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Biblioteka Psychiatrii Polskiej
Psychiatria Polska
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Archives of Psychiatry
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Archives of Psychiatry and Psychotherapy
Issue 3 September 2005
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Monika Dmitrzak-Węglarz, Agnieszka Słopień, Filip Rybakowski, Piotr M. Czerski,Joanna Hauser, Andrzej Rajewski
An association study of the Dopamine Transporter (DAT) gene and catechol-O-methyltransferase (COMT) gene in anorexia nervosa in the Polish population      5
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Summary Background: Anorexia nervosa (AN) is a common, severe psychiatric disorder that affects 1%-2% of the young woman population. AN is characterised by profound weight loss and body image disturbances. Twin and family studies have suggested a role of a genetic component in the etiology of AN, although the exact mechanism of inheritance is unknown. Recent data suggest contribution of dopaminergic neuronal pathway disturbances in the pathogenesis of AN. Material and Methods: We investigated the polymorphism of two genes: substitution Val108(158)Met of catechol-O-methyltransferase (COMT) gene and DAT 3`UTR VNTR gene with 40bp fragment repeated 3-11 times. The group of 91 AN probands and 135 controls was studied. Results: We have not found an association between AN and COMT polymorphism (genotypes: Met/Met, Met/Val, Val/Val; p=0.08) and between AN and DAT polymorphism (p=0.44). Conclusion: The analyzed COMT and DAT polymorphisms do not seem to play a role in the pathogenesis of AN in Polish population.
Leszek Bidzan, Mariola Bidzan
Depressive symptoms and preclinical Alzheimer's disease      13
Summary The study investigated the relationship between depressive symptoms and preclinical phase of Alzheimer's disease (AD). 324 non-demented nursing home residents were included. Subjects who entered the study underwent annual follow-up evaluation for up to 6 years. We compared the result of MADRS (Montgomery and Asberg Depression Rating Scale) and GDS (Geriatric Depression Scale) scales at baseline between the demented and non-demented subjects at six years follow-up. The differences were observed in the results of the both depression scales - MADRS and GDS. Comparison between the frequencies of the occurrence of symptoms making up the MADRS reveals differences which apply to some items in terms of frequency and intensity.
 
 

Adrian Sieradzki, Andrzej Kiejna, Durk Wiersma
Social disability and social functioning measurement in Polish psychiatric research      19
Summary: This article is a trial to add to the discussion on the actual state of art in the field of psychiatric social functioning and social disability measurement concerning research tools in Poland. In the paper are included proceedings in polish psychometric research in psychiatry with such instruments as Medical Outcomes Study SF-36, tools related to the International Classification of Impairments, Disabilities and Handicaps and its revisions (GSDSII) and Health Related Quality of Life (WHO-DASII). The need for assessment of practical utilization in the broader health care system context is underscored. Therefore the demand for further intensive studies in Poland remains still actual.

Maria Załuska, Jolanta Paszko, Dorota Suchecka, Zofia Traczewska
The influence of the new social help faiclities on the reduction of hospitalisations of chronically mentally ill patients      25
Summary: Goal: Evaluation of new social help facilities - Vocational Rehabilitation Centre (VRC), Community Centre of Mutual Help (CCOMH), and Specialised Social Help Services (SSHS) at home - in order to reduce psychiatric hospitalisations Method: The observation was conducted in the Warsaw Bródno District in 73 chronically mentally ill patients admitted for the first time - in 1997 or 1998 - to VRC, CCOMH, and SSHS. The numbers, mean length, and total length of full-time, part-time, and "home hospitalisations" were compared in two 2-year periods (before and after the admission) Results: During 2 years after the admission to VRC, CCOMH, SSHS, the number, mean and total length of all the hospitalisations was decreased. However in particular the full-time and part-time hospitalisations, but not "home hospitalisations" were reduced. The most significant reduction of full-time hospitalisations was observed with a combination of attendance to the day centre (VRC or CCOMH), with simultaneously receiving SSHS at home. The reduction of the part time hospitalisations referred to the persons who attended VRC or CCOMH; but not the patients receiving SSHS. Conclusions: The implementation of the new social help facilities reduces the number of full-time hospitalisations, especially by the patients receiving the combination of attendance to the day centre (VRC or CCOMH) with simultaneous SSHS service at home. The attendance to VRC, or CCOMH, but not the use of SSHS at home reduces the number of the part - time hospitalisations. The analysis of requirements for out-patient treatment of recipients of the new social help services is needed.
 
  Grzegorz Mączka, Marcin Siwek, Dominika Dudek, Bartosz Grabski
Bipolar disorders - from a biological to an integrative approach. The role of cognitive-behavioral therapy in the treatment of bipolar disorder      37
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Summary: Bipolar disorder (BD) used to be considered as a pure biological condition, with episodic course and good remissions. Nowadays long-term consequences and psychosocial disturbances persisting beyond manic or depressive episodes have been recognized. Priory, acute phase treatment was the main target of therapeutic strategies. Currently the maintenance treatment and prevention including periods of remission but beginning already in the acute phase became the most important aims of BD treatment. The consequence of such an approach is the inclusion of psychotherapy and social interventions in combination with pharmacotherapy. Psychotherapy enables achieving social recovery, relapse prevention as well as improvement of compliance which determines largely the efficacy of treatment. Cognitive - behavioral therapy presents especially encouraging results in this field.
Ewa Jackowska
Psychopathological long-term consequences of deportation of Polish civilians into the Soviet Union after 55 years (on the base of self-reports by the Sibiracs)      47
Summary The study deals with psychopathological symptoms that were reported by individuals who had been deported to the Soviet Union (SU) during World War II (named here as Sybiracs). A total of 100 people who had survived deportation in childhood or early adolescence were assessed with the semi-structured interview, PTSD Inventory and Geriatric Depression Scale (GDS). During the stay in SU the deportees were confronted with events that caused traumatic stress. The survey reveals that the most common PTSD symptoms in the subjects were: intrusive, distressing recollections of the deportation period and emotional as well as physiological reactivity on exposure to stimuli associated with deportation. The survey indicates that 47% of the subjects observed in themselves single symptoms of depression. The strongest predictors for psychopathological symptoms were: female gender, current bad medical conditions and bad psychological condition just after deportation. The results suggest that Sybiracs may well derive benefit from psychiatric and psychological consultations and support groups.
 
  Krzysztof Sołtys, Katarzyna Sulak
Folie a trois - a sick family: case study. Coincidence of psychiatric disorders in a single family      57
Summary: A mother and two daughters were admitted to the hospital to a psychiatric ward at three subsequent days, because of bizarre behaviour. A few days earlier they suddenly left their home and "went into the unknown". They started wandering around together from village to village. At that time the third daughter stayed at home. All four women joined the community of Jehovah's Witnesses, but they were all excluded several months ago. During hospitalization the mother was diagnosed with paranoid reaction, daughters with psychiatric disorders being of shared psychosis character. The daughters completely recovered. Later on the third daughter was hospitalized and she was diagnosed to have schizophrenia.
 
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