{"title":"Comparing the effects of face-to-face versus phone counseling based on cognitive-behavioral therapy for vasomotor symptoms in postmenopausal women: a randomized controlled trial.","authors":"Nasim Sadeghijoola, Poorandokht Afshari, Maryam Gholamzadeh Jofreh, Mohammad Hossein Haghighizadeh, Parvin Abedi","doi":"10.5114/ppn.2022.122499","DOIUrl":"https://doi.org/10.5114/ppn.2022.122499","url":null,"abstract":"<p><strong>Purpose: </strong>Menopause is associated with complications that may affect quality of life, such as hot flashes, night sweats, and mood swings. This study aimed to compare the effects of phone versus face-to-face counseling based on cognitive-behavioral therapy (CBT) for vasomotor symptoms in postmenopausal women.</p><p><strong>Methods: </strong>In this study, 40 eligible postmenopausal women were randomly assigned to face-to-face (<i>n</i> = 20) and phone counseling methods (<i>n</i> = 20). Six counseling sessions were held weekly for each person, and the women were requested to record their hot flashes (HF) and night sweats (NS) in a diary. HF and NS were measured at baseline, and 6 and 8 weeks after the completion of intervention. Data were analyzed using χ2, repeated measures ANCOVA, and independent <i>t</i>-test.</p><p><strong>Results: </strong>Means of weekly hot flashes and night sweats decreased after intervention in both groups (face-to-face group: HF frequency from 31.92 ± 7.98 to 18.83 ± 7.35, HF severity from 2.24 ± 0.28 to 1.21 ± 0.23, HF duration from 4.22 ± 1.17 min to 2.79 ± 0.91 min, NS frequency from 2.34 ± 0.31 to 1.21 ± 0.24 and NS severity from 1.70 ± 0.34 to 1.03 ± 0.29; and also in the phone counseling group: HF frequency from 33.32 ± 7.77 to 19.53 ± 7.7, HF severity from 2.23 ± 0.24 to 1.20 ± 0.18, HF duration from 4.29 ± 1.23 min to 2.68 ± 0.95 min, NS frequency from 2.33 ± 0.31 to 1.14 ± 0.16 and NS severity from 1.59 ± 0.34 to 1.01 ± 0.30). Although the differences within each group were significant (<i>p</i> < 0.001), there was no significant difference between the groups after the intervention in terms of HF frequency, severity, and duration, as well as NS frequency and severity (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Face-to-face and phone counseling methods based on CBT had a similar effect on reducing hot flashes and night sweats. Both methods can be used for women with postmenopausal complications such as hot flashes and night sweats.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 3","pages":"114-120"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/57/PPN-31-48820.PMC9946366.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9386257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlates and predictors of resilience in veterans with persistent traumatic brain injury symptoms.","authors":"Dmytro Assonov","doi":"10.5114/ppn.2022.120600","DOIUrl":"https://doi.org/10.5114/ppn.2022.120600","url":null,"abstract":"<p><strong>Purpose: </strong>To understand the relationships between resilience and socio-demographic, clinical, cognitive, and affective variables in veterans with persistent traumatic brain injury (TBI) symptoms, and to identify and estimate the value of resilience predictors.</p><p><strong>Methods: </strong>A total of 146 veterans with remote TBI were enrolled into a cross-sectional study. Correlational analysis was used to examine associations between variables. Multiple regression analysis was used to determine the most valuable predictors of resilience.</p><p><strong>Results: </strong>Resilience was correlated with neurobehavioral symptoms of TBI, post-traumatic stress symptoms, quality of life, cognitive performance, and positive affect. There were no significant correlations with socio-demographic variables, TBI characteristics, depression, anxiety, and negative affect. Multiple linear regression showed that cognitive performance and positive affect were the most valuable predictors, followed by neurobehavioral symptoms and post-traumatic stress.</p><p><strong>Conclusions: </strong>Resilience in veterans with TBI has a strong correlation with persistent neurobehavioral symptoms, posttraumatic stress, quality of life, cognitive functioning, and positive affect. Such variables as good cognitive performance and positive affect were found to be more valuable for effective resilience in veterans with persistent TBI symptoms (possibly as protective factors) than clinical type of traumatic brain injury, the amount or the time that had passed since their last trauma and can explain the great amount of resilience variance even after excluding all other variables. Unlike many other factors, these variables can be modified. Targeting them in specific interventions will possibly cultivate resilience.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 3","pages":"103-113"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/5d/PPN-31-48042.PMC9946368.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9386259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Deep brain stimulation for the treatment of major depressive disorder: complex psychiatric aspects.","authors":"Przemysław M Waszak","doi":"10.5114/ppn.2022.121836","DOIUrl":"10.5114/ppn.2022.121836","url":null,"abstract":"","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 3","pages":"141-142"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/de/PPN-31-48413.PMC9946365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9442217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kacper Łoś, Włodzimierz Łuczyński, Napoleon Waszkiewicz
{"title":"Can the practice of mindfulness reduce medical errors?","authors":"Kacper Łoś, Włodzimierz Łuczyński, Napoleon Waszkiewicz","doi":"10.5114/ppn.2022.120158","DOIUrl":"10.5114/ppn.2022.120158","url":null,"abstract":"<p><strong>Purpose: </strong>In this article we consider the impact of mindfulness as an effective method of coping with stress and review the available literature on this topic; in addition, we share our 5 years of experience working with final year medical students.</p><p><strong>Views: </strong>Working in a hospital is a demanding and stressful job. Despite the rapid development of new technologies, the number of medical errors is not decreasing. In this paper we look for effective methods to improve medical education with a focus on the effects of stress on situational awareness (SA) and executive functions (EF). This study provides information on the beneficial effects of mindfulness techniques that, by influencing EF and SA, can directly reduce physicians' errors.</p><p><strong>Conclusions: </strong>The authors of this paper contend that effective methods of coping with stress, including mindfulness, should be considered as an additional subject in the final years of medical education.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 3","pages":"121-127"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/75/PPN-31-47971.PMC9946367.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9385040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ANTI-NMDA-R encephalitis: case report.","authors":"Bünyamin Tosunoğlu, Hafize Nalan Güneş, Hatice Mediha Kına, Burcu Gökçe Çokal","doi":"10.5114/ppn.2022.120492","DOIUrl":"https://doi.org/10.5114/ppn.2022.120492","url":null,"abstract":"<p><strong>Purpose: </strong>Anti-N-methyl-D-aspartate receptor encephalitis (NMDA-R) is the most common among autoimmune encephalitis caused by antibodies developed against surface antigens. It was first identified in 2007 as presenting with seizures, autonomic dysfunction and movement disorders, in addition to acute or subacute onset of neuropsychiatric symptoms. Multifocal, nonspecific white matter lesions can be seen on cranial magnetic resonance imaging (MRI). Since paraneoplasia is usually found in the etiology, malignancy should be screened in patients with NMDA-R encephalitis.</p><p><strong>Case description: </strong>In our case, a 48-year-old patient is presented who has been diagnosed with anti-NMDA-R encephalitis during the examinations, complaining of numbness on the left side of his face, seizures, imbalance, excessive talkativeness and insomnia.</p><p><strong>Comment: </strong>Autoimmune encephalitis should be considered in patients with suspected autoimmune encephalitis, which takes severe clinical course and fails to respond to treatment adequately; NMDA receptor antibodies and other autoantibody tests should be requested, malignancy screening should be performed and treatment should be started in the early period.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 3","pages":"138-140"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/c4/PPN-31-48031.PMC9946364.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9386260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Babak Bakhshayesh Eghbali, Sajjad Saadat, Keivan Hasanzadeh, Ali Pourramzani, Seyed Sepehr Khatami, Alia Saberi, Maryam Jafroudi
{"title":"Relationship between self-compassion and psychological well-being with the mediating role of resilience in people with multiple sclerosis.","authors":"Babak Bakhshayesh Eghbali, Sajjad Saadat, Keivan Hasanzadeh, Ali Pourramzani, Seyed Sepehr Khatami, Alia Saberi, Maryam Jafroudi","doi":"10.5114/ppn.2022.117999","DOIUrl":"https://doi.org/10.5114/ppn.2022.117999","url":null,"abstract":"<p><strong>Purpose: </strong>Paying attention to the factors affecting the psychological well-being of people with multiple sclerosis (PwMS) is of particular importance, hence the present study investigated the relationship between self-compassion and psychological well-being with the mediating role of resilience.</p><p><strong>Methods: </strong>This cross-sectional study was performed using an online survey in a sample of 410 PwMS registered with the Guilan MS Society (GMSS) of Iran. The study was conducted in 2021. A demographic questionnaire, Ryff 's Psychological Well-Being Scales (PWB), the Connor-Davidson Resilience Scale (CD-RISC), and the Self Compassion Scale Short Form (SCS-SF) were used to collect data. Data analysis was performed using structural equation modeling.</p><p><strong>Results: </strong>The model and data were sensibly in agreement. Moreover, bootstrap results showed that all direct path coefficients were significant (<i>t</i> ≥ 1.96). The direct effects of self-compassion and resilience on psychological well-being were significant, with standardized coefficients of 0.69 and 0.21. In addition resilience, with a coefficient of 0.73, was associated with psychological well-being. Furthermore, the indirect effect of self-compassion on psychological well-being with the mediating role of resilience was also confirmed (<i>p</i> ≤ 0.05).</p><p><strong>Conclusions: </strong>In particular, a higher self-compassion score predicts greater resilience, which is correlated with greater psychological well-being. These findings underscore the need to target the psychological well-being of PwMS through resilience to help them cope with living with chronic conditions.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 2","pages":"43-51"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/2e/PPN-31-47464.PMC9881576.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9442197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Przemysław T Wielemborek, Katarzyna Kapica-Topczewska, Robert Pogorzelski, Agata Bartoszuk, Jan Kochanowicz, Alina Kułakowska
{"title":"Carpal tunnel syndrome conservative treatment: a literature review.","authors":"Przemysław T Wielemborek, Katarzyna Kapica-Topczewska, Robert Pogorzelski, Agata Bartoszuk, Jan Kochanowicz, Alina Kułakowska","doi":"10.5114/ppn.2022.116880","DOIUrl":"10.5114/ppn.2022.116880","url":null,"abstract":"<p><strong>Purpose: </strong>Carpal tunnel syndrome (CTS) is the most common compression neuropathy, which is associated with a significant psy- chosocial and economic burden. In this paper, the literature on the current knowledge about the physiology and pathology of peri- pheral nerves during the course of CTS is reviewed, with a focus on currently used treatment options and the rationale for their use. Epidemiology, risk factors, etiology, clinical features and conservative treatment have been searched for, with all full-text, English language articles being included in the study. This paper aims to present the recent findings on CTS treatment while also suggesting a direction for further clinical trials.</p><p><strong>Views: </strong>The search in PubMed and Google Scholar Databases revealed 229 articles of which 71 met the research criteria. The evi- dence regarding standard treatment methods of conservative CTS treatment is presented. CTS is a relatively common condition, which affects women more often than men. It is a multifactorial disease, and its clinical presentation mostly consists of symptoms distal to the entrapment site, including numbness, tingling, weakness and pain. Electrodiagnostic studies are considered to be the gold standard in CTS diagnosis. The conservative treatment methods reviewed are acupuncture, extracorporeal shock wave the- rapy, hydrodissection, kinesiotaping, corticosteroid injection, low level laser therapy, splints, platelet-rich plasma injection, manual therapy, ultrasound and phonophoresis.</p><p><strong>Conclusions: </strong>Based on the current body of knowledge, we conclude that the conservative CTS treatment is very safe, but the effec- tiveness of reviewed methods differs. The first promising results presented by various studies motivate the need for further research on novel treatment methods.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 2","pages":"85-94"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/47/PPN-31-47203.PMC9881572.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9386240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stroke in the COVID-19 pandemic era.","authors":"Małgorzata Wiszniewska, Małgorzata Sankowska","doi":"10.5114/ppn.2022.116881","DOIUrl":"10.5114/ppn.2022.116881","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this article is to outline the impact of COVID-19 on the frequency of occurrence, course of stroke treatment, and to highlight the cause-effect relationship between SARS-CoV-2 infection and stroke on the basis of a literature overview.</p><p><strong>Views: </strong>Since the end of 2019, the whole world has been struggling with the effects of the pandemic caused by the coronavirus SARS-CoV-2. The virus induces a wide spectrum of symptoms, ranging from mild or serious ones, which may lead to a severe multiorgan failure. Acute ischaemic stroke (AIS) might be associated with COVID-19 as a potentially fatal complication, while hemorrhagic stroke is less frequent. In most cases, stroke is caused by large artery occlusion. One of its reasons is hypercoagulation with a complex mechanism, which has not been fully explained. Research has shown that during COVID-19 pandemic, the number of patients admitted to hospitals due to AIS decreased. During the first pandemic wave there was no change regarding the proportion of patients with cerebral vessel obstruction who received endovascular treatment.</p><p><strong>Conclusions: </strong>In the COVID-19 pandemic era, rapid intravenous administration of tissue plasminogen activator remains the main treatment for acute ischaemic stroke. Patients often fail to report to hospital for the fear of SARS-CoV-2 infection. It is of the utmost importance to raise society's awareness of the necessity to report to hospital when experiencing serious symptoms, including stroke.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/dd/PPN-31-47204.PMC9881573.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression among young adults - risks and protective factors in the COVID-19 pandemic.","authors":"Magdalena Gawrych, Ewelina Cichoń, Andrzej Kiejna","doi":"10.5114/ppn.2022.118265","DOIUrl":"10.5114/ppn.2022.118265","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to assess the depression symptoms and predictors of depression in Polish young adults during online learning in the COVID-19 pandemic.</p><p><strong>Methods: </strong>The online questionnaire, including the Kutcher Adolescent Depression Scale, was distributed to young Poles through school principals. The final sample consisted of 1,500 students between the ages of 18 and 23 attending secondary schools. Multivariable logistic regression assessed the relationships between sociodemographic factors, pandemic stressors, coping behaviours and depressive symptoms.</p><p><strong>Results: </strong>56% of young Polish adults are experiencing significant depressive symptoms (95% CI: 1.82-13.96). Social isolation was recognized as the main stressor. Many significant predictors of depression were captured. Being female, living in the countryside, talking to parents, and participating in sports and hobbies are found to be protective factors. The following sociodemographic factors are important predictors of depression in young adults: being male, attending a secondary school, living in a large city. Experiencing stress due to pandemic and online learning is one of the risk factors for depression.</p><p><strong>Conclusions: </strong>The majority of young Poles met the criteria for depressive disorders. The initial findings of the presented study not only highlight the need to address mental health consequences for young people during online learning, but also provide the grounds for the development of post-pandemic interventions.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 2","pages":"52-61"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/18/PPN-31-47523.PMC9881578.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental health of university students during the pandemic. Threats to their mental health and proposals for university student support in Poland.","authors":"Lidia Zabłocka-Żytka","doi":"10.5114/ppn.2022.117931","DOIUrl":"10.5114/ppn.2022.117931","url":null,"abstract":"<p><strong>Purpose: </strong>The article is an application report. It focuses on the mental health difficulties currently experienced by university students in relation to the COVID-19 pandemic, which may have a significant impact on the study process. The work also presents examples of support implemented at higher education institutions during the pandemic, aimed at maintaining and strengthening students' mental health.</p><p><strong>Views: </strong>Mental health is closely related to physical/somatic health, among other things, in terms of health behaviour and immuno-logical processes. Thus, any physical, life-threatening and therefore life-altering illness has a potentially negative impact on an individual's overall mental health. A pandemic such as COVID-19 in 2020 is a potential additional risk factor for mental health that is not yet well understood. Pandemic-related changes such as remote learning, reduced interpersonal contact, the uncertainty surrounding this pandemic of unknown magnitude, as well as its dynamic and often surprising course may have an impact on the functioning of young people and their daily activities, including studying.</p><p><strong>Conclusions: </strong>It is essential to monitor mental health in different population groups, including students-young adults, specifically in relation to the threat of SARS-CoV-2 coronavirus infection, prevention activities and the treatment of COVID-19 patients. It is important to introduce parallel activities to support students' mental health, in line with the sanitary regime, e.g. by using new technologies.</p>","PeriodicalId":74481,"journal":{"name":"Postepy psychiatrii neurologii","volume":"31 2","pages":"95-101"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/bc/PPN-31-47429.PMC9881574.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}