Crohn’s disease is a chronic, lifelong condition with increasing rates of morbidity. It can have a significant impact on one's physical, emotional, economical and social functioning. Both medical as well as social fields of studies have adapted the construct of Quality of Life to assess the well being of patients. The purpose of this paper is to investigate the nature of scientists research concerning Quality of Life in Crohn's disease patients from an interdisciplinary, medical and psychological perspective exceeding beyond a single definition or a paradigm. EBSCOhost Research Databases platform was used to conduct the preliminary search. Then, a further qualitative analysis of texts was conducted. The results showed a declining interest in Quality of Life of Crohn’s disease patients in the studied 10-year scope on average by 11.49% from year to year. Also an underrepresentation of studies of the nature of psychological variables in relation to studies of the medical description was found. An information gap in scientific cognition related to the interdisciplinary approach regarding the studied topic was recognised. There is a necessity to broaden the horizons of the conducted research to include further issues at several levels of inference. This approach would by all means be needed not only in the dimension of scientific considerations, but also or above all in the practical dimension.
{"title":"The need for interdisciplinary quality of life studies for patients with Crohn's Disease - a systematic review","authors":"Dominika Jean Saad","doi":"10.12740/app/161891","DOIUrl":"https://doi.org/10.12740/app/161891","url":null,"abstract":"Crohn’s disease is a chronic, lifelong condition with increasing rates of morbidity. It can have a significant impact on one's physical, emotional, economical and social functioning. Both medical as well as social fields of studies have adapted the construct of Quality of Life to assess the well being of patients. The purpose of this paper is to investigate the nature of scientists research concerning Quality of Life in Crohn's disease patients from an interdisciplinary, medical and psychological perspective exceeding beyond a single definition or a paradigm. EBSCOhost Research Databases platform was used to conduct the preliminary search. Then, a further qualitative analysis of texts was conducted. The results showed a declining interest in Quality of Life of Crohn’s disease patients in the studied 10-year scope on average by 11.49% from year to year. Also an underrepresentation of studies of the nature of psychological variables in relation to studies of the medical description was found. An information gap in scientific cognition related to the interdisciplinary approach regarding the studied topic was recognised. There is a necessity to broaden the horizons of the conducted research to include further issues at several levels of inference. This approach would by all means be needed not only in the dimension of scientific considerations, but also or above all in the practical dimension.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135409011","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}
Sergej Nadalin, Vjekoslav Peitl, Dalibor Karlović, Petra Sučić, Lena Zatković, Alena Buretić-Tomljanović
Aim of the study We investigated the association between obesity and body mass index (BMI) with Positive and Negative Syndrome Scale (PANSS) psychopathology, age at disease onset, and parameters linked to the metabolic syndrome (fasting plasma lipid and glucose levels), among antipsychotic-naïve first-episode schizophrenia (AN-FES) patients and nonadherent chronic schizophrenia individuals. Subject or material and methods We recruited a total of 187 AN-FES patients or nonadherent chronic individuals for this study. Clinical and anthropometric data together with plasma lipid and glucose parameters were collected immediately after patients’ admission to the hospital. Patients were classified as obese with body mass index (BMI) ≥ 30, or as non-obese if overweight (BMI: 25 – 29.9) or of normal body weight (BMI: 18.5 – 24.9). Results After controlling for the possible confounders we found that only BMI significantly predicted clinical and metabolic variables. Among AN-FES patients, higher BMI values predicted lower levels of HDL cholesterol (HDL-c), and higher ratios for LDL cholesterol (LDL-c)/HDL-c and triglyceride/HDL-c, while among nonadherent individuals, higher BMI values predicted higher number of psychotic episodes, and lower PANSS general psychopathology scores. The contribution of BMI ranged from approximately 5.8% to 29.6%, with the lowest contribution observed for number of psychotic episodes, and the highest contribution for the LDL-c/HDL-c ratio. Discussion Our results indicate that AN-FES patients and nonadherent chronic patients differed in the effects of BMI. Conclusions Higher BMI contributes to an increased risk for dyslipidemia among AN-FES patients and to the higher number of psychotic episodes, and less severe clinical psychopathology among nonadherent chronic schizophrenia individuals.
{"title":"Clinical and metabolic associations of obesity and body mass index in antipsychotic-naïve first-episode schizophrenia patients and nonadherent chronic patients","authors":"Sergej Nadalin, Vjekoslav Peitl, Dalibor Karlović, Petra Sučić, Lena Zatković, Alena Buretić-Tomljanović","doi":"10.12740/app/163305","DOIUrl":"https://doi.org/10.12740/app/163305","url":null,"abstract":"Aim of the study We investigated the association between obesity and body mass index (BMI) with Positive and Negative Syndrome Scale (PANSS) psychopathology, age at disease onset, and parameters linked to the metabolic syndrome (fasting plasma lipid and glucose levels), among antipsychotic-naïve first-episode schizophrenia (AN-FES) patients and nonadherent chronic schizophrenia individuals. Subject or material and methods We recruited a total of 187 AN-FES patients or nonadherent chronic individuals for this study. Clinical and anthropometric data together with plasma lipid and glucose parameters were collected immediately after patients’ admission to the hospital. Patients were classified as obese with body mass index (BMI) ≥ 30, or as non-obese if overweight (BMI: 25 – 29.9) or of normal body weight (BMI: 18.5 – 24.9). Results After controlling for the possible confounders we found that only BMI significantly predicted clinical and metabolic variables. Among AN-FES patients, higher BMI values predicted lower levels of HDL cholesterol (HDL-c), and higher ratios for LDL cholesterol (LDL-c)/HDL-c and triglyceride/HDL-c, while among nonadherent individuals, higher BMI values predicted higher number of psychotic episodes, and lower PANSS general psychopathology scores. The contribution of BMI ranged from approximately 5.8% to 29.6%, with the lowest contribution observed for number of psychotic episodes, and the highest contribution for the LDL-c/HDL-c ratio. Discussion Our results indicate that AN-FES patients and nonadherent chronic patients differed in the effects of BMI. Conclusions Higher BMI contributes to an increased risk for dyslipidemia among AN-FES patients and to the higher number of psychotic episodes, and less severe clinical psychopathology among nonadherent chronic schizophrenia individuals.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135407147","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}
Aim Probiotics are live microorganisms that are part of the human microbiota. The intestines are the habitat for approximately 1013-1014 microorganisms, mainly Firmicutes and Bacteroidetes. The gut microbiota is an individual characteristic for each person and can change due to many factors, including: age, diet, and health status. The gut microbiota plays a key role in the proper functioning of the brain-gut axis, thus contributing to human health and mental well-being. The aim of this study was to present the effect of probiotic use in the course of selected psychiatric disorders. Material and methods The literature review was performed using information from PubMed/Medline, ScienceDirect, and Polish Psychiatry databases that were published before 2022. Results and discussion: A factor associated with disorders such as depression, autism, Alzheimer's disease, and mental anorexia is the generalized inflammation taking place in the patient's body. Research indicates that the inflammatory response may be caused by an imbalance in the intestinal barrier and disruption of its continuity, which may result in translocation of bacteria into the blood and activation of the immune system. The use of probiotics may play a significant role in maintaining the bacterial balance in the gastrointestinal tract and the proper functioning of the gut-brain axis, which provides a link between gut function and the emotional and cognitive centers of the brain. Conclusions Probiotics may improve mental health and cognitive function, but more clinical studies are needed on the clinical significance of the effects and how they compare to current therapies.
{"title":"Use of probiotics in the treatment of selected psychiatric disorders","authors":"Magdalena Marianna Skowrońska","doi":"10.12740/app/161074","DOIUrl":"https://doi.org/10.12740/app/161074","url":null,"abstract":"Aim Probiotics are live microorganisms that are part of the human microbiota. The intestines are the habitat for approximately 1013-1014 microorganisms, mainly Firmicutes and Bacteroidetes. The gut microbiota is an individual characteristic for each person and can change due to many factors, including: age, diet, and health status. The gut microbiota plays a key role in the proper functioning of the brain-gut axis, thus contributing to human health and mental well-being. The aim of this study was to present the effect of probiotic use in the course of selected psychiatric disorders. Material and methods The literature review was performed using information from PubMed/Medline, ScienceDirect, and Polish Psychiatry databases that were published before 2022. Results and discussion: A factor associated with disorders such as depression, autism, Alzheimer's disease, and mental anorexia is the generalized inflammation taking place in the patient's body. Research indicates that the inflammatory response may be caused by an imbalance in the intestinal barrier and disruption of its continuity, which may result in translocation of bacteria into the blood and activation of the immune system. The use of probiotics may play a significant role in maintaining the bacterial balance in the gastrointestinal tract and the proper functioning of the gut-brain axis, which provides a link between gut function and the emotional and cognitive centers of the brain. Conclusions Probiotics may improve mental health and cognitive function, but more clinical studies are needed on the clinical significance of the effects and how they compare to current therapies.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135407152","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}
Roberta Mineo, Moustapha El Rakhawy, Mona Yahya Rakhawy, Reem Mohamed Deif, Ehab Ahmed Youssef, Samah Osman Ali, Frashia Ndungu
Aim of the study This study assessed the tendencies of mental health professionals toward seeking personal therapy. Subject or material and methods A cross-sectional design was used with a sample of 156 Egyptian mental health professionals through an online survey. Results Findings suggested that the experiences of personal therapy increased the therapist's practice and outcomes with their clients. Additionally, a statistically significant difference was found between professionals of Gestalt/person-centered orientation, whereas no statistically significant difference was found between professionals of psychodynamic/psychoanalytic, CBT, psychodrama, and other theoretical orientations. Discussion Personal therapy has a positive impact on therapists’ well-being and their practice. In their professional and personal development, it makes them excel in core and advanced skills and build appropriate relationships with their clients, which is required for effective practice. Conclusions Further quantitative and qualitative studies are needed to determine the generalizability of the current study’s findings.
{"title":"Mental Health Professionals’ Tendencies towards Seeking Personal Therapy","authors":"Roberta Mineo, Moustapha El Rakhawy, Mona Yahya Rakhawy, Reem Mohamed Deif, Ehab Ahmed Youssef, Samah Osman Ali, Frashia Ndungu","doi":"10.12740/app/167366","DOIUrl":"https://doi.org/10.12740/app/167366","url":null,"abstract":"Aim of the study This study assessed the tendencies of mental health professionals toward seeking personal therapy. Subject or material and methods A cross-sectional design was used with a sample of 156 Egyptian mental health professionals through an online survey. Results Findings suggested that the experiences of personal therapy increased the therapist's practice and outcomes with their clients. Additionally, a statistically significant difference was found between professionals of Gestalt/person-centered orientation, whereas no statistically significant difference was found between professionals of psychodynamic/psychoanalytic, CBT, psychodrama, and other theoretical orientations. Discussion Personal therapy has a positive impact on therapists’ well-being and their practice. In their professional and personal development, it makes them excel in core and advanced skills and build appropriate relationships with their clients, which is required for effective practice. Conclusions Further quantitative and qualitative studies are needed to determine the generalizability of the current study’s findings.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135407155","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}
Dear Readers Between Yestarday and Today ...With this words we open the autumn issue of Archives of Psychiatry and Psychotherapy. This is also the opening phrase of the first paper prepared by the Krakow team of Klaudiusz Kudła et al, prepared under the supervision of Maciej Pilecki. The article describes the transition of the model of group interaction conducted in the Department of Child and Adolescent Psychiatry of the University Hospital in Krakow, Poland - from its beginnings conducted by Prof. M. Orwid, Prof. J. Bomba and dr W. Badure-Madej throughout the changes that have taken place over the years.
{"title":"From editors","authors":"Katarzyna Cyranka, Jerzy Samochowiec","doi":"10.12740/app/172874","DOIUrl":"https://doi.org/10.12740/app/172874","url":null,"abstract":"Dear Readers Between Yestarday and Today ...With this words we open the autumn issue of Archives of Psychiatry and Psychotherapy. This is also the opening phrase of the first paper prepared by the Krakow team of Klaudiusz Kudła et al, prepared under the supervision of Maciej Pilecki. The article describes the transition of the model of group interaction conducted in the Department of Child and Adolescent Psychiatry of the University Hospital in Krakow, Poland - from its beginnings conducted by Prof. M. Orwid, Prof. J. Bomba and dr W. Badure-Madej throughout the changes that have taken place over the years.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135720556","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}
Sabina Krzyżowska, Katarzyna Cyranka, Bartłomiej Matejko, Andrzej Juryk, Adrian Chrobak, Katarzyna Cyganek, Przemysław Witek, Dominika Dudek, Maciej Tadeusz Małecki, Tomasz Klupa
Aim of the study The aim was to assess the occurrence of eating disorders (ED) in type 1 diabetes (T1DM) patients being under regular diabetologist care, that qualify for a visit to a psychologist and to evaluate possible correlation of eating disorders with symptoms of depression and anxiety in this population. Subject or material and methods The study included a selected group of 27 adult patients (55.5%- women) with T1DM under the constant care at the diabetes clinic. The following tools were used: to assess depression and anxiety, used the Patient Health Questionnaire (PHQ-9) and Center for Epidemiological Studies Depression Questionnaire (CES-D); EAT-26 assessed ED screening and Mood Disorder Questionnaire (MDQ) – other problems. Results Based on the overall assessment of the EAT-26 test as many as 7% of group was problem, which manifested a high level of concern about dieting, body weight or problematic eating behaviors. Additional the 25.9% people reported high depressive. We showed a relationship between ED and depression. Discussion There was a similar frequency of eating disorders ED eating disorders have elevated glycated haemoglobin (HbA1c), however, in our study, the mean HbA1c was 6.85% (51 mmol/mol) - fairly good glycemic control. In addition, a correlation between ED and depression has been noted, and patients with type 1 diabetes are very sensitive to both disorders. Conclusions People suffering from type 1 diabetes, due to the increased risk of eating disorders or depression, require comprehensive care of a therapeutic team, which should include a diabetologist, psychologist, psychiatrist, diabetes educator, nurse, nutritionist.
{"title":"Comorbity of eating disorders and depression in T1DM patients: challenges and tasks for dietetician - a pilot study","authors":"Sabina Krzyżowska, Katarzyna Cyranka, Bartłomiej Matejko, Andrzej Juryk, Adrian Chrobak, Katarzyna Cyganek, Przemysław Witek, Dominika Dudek, Maciej Tadeusz Małecki, Tomasz Klupa","doi":"10.12740/app/163524","DOIUrl":"https://doi.org/10.12740/app/163524","url":null,"abstract":"Aim of the study The aim was to assess the occurrence of eating disorders (ED) in type 1 diabetes (T1DM) patients being under regular diabetologist care, that qualify for a visit to a psychologist and to evaluate possible correlation of eating disorders with symptoms of depression and anxiety in this population. Subject or material and methods The study included a selected group of 27 adult patients (55.5%- women) with T1DM under the constant care at the diabetes clinic. The following tools were used: to assess depression and anxiety, used the Patient Health Questionnaire (PHQ-9) and Center for Epidemiological Studies Depression Questionnaire (CES-D); EAT-26 assessed ED screening and Mood Disorder Questionnaire (MDQ) – other problems. Results Based on the overall assessment of the EAT-26 test as many as 7% of group was problem, which manifested a high level of concern about dieting, body weight or problematic eating behaviors. Additional the 25.9% people reported high depressive. We showed a relationship between ED and depression. Discussion There was a similar frequency of eating disorders ED eating disorders have elevated glycated haemoglobin (HbA1c), however, in our study, the mean HbA1c was 6.85% (51 mmol/mol) - fairly good glycemic control. In addition, a correlation between ED and depression has been noted, and patients with type 1 diabetes are very sensitive to both disorders. Conclusions People suffering from type 1 diabetes, due to the increased risk of eating disorders or depression, require comprehensive care of a therapeutic team, which should include a diabetologist, psychologist, psychiatrist, diabetes educator, nurse, nutritionist.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136100165","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}
L. Pelizza, E. Leuci, E. Quattrone, G. Paulillo, S. Azzali, S. Pupo, P. Pellegrini
The aims of this investigation were: (1) to calculate baseline prevalence of FES patients with relevant depressed mood (DM), (2) to longitudinally monitor DM levels over a 12-month follow-up, and (3) to investigate their associations with clinical data and the specific treatment components of an “Early Intervention in Psychosis” (EIP) program.The Positive And Negative Syndrome Scale (PANSS) was completed by all FES participant. Individuals with a baseline PANSS “Depression” item subscore of ≥ 5 were classified as having relevant depressed mood (FES/DM+). Chi-square and Mann-Whitney tests were used for inter-group comparisons. A linear regression analysis was also performed.Fifty-three (33.3%) participants were in the FES/DM+ subgroup. Relevant baseline DM at baseline was associated with female gender and a higher PANSS “Positive Symptoms” score. Across the follow-up, FES individuals improved their DM levels. This was significantly related to a longitudinal decrease in PANSS “Positive Symptoms” levels.More than 1/3 of FES subjects had relevant DM already at the recruitment time in an EIP service. This suggests that relevant depression in FES subjects is usually under-treated. Moreover, we observed a significant decrease in DM severity levels across the follow-up. This decrease was associated with the longitudinal severity reduction in positive symptom levels, reflecting their state-related fluctuations.DM is relatively frequent in FES, already at the recruitment in EIP services. However, its severity decreases overtime within specialized EIP programs.
{"title":"Is depressed mood clinically relevant at the onset of schizophrenia? A longitudinal study.","authors":"L. Pelizza, E. Leuci, E. Quattrone, G. Paulillo, S. Azzali, S. Pupo, P. Pellegrini","doi":"10.12740/app/158201","DOIUrl":"https://doi.org/10.12740/app/158201","url":null,"abstract":"The aims of this investigation were: (1) to calculate baseline prevalence of FES patients with relevant depressed mood (DM), (2) to longitudinally monitor DM levels over a 12-month follow-up, and (3) to investigate their associations with clinical data and the specific treatment components of an “Early Intervention in Psychosis” (EIP) program.The Positive And Negative Syndrome Scale (PANSS) was completed by all FES participant. Individuals with a baseline PANSS “Depression” item subscore of ≥ 5 were classified as having relevant depressed mood (FES/DM+). Chi-square and Mann-Whitney tests were used for inter-group comparisons. A linear regression analysis was also performed.Fifty-three (33.3%) participants were in the FES/DM+ subgroup. Relevant baseline DM at baseline was associated with female gender and a higher PANSS “Positive Symptoms” score. Across the follow-up, FES individuals improved their DM levels. This was significantly related to a longitudinal decrease in PANSS “Positive Symptoms” levels.More than 1/3 of FES subjects had relevant DM already at the recruitment time in an EIP service. This suggests that relevant depression in FES subjects is usually under-treated. Moreover, we observed a significant decrease in DM severity levels across the follow-up. This decrease was associated with the longitudinal severity reduction in positive symptom levels, reflecting their state-related fluctuations.DM is relatively frequent in FES, already at the recruitment in EIP services. However, its severity decreases overtime within specialized EIP programs.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42201129","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}
M. Hashemian, Farshad Zandrahimi, Amirhossein Mirafzal, Hamid Pakmanesh, Ladan Amirkhosravi
Anesthesia decreases brain cognitive function, memory and pain, and also leads to the loss of consciousness. In this study, midazolam and propofol-sedated trauma patients undergoing lower limb surgery were evaluated for stress levels after neuraxial anesthesia.This double-blind randomized clinical trial was conducted on patients with lower extremity fractures due to trauma, who were candidates of elective lower extremity orthopedic surgery. Patients were randomly divided into two groups of propofol-sedated patients (n=110) and midazolam-sedated patients (n=110) after neuraxial anesthesia. Then, all patients underwent spinal anesthesia using 3 ml of 0.5% bupivacaine (3 mg/kg). Propofol (25-75 µg/kg/minute) was infused, and 1-2 mg of midazolam was injected PRN until patients reached the score of 3 on the Modified Observers' Assessment of Alertness/ Sedation Scale (MOAA/S).Preoperative sedation/alertness scores of patients in the two groups did not differ significantly from one another. Penetrating memories in the midazolam group was higher than the propofol group (P<0.05). Personal relationship problem was more significant in the midazolam group than the propofol group (P<0.05). Inability in controlling emotional feelings was higher in the midazolam group compared to the propofol group (P<0.001).Our findings indicated that a sub-hypnotic dose of propofol provided superior sedation and amnesia compared to midazolam. Aspects of stress, including penetrating memories, personal relationship problems, inability to control emotional feelings, and lack of depression during spinal anesthesia were better managed by propofol compared to midazolam.Propofol infusion was better in decreasing stress levels after surgery compared to midazolam.
{"title":"Post-traumatic stress and awareness in patient with traumatic lower limb surgery by neuraxial anesthesia: A randomized clinical trial","authors":"M. Hashemian, Farshad Zandrahimi, Amirhossein Mirafzal, Hamid Pakmanesh, Ladan Amirkhosravi","doi":"10.12740/app/159084","DOIUrl":"https://doi.org/10.12740/app/159084","url":null,"abstract":"Anesthesia decreases brain cognitive function, memory and pain, and also leads to the loss of consciousness. In this study, midazolam and propofol-sedated trauma patients undergoing lower limb surgery were evaluated for stress levels after neuraxial anesthesia.This double-blind randomized clinical trial was conducted on patients with lower extremity fractures due to trauma, who were candidates of elective lower extremity orthopedic surgery. Patients were randomly divided into two groups of propofol-sedated patients (n=110) and midazolam-sedated patients (n=110) after neuraxial anesthesia. Then, all patients underwent spinal anesthesia using 3 ml of 0.5% bupivacaine (3 mg/kg). Propofol (25-75 µg/kg/minute) was infused, and 1-2 mg of midazolam was injected PRN until patients reached the score of 3 on the Modified Observers' Assessment of Alertness/ Sedation Scale (MOAA/S).Preoperative sedation/alertness scores of patients in the two groups did not differ significantly from one another. Penetrating memories in the midazolam group was higher than the propofol group (P<0.05). Personal relationship problem was more significant in the midazolam group than the propofol group (P<0.05). Inability in controlling emotional feelings was higher in the midazolam group compared to the propofol group (P<0.001).Our findings indicated that a sub-hypnotic dose of propofol provided superior sedation and amnesia compared to midazolam. Aspects of stress, including penetrating memories, personal relationship problems, inability to control emotional feelings, and lack of depression during spinal anesthesia were better managed by propofol compared to midazolam.Propofol infusion was better in decreasing stress levels after surgery compared to midazolam.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47895157","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}
Pandemics have negative physical and mental effects on children and adolescents. However, our knowledge about the factors related to the mental problems experienced in this process is limited. This study aimed to examine the association between resources of Covid-19 related information exposure and sociodemographic characteristics and mental health problems during pandemics.This study was carried out with 1030 children. The sociodemographic characteristics of the participants and exposure to information flow about the Covid-19 pandemic were recorded. Psychiatric problems were assessed using the DSM-5 Level-2 Anxiety Scale, DSM-5 Level-2 Depression Scale, DSM-5 Level-2 Sleep Disorder Scale.The mean age was found as 10.45 years. It was determined that 33% of the participants had moderate/high level anxiety symptoms and 16.1% had moderate/high level depressive symptoms. Girl gender was related with anxiety-depression symptoms and sleep disorders, living in urban area was related with anxiety symptoms, increasing age and presence of death due to Covid-19 were associated with depression symptoms. It was determined that information exposure through TV, internet and peer conversations is associated with anxiety-depression symptoms, and information exposure via internet and family conversations was associated with sleep disorder symptoms..Measures to be taken for both sociodemographic risk factors and the negative consequences of resources of information exposure may reduce the negative psychological effects of pandemics on children.
{"title":"The effects of information resources on children and adolescent mental health in pandemics; Covid-19 sample","authors":"Serdar Karatoprak, Y. Donmez","doi":"10.12740/app/156926","DOIUrl":"https://doi.org/10.12740/app/156926","url":null,"abstract":"Pandemics have negative physical and mental effects on children and adolescents. However, our knowledge about the factors related to the mental problems experienced in this process is limited. This study aimed to examine the association between resources of Covid-19 related information exposure and sociodemographic characteristics and mental health problems during pandemics.This study was carried out with 1030 children. The sociodemographic characteristics of the participants and exposure to information flow about the Covid-19 pandemic were recorded. Psychiatric problems were assessed using the DSM-5 Level-2 Anxiety Scale, DSM-5 Level-2 Depression Scale, DSM-5 Level-2 Sleep Disorder Scale.The mean age was found as 10.45 years. It was determined that 33% of the participants had moderate/high level anxiety symptoms and 16.1% had moderate/high level depressive symptoms. Girl gender was related with anxiety-depression symptoms and sleep disorders, living in urban area was related with anxiety symptoms, increasing age and presence of death due to Covid-19 were associated with depression symptoms. It was determined that information exposure through TV, internet and peer conversations is associated with anxiety-depression symptoms, and information exposure via internet and family conversations was associated with sleep disorder symptoms..Measures to be taken for both sociodemographic risk factors and the negative consequences of resources of information exposure may reduce the negative psychological effects of pandemics on children.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48726669","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}
P. Rękawek, Jarosław Lichota, Pawlus Jan, Krzysztof Motyl, T. Sulikowski
A faecal impaction is a condition that is well known as a complication of long-term neuroleptic treatment. Rarely can provide life-threatening complications such as gastrointestinal obstruction. Long-term consolidation of faecal masses can lead to create a well-formed, hard intraluminal conglomerate (faecaloma). Fecaloma can be successfully conservatively treated. In some cases endoscopic methods may be effective. Rarely surgical treatment is required. Prophylaxis of faecal impaction is important to patients undergoing neuroleptic therapy. Indispensable is to monitor the patient's condition for constipation and obstruction of the gastrointestinal tract. In this case study, we want to present a case of a giant faecaloma, which appeared as a complication of neuroleptic treatment.
{"title":"Giant faecaloma as a complication of neuroleptic treatment – case report.","authors":"P. Rękawek, Jarosław Lichota, Pawlus Jan, Krzysztof Motyl, T. Sulikowski","doi":"10.12740/app/156209","DOIUrl":"https://doi.org/10.12740/app/156209","url":null,"abstract":"A faecal impaction is a condition that is well known as a complication of long-term neuroleptic treatment. Rarely can provide life-threatening complications such as gastrointestinal obstruction. Long-term consolidation of faecal masses can lead to create a well-formed, hard intraluminal conglomerate (faecaloma). Fecaloma can be successfully conservatively treated. In some cases endoscopic methods may be effective. Rarely surgical treatment is required. Prophylaxis of faecal impaction is important to patients undergoing neuroleptic therapy. Indispensable is to monitor the patient's condition for constipation and obstruction of the gastrointestinal tract. In this case study, we want to present a case of a giant faecaloma, which appeared as a complication of neuroleptic treatment.","PeriodicalId":44856,"journal":{"name":"Archives of Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48379303","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}
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