. The risk factors include health deterioration in the mechanically ventilated person and the decreasing level of patient’s independent functioning, as well as factors associated with the mechanical ventilation used: the method of ventilation (invasive vs. non-invasive), longer time of using the ventilator per day and the total duration of mechanical ventilation as a treatment method. Moreover, the results of the research conducted so far indicate that the burden among caregivers of these patients may manifest in all spheres of life: emotional, cognitive, somatic and social.","PeriodicalId":42849,"journal":{"name":"Psychiatria i Psychologia Kliniczna-JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48588228","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}