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Psychiatria polska [journal]
- [Reply to prof. dr hab. Igor Gościński's letter]. [Comment, Letter]
- Psychiatr Pol 2014 Jul-Aug; 48(4):856.
- [The differences in the contents of the leaflets of medicines containing zolpidem]. [Letter]
- Psychiatr Pol 2014 Jul-Aug; 48(4):850-3.
- [Remembering old masters]. [Biography, Historical Article, Letter]
- Psychiatr Pol 2014 Jul-Aug; 48(4):847-9.
- [Psychogenic tics: clinical characteristics and prevalence]. [English Abstract, Journal Article]
- Psychiatr Pol 2014 Jul-Aug; 48(4):835-45.
Clinical characteristics and the prevalence of psychogenic tics (PT) METHODS: 268 consecutively examined patients aged 4 to 54 years (221 men, 47 females; 134 children, 134 adults) with tic phenotype: Gilles de la Tourette syndrome (GTS, n = 255), chronic motor tics (n = 6), chronic vocal tics (n= 1), transient tics (n = 1), tics unclassified (n = 2), PT (n= 5) were analyzed. The diagnosis of tic disorders was made on the DSM-IV-TR criteria and mental disorders by psychiatrists.PT were found in 5 patients (1.9%), aged 17 to 51 years, four men and one woman. The phenotype included vocalizations and complex movements. In none of the patients simple motor facial tics, inability to tic suppress, unchanging clinical pattern, peak severity from the beginning of the disease, lack of concern about the disease were present. The absence of premonitory urges, regression in unexpected positions, and the presence of atypical for GTS mental disorders were found in two persons. PT occurred in three persons in whom organic tics were present in childhood. Pharmacological treatment and psychotherapy were unsuccessful. In two persons spontaneous resolution occurred, in two patients the tics persist, in one person the course of PT is unknown.PT are rare and may occur in patients with organic tics. The most typical features of PT are: early onset in adulthood, lack of simple motor tics, inability to tic suppress. The diagnosis is established if a few atypical symptoms for organic tics occur.
- [Classification of persons attempting suicide. A review of cluster analysis research]. [English Abstract, Journal Article]
- Psychiatr Pol 2014 Jul-Aug; 48(4):823-34.
Review of conclusions from cluster analysis research on suicide risk factors published after the year 1993.Search and analysis of cluster analysis research papers on suicidal behaviour.Following groups where distinguished: (1) persons with comorbid mental disorders or with severe symptoms, (2) persons without mental disorders or with mild symptoms, (3) persons with personality disorders and externalizing psychopathology, (4) socially withdrawn persons with a tendency to avoid social contacts, (5) depressive personsAnalysis of studies on characteristics of suicide attempters, with the application of cluster analysis, has indicated the possibility of differentiation of several groups of persons with significantly increased risk of suicide attempt. The reviewed cluster analysis research had multiple methodological limitations. Studies employing cluster analysis on large, representative and homogeneous population are needed.
- [Mutual assessment of their marital relationship by parents of female patients with eating disorders]. [Comparative Study, English Abstract, Journal Article]
- Psychiatr Pol 2014 Jul-Aug; 48(4):809-22.
The goal of this study was to assess the perception of marital relationship and its mutual connections by parents of(female) patients diagnosed with eating disorders. Data from: 54 (female) patients diagnosed with restrictive anorexia nervosa (ANR), 22 with binge-purge anorexia nervosa (ANBP), 36 with bulimia (BUL), and two control groups: 36 (female) patients diagnosed with depressive disorders (DEP) and 85 Krakow schoolgirls (NOR).The study employed the Dyadic Relations Scale, a part of the Family Assessment Measure (Polish version).Wives in the BUL group, compared to wives in the NOR group, rated their husbands worse when assessing their husbands in terms of how well they functioned in the marital relationship, their performance of duties, affective involvement, and the integrity of values and rules of conduct. Wives in the ANR group, compared to wives in the NOR group, negatively rated the affective involvement of their husbands in the marital relationship. Husbands in the DEP group, compared to husbands in the NOR group, rated their wives worse when assessing their wives' general functioning in the marital relationship, degree of communication within it, degree of understanding, how well they performed their spousal duties, and the coherence of their system of values and rules of conduct. The image of the marital relationship held by parents of Krakow schoolgirls was characterized by a strong correlation, in contrast to the image of the relationship held by parents of (female) patients, regardless of the nature of the diagnosis.Comparison of the results of parents of(female) patients with eating disorders and parents of(female) patients with a diagnosis of major depressive disorder revealed no difference in the image of the marital relationship, whether in the mutual assessment of spouses towards each other or in connection with the assessments.
- [Correlations between the perception of family functioning by patients with eating disorders and their parents and the perception of relations in the parents' families of origin]. [Comparative Study, English Abstract, Journal Article]
- Psychiatr Pol 2014 Jul-Aug; 48(4):789-808.
To assess the correlations between the perception of relations in parents' families of origin and the assessment of the current family by the parents and their daughters suffering from eating disorders. STUDIED GROUP: Statistical analyses were applied to the results obtained from 54 patients diagnosed with restrictive anorexia nervosa, from 22 with binge-purge anorexia, from 36 with bulimia and from two control groups: 36 patients diagnosed with depressive disorders and 85 Krakow schoolgirls. The study also covered the parents of the investigated girls.Family of Origin Scale and Family Assessment Questionnaire (FAM Polish version) were used in the study.The procreative family assessment made by the mothers was correlated with the assessment of their own generational family and the assessment of own generational family made by their husbands. Procreative family assessment made by the fathers was correlated only with their assessment of their family of origin. Family of origin assessment made by patients with diagnosed eating disorders, particularly bulimia, was correlated only with the family of origin assessment made by their fathers. The last correlation did not occur in the control groups.The research shows a correlation between the experience of the families of origin and the current functioning of the family. They show the impact of the fathers' trangenerational experience on the perception of family relations of daughters with diagnosed anorexia and bulimia nervosa.
- [Spousal burden in partners of patients with major depressive disorder and bipolar disorder]. [English Abstract, Journal Article]
- Psychiatr Pol 2014 Jul-Aug; 48(4):773-87.
The objective of this study was to investigate the relationship between the burden level of spouses of patients in the symptomatic remission state of the major depressive disorder (MDD; 60 patients) or bipolar disorder (BD; 65 patients) and coping styles.The Involvement Evaluation Questionnaire was used to assess the burden magnitude. Coping styles were evaluated by the Coping Inventory for Stressful Situation. Information concerning patients' clinical histories, a marriages characteristics and sociodemographic data were obtained from a structured clinical interview.There were significant levels of the perceived burden in spouses of patients with either BD or MDD. In both groups the burden level was significantly higher for spouses with worse appraisal of the marital adjustment and functioning. A positive correlation between higher perceived level of burden and emotion-focused coping style was found in both groups. For the problem-oriented coping style a negative correlation with the perceived burden level was found in the BD group only. The quality of'current sexual satisfaction' was significantly lower among the spouses of BD patients. The sense of illness-driven deterioration of the quality of their sexual lives implied higher level of total and objective burden of spouses in the MDD sample. This was not the case among the spouses of patients diagnosed with BD.Spouses of patients with affective disorders should be offered with opportunities of training in more effective methods of coping (including problem-solving methods) with an illness of a family member, in order to decrease the level of burden.
- [Indirect self-destructiveness and psychological gender]. [English Abstract, Evaluation Studies, Journal Article]
- Psychiatr Pol 2014 Jul-Aug; 48(4):759-71.
Behaviours causing harm to a subject are generally called self-destructive behaviours. For some time now direct/acute self-destructiveness and indirect/chronic self-destructiveness have been distinguished. Human activity is determined to a large degree by not only biological (somatic) sex but also psychological gender. The aim of the study was to examine relationships between indirect self-destructiveness and types of psychological gender.558 individuals (399 females and 159 males) aged 19-25 were studied (mean age: 22.6). The age of the females ranged from 19 to 24 (mean age: 22.4) and of the males - from 19 to 25 (mean age: 22.8). In order to examine the intensity of indirect self-destructiveness, the Polish version of the Chronic Self-Destructiveness Scale by Kelley (CS-DS), as adapted by Suchańska, was applied. The psychological gender was examined by means of the Polish version of the Bem Sex Role Inventory (BSRI) by Bem, as adapted by Kuczyńska.The highest scores on indirect self-destructiveness were achieved by non-sex-typed individuals, lower- by sex-typed and cross-sex-typed individuals (very similar scores). In females, indirect self-destructiveness positively correlates with the masculinity scale, whereas in males, it negatively correlates with the femininity scale.Biological sex and psychological gender are qualitative variables that differentiate the intensity of indirect self-destructiveness. Psychological gender opposite to biological sex is of significance to the intensity of indirect self-destructiveness. The psychological dimension of femininity protects against indirect self-destructiveness, while the psychological dimension of masculinity predisposes to it.