Psychiatria Danubina最新文献

Among antidepressants, selective serotonin and noradrenaline reuptake inhibitors (SSRIs and SNRIs) have been widely used in the treatment of major depression and may induce sleep disorders and bruxism. In the present study, the effects of SSRIs and SNRIs on awake and sleep bruxism have been evaluated. A total of 125 patients who had been prescribed SSRIs or SNRIs for the treatment of major depression have been evaluated for bruxism. For the purpose of the study, data from the first week (T1) and the fourth week (T2) of antidepressant treatment have been considered. In conclusion, in the early period, the presence of bruxism has not been observed to be significantly influenced by the use of antidepressants. It has been determined that sleep bruxism increased in the fourth week only in males who were using antidepressants (p = 0.015; p < 0.05). An increase in the presence of sleep bruxism due to specific SSRIs and SNRIs has been determined in the fourth week of drug use. Paroxetine in the SSRI group and duloxetine in the SNRI group have been found to cause an increase in sleep bruxism (p = 0.013; p < 0.05). Other active substances have not been found to affect sleep or awake bruxism significantly. The present study has shown that although some antidepressants increase bruxism in the early period of drug use, the effects of similar drugs on sleep or awake bruxism need to be evaluated in detail in long-term studies.

The outbreak of the Covid-19 pandemic impacted on everyday life and made necessary to deploy remote medical services. Delivering psychiatric health care remotely for children and adolescents posed a major challenge to healthcare professionals. The study aimed to describe the status and trends in remote psychotherapy used during the pandemic Covid-19 and lockdown in Poland with focus on factors affecting the decisions made by therapists, particularly those specific to child and adolescent therapy. An on-line survey on psychotherapy professionals was conducted in Poland at the beginning of the lockdown. Descriptive statistics and the chi-square test were used. There were 386 completed questionnaires. The higher levels found of accepting remote therapy were linked to working in the private sector, to using audio+video facilities, having previously experienced remote therapy and knowing both the theoretical background to remote therapy along with an appropriate level of internet literacy. There were no associations found between subject categories, gender, age nor theoretical specializations of the respondents. Remote psychotherapy may become permanently introduced into mental healthcare systems, providing safe and effective methods of treatment. Further studies are however required, and medical, organizational and administrative standards need to be developed.

This study aims to explore the interplay of these concepts in a sample patients diagnosed with schizophrenia and related psychotic disorders. Hence, the potentially mediating role of countertransference in the relationship between recalled parenting styles, childhood trauma and therapeutic working alliance was examined. A total sample of 30 patients (Age: 38.60; SD = 16.37; 50% female) treated for psychotic disorders in an inpatient setting were assessed. Pathways between the variables Recalled Parental Styles, Childhood Trauma, Countertransference and Working Alliance were estimated via frequentist and empirical Bayesian Structural Equation Modeling (EBSEM). Both maximum likelihood and EBSEM derived results suggested direct effects of remembered parental style on childhood trauma, as well as of childhood trauma on negative countertransference. Positive and negative countertransference were associated with working alliance. Furthermore, the findings suggested indirect effects of remembered parental style on negative countertransference via childhood trauma, as well as remembered parental style with working alliance mediated via childhood trauma and negative countertransference. Childhood trauma showed a significant indirect effect on working alliance via negative countertransference. The results provide preliminary support for the idea that traumatic memories from the past influence the therapeutic relationship in the present. In correspondence to this, the clinical significance of concepts like reverie and containment are discussed.

This study aimed to assess the efficacy of a multicomponent educational-rehabilitation intervention in mitigating the occurrence and intensity of depressive symptoms among stroke patients. A prospective, randomized clinical trial was conducted at the Clinic for Physical Medicine and Rehabilitation, University Clinical Center Tuzla. Seventy stroke patients were divided into two groups: the first group (N=40) underwent a multicomponent educational-rehabilitation treatment tailored to individual plans and programs, consisting of 45 minutes daily for five working days a week, totaling 20 sessions. The second group (N=30) did not receive the multicomponent educational-rehabilitation treatment. Both groups received conventional physical therapy methods (electrotherapy and individual kinesiotherapy) and speech therapy. The Beck Depression Inventory Second Edition instrument assessed the presence and severity of depressive symptoms at two time intervals: initially upon admission and finally after one month. The independent samples t-test was employed to identify differences between the initial and final testing across the groups. Patients who underwent the multicomponent educational-rehabilitation treatment exhibited a significant decrease in the presence and severity of depressive symptoms compared to those in the untreated group (t=-2.223, P=0.030). The findings suggest that multicomponent educational-rehabilitation treatment holds promise in reducing the occurrence and intensity of depressive symptoms in stroke patients.