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The importance of anti-inflammatory diet in depression: a literature review and recommendations 抗炎饮食对抑郁症的重要性:文献综述和建议
Pub Date : 2023-07-20 DOI: 10.12923/2353-8627/2023-0013
Z. Wingralek, Paweł Miś, Hubert Wróblewski, A. Zimna, J. Rog
Introduction: The etiopathogenesis of depression consists of genetic, metabolic, hormonal and psychogenic factors. The pathological process increases the risk and worsens the course of the disorder in chronic low-grade inflammation. Nutrition affects the pro-/anti-inflammatory state, and an anti-inflammatory diet is a proposed form supporting the therapy of inflammatory diseases. The review aimed to determine the importance of an anti-inflammatory diet in supporting the treatment of mood disorders.Materials and methods: The available literature was reviewed by searching the PubMed and Google Scholar databases using the following keywords: nutritional psychiatry, depression, anti-inflammatory diet from the inception to 10th February 2023. We characterized the anti-inflammatory diet, potential mechanisms of action, the epidemiological and intervention studies conducted so far focusing on this topic, as well as barriers to implementation and potentially harmful effects of its implementation.Results: Observational studies show a link between the anti-inflammatory potential of diet and a lower risk of developing mood disorders. The pro-inflammatory profile of the diet is associated with higher severity of depressive symptoms. On the other hand, an anti-inflammatory diet has a beneficial effect on the brain-gut axis and the intestinal microbiota, which are involved in the development of depressive disorders.Conclusions: It is necessary to increase clinical practitioners' and patients' knowledge of the impact of nutrition on mental health. Our team developed recommendations for an anti-inflammatory diet adapted to Polish conditions based on the guidelines. In the case of patients' barriers to implementation, encouraging partial implementation of the recommendations is advised.
抑郁症的发病机制包括遗传、代谢、激素和心理等因素。在慢性低度炎症中,病理过程增加了风险并恶化了疾病的病程。营养影响促/抗炎状态,抗炎饮食是一种支持炎症性疾病治疗的建议形式。该综述旨在确定抗炎饮食在支持情绪障碍治疗中的重要性。材料和方法:通过检索PubMed和Google Scholar数据库,检索自研究开始至2023年2月10日的相关文献,检索关键词:营养精神病学、抑郁症、抗炎饮食。我们介绍了抗炎饮食,潜在的作用机制,迄今为止开展的关于该主题的流行病学和干预研究,以及实施的障碍和潜在的有害影响。结果:观察性研究表明,饮食的抗炎潜力与患情绪障碍的风险较低之间存在联系。这种饮食的促炎特征与抑郁症状的严重程度较高有关。另一方面,抗炎饮食对脑-肠轴和肠道微生物群有有益的影响,这与抑郁症的发展有关。结论:有必要提高临床医生和患者对营养对心理健康影响的认识。我们的团队根据指南制定了适合波兰条件的抗炎饮食建议。在患者妨碍实施的情况下,建议鼓励部分实施建议。
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引用次数: 0
Risk factors of Secondary Traumatic Stress in psychotherapists studied during the COVID-19 COVID-19期间心理治疗师继发性创伤应激的危险因素研究
Pub Date : 2023-05-30 DOI: 10.12923/2353-8627/2023-0012
A. Kulik, Natalia Kajka, A. Banakiewicz, Ewelina Frańczyk
Introduction: The aim of the study was: to assess the severity of Secondary Traumatic Stress (STS), to identify ST's predictors, and to assess the model of relationships between predictors of Secondary Traumatic Stress in psychotherapists working during the pandemic in Poland.Materials and methods: The research group consisted of 153 psychotherapists (130 women, 85%) aged 25-66 (M = 39.39; SD = 9.65). The following tools were used to measure the variables: Coping Inventory for Stressful Situations (CISS), Perceived Stress Scale (PSS-10), Fatigue Severity Scale (FSS), FCV-19S Fear of COVID-19 Scale (FCV-19S), Secondary Traumatic Stress Scale (STSS), Personal Inquiry, Assessment of working conditions during a pandemic.Discussion: It has been shown that 9.8% of psychotherapists working during the pandemic experienced high or very high-intensity of symptoms of Secondary Traumatic Stress. The predictors of STS turned out to be: task-induced stress during the pandemic, emotion-focused stress-coping style, and fear of COVID-19. The proposed model of moderated moderation, which assumes that COVID-19 anxiety that intensifies the emotional style of coping with stress in specialists, has an influence on the relationship between occupational tasks stress during a pandemic and the severity of symptoms of Secondary Traumatic Stress, has not been confirmed. Therefore, there is a need for further exploration of the issue.Conclusions: Research shows an increase in STSD among Polish psychotherapists during covid as well as risk factors intensifying this diagnosis.Keywords: secondary traumatic stress, psychotherapist, anxiety, coping, risk factors
简介:本研究的目的是:评估继发性创伤压力(STS)的严重程度,确定ST的预测因素,并评估波兰大流行期间工作的心理治疗师的继发性创伤压力预测因素之间的关系模型。材料与方法:研究组共153名心理治疗师(女性130名,85%),年龄25 ~ 66岁(M = 39.39;Sd = 9.65)。使用以下工具测量变量:压力情况应对量表(CISS)、感知压力量表(PSS-10)、疲劳严重程度量表(FSS)、FCV-19S对COVID-19的恐惧量表(FCV-19S)、二次创伤压力量表(STSS)、个人询问、大流行期间工作条件评估。讨论:研究表明,在大流行期间工作的9.8%的心理治疗师经历了高强度或非常高强度的继发性创伤应激症状。STS的预测因素是:大流行期间任务引起的压力、以情绪为中心的压力应对方式和对COVID-19的恐惧。提出的有调节调节模型尚未得到证实,该模型假设COVID-19焦虑加剧了专家应对压力的情绪方式,影响了大流行期间职业任务压力与继发性创伤应激症状严重程度之间的关系。因此,有必要进一步探讨这一问题。结论:研究表明,在covid期间波兰心理治疗师中的性传播疾病增加,以及加剧这种诊断的风险因素。关键词:继发性创伤应激,心理治疗师,焦虑,应对,危险因素
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引用次数: 0
Rumination about the death of a spouse versus the severity of somaticsymptom disorder and sleep disturbances in widowed individuals in lateadulthood 成年后期丧偶个体对配偶死亡的反思与躯体症状障碍和睡眠障碍的严重程度
Pub Date : 2023-05-24 DOI: 10.12923/2353-8627/2023-0011
Karolina Ludwikowska-Świeboda
Introduction: The aim of the study was to gain a better understanding of the role of emotion regulation (understood in terms of the intensity of intrusive and deliberate rumination about the death of a spouse) in the etiology of sleep disturbances and somatic symptom disorder in widowed people in late adulthood. Material and methods: The study involved 82 older people (66 women and 16 men) whose spouses had died at least six months before the study. The following measures were used: the Event Related Rumination Inventory (ERRI) to assess the intensity of intrusive and deliberate rumination; the General Health Questionnaire (GHQ-28) (somatic symptoms scale) to assess the intensity of somatic symptom disorder; two items of the arousal subscale from the Event Impact Scale – Revised (IES-R) for evaluating the severity of sleep disorder symptoms; as well as a self-designed demographic data questionnaire. Results: The study showed that the intensity of somatic symptom disorder and sleep disturbances can be explained by intrusive rumination. No relationship was found between deliberate rumination and the severity of these disorders. Additionally, there is a positive relationship between the severity of somatic symptom disorder and the age of the study participants. Conclusions: The present findings can potentially be applied in therapeutic programs for widowed individuals who experience sleep disturbances and somatic symptom disorder as a result of unresolved grief. Keywords: somatic symptom disorder, insomnia, grief, death of a spouse, rumination
前言:本研究的目的是为了更好地了解情绪调节在成年后期丧偶人群睡眠障碍和躯体症状障碍的病因学中的作用(根据对配偶死亡的侵入性和故意反刍的强度来理解)。材料和方法:这项研究涉及82名老年人(66名女性和16名男性),他们的配偶在研究前至少六个月去世。采用事件相关反刍量表(ERRI)评估侵入性反刍和故意反刍的强度;一般健康问卷(GHQ-28)(躯体症状量表)评估躯体症状障碍的严重程度;事件影响量表修订版(IES-R)中用于评估睡眠障碍症状严重程度的唤醒子量表的两个条目;以及一份自行设计的人口统计数据问卷。结果:躯体症状障碍和睡眠障碍的强度可以用侵入性反刍来解释。没有发现故意沉思和这些疾病的严重程度之间的关系。此外,躯体症状障碍的严重程度与研究参与者的年龄呈正相关。结论:目前的研究结果可以潜在地应用于因未解决的悲伤而经历睡眠障碍和躯体症状障碍的丧偶个体的治疗方案。关键词:躯体症状障碍,失眠,悲伤,丧偶,沉思
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引用次数: 0
Neuroprotective factors in schizophrenia: BDNF, NGF, NT3, GDNF and their connection to the pathogenesis of schizophrenia. A narrative review 精神分裂症的神经保护因子:BDNF、NGF、NT3、GDNF及其与精神分裂症发病机制的关系叙述性回顾
Pub Date : 2023-05-17 DOI: 10.12923/2353-8627/2023-0010
Piotr Sikorski, E. Sikorska, Milena Michalska, A. Stec, Kaja Kasarełło, Sylwia Fudalej
Introduction: There are several hypotheses of schizophrenia pathogenesis, including the neurodegenerative theory, which is supported by evidence for the decrease of neuroprotective factors’ serum levels. The proteins, that exert a protective effect on neurons and are researched concerning schizophrenia pathogenesis, include the brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), neurotrophin 3 (NT3), and glial cell line-derived neurotrophic factor (GDNF). This review aims to discuss the role of neuroprotective factors in the development of schizophrenia and their relevance in clinical trials.Material and methods: This review was performed by search of the PubMed, Google Scholar, and Science Direct databases from December 25th, 2022, through January 31st, 2023, using keywords: ‘schizophrenia’, ‘schizophrenia pathogenesis’, ‘neuroprotection’, ‘neurodegeneration’, ‘BDNF’, ‘NGF’, ‘NT3’, and ‘GDNF’. We considered original research papers and systematic reviews published in English or Polish. Additionally, clinical trials, which included the assessment of neuroprotective factors’ levels in schizophrenia as outcome measures, were searched for on clinicaltrials.gov.Results: Lower levels of serum BDNF have been linked to cognitive impairment in schizophrenia. In clinical trials, the assessment of serum BDNF is used as a clinical outcome measure for novel schizophrenia therapies. Schizophrenia has also been associated with reduced peripheral NGF levels. During remission, lower NGF levels correlate with higher severity of negative symptoms. Decreased NT3 and GDNF levels can also be seen, but literature reports are inconsistent.Conclusions: Neuroprotective factors are most likely related to the pathogenesis of schizophrenia. Assessing the serum level of these proteins may prove to be an invaluable element of schizophrenia management.Keywords: schizophrenia, brain-derived neurotrophic factor, nerve growth factor,neurotrophin 3, glial cell line-derived neurotrophic factor
精神分裂症的发病机制有几种假说,包括神经退行性说,这一假说得到了血清中神经保护因子水平降低的证据支持。脑源性神经营养因子(BDNF)、神经生长因子(NGF)、神经营养因子3 (NT3)和神经胶质细胞系源性神经营养因子(GDNF)等蛋白对神经元具有保护作用,并在精神分裂症发病机制中得到研究。本综述旨在讨论神经保护因子在精神分裂症发展中的作用及其在临床试验中的相关性。材料和方法:本综述通过检索PubMed、谷歌Scholar和Science Direct数据库进行,检索时间为2022年12月25日至2023年1月31日,检索关键词为:“精神分裂症”、“精神分裂症发病机制”、“神经保护”、“神经变性”、“BDNF”、“NGF”、“NT3”和“GDNF”。我们考虑了以英语或波兰语发表的原始研究论文和系统评论。此外,包括评估精神分裂症患者神经保护因子水平作为结果指标的临床试验也在临床试验中进行了检索。结果:血清BDNF水平较低与精神分裂症患者的认知障碍有关。在临床试验中,血清BDNF的评估被用作新型精神分裂症治疗的临床结果衡量指标。精神分裂症也与外周神经生长因子水平降低有关。在缓解期间,较低的NGF水平与较严重的阴性症状相关。NT3和GDNF水平下降也可见,但文献报道不一致。结论:神经保护因子可能与精神分裂症的发病有关。评估这些蛋白的血清水平可能被证明是精神分裂症管理的宝贵因素。关键词:精神分裂症,脑源性神经营养因子,神经生长因子,神经营养因子3,胶质细胞系源性神经营养因子
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引用次数: 0
Cognitive appraisal of illness versus expectations towards doctors and health-related behaviours in individuals with short- and long-standing diagnosis of type 2 diabetes 短期和长期诊断为2型糖尿病的个体对疾病的认知评估与对医生和健康相关行为的期望
Pub Date : 2023-05-16 DOI: 10.12923/2353-8627/2023-0009
E. Zawadzka, Łucja Domańska
TytułREVIEW PAPERCurr Probl Psychiatry 2023; 24, 97-104DOI: 10.12923/2353-8627/2023-0009© 2023 Authors. This is an open access article distributed under the Creative Commons Attribution-NonComercial-No Derivs licence (https://creativecommons.org/licenses/by/4.0/)Ewa Zawadzka , Łucja Domańska Department of Clinical Psychology and Neuropsychology, Institute of Psychology, University of Maria Curie-Skłodowska, Lublin, PolandAbstractIntroduction: Patients with diabetes need to be actively involved in the treatment process, i.e. treatment regimens and regular health check-ups. The aims of the study were to assess the profiles of illness cognitive appraisals in individuals with type 2 diabetes, and to recognize the relationships between illness cognitive appraisals and both expectations towards doctors and readiness to health-related behaviours.Materials and methods: A total number of 99 participants with type 2 diabetes were divided into short- and long-standing diagnosis sub-groups. Illness-Related Appraisals Scale, The Patient Requests Form, Health-Related Behavior Inventory were administered.Results: The comparison of most representative profiles showed significant differences between sub-groups in perceiving the illness as threat, benefit, obstacle/loss. In both sub-groups, treating the illness as a benefit determined patient’s expectations of emotional support from doctors. In patients with long-standing diagnosis also threat, value, obstacle/loss and harm impact significantly on the patients’ expectations towards doctors. Treating the illness as a challenge explained about 24% of variability of eating habits and 29% of preventive behaviours.Conclusions: Participants with long-standing diagnosis treat their illness as threatening and disturbing. In these patients many dimensions of cognitive appraisal are related to seeking information about the illness and to a need of emotional support from doctors. On the contrary, in individuals with short-standing diagnosis, only perceiving their illness as a benefit is associated with the expectation towards their doctors to provide emotional support and explanation of the illness. Our study proved that perceiving the long-lasting illness as a challenge contributes to readiness to follow health-related behaviours.Keywords: type 2 diabetes, health-related behaviour, attitude to illness
TytułREVIEW PAPERCurr probalpsychiatry 2023;24, 97-104DOI: 10.12923/2353-8627/2023-0009©2023作者。这是一篇基于知识共享署名-非商业-禁止衍生许可的开放获取文章(https://creativecommons.org/licenses/by/4.0/)Ewa Zawadzka, Łucja Domańska波兰卢布林玛丽亚大学心理研究所临床心理学和神经心理学系Curie-Skłodowska摘要简介:糖尿病患者需要积极参与治疗过程,即治疗方案和定期健康检查。本研究的目的是评估2型糖尿病患者的疾病认知评估概况,并认识到疾病认知评估与对医生的期望和对健康相关行为的准备之间的关系。材料与方法:将99例2型糖尿病患者分为短期诊断组和长期诊断组。采用疾病相关评估量表、患者请求表、健康相关行为量表。结果:对大多数代表性资料的比较显示,亚组在将疾病视为威胁、利益、障碍/损失方面存在显著差异。在这两个亚组中,将疾病视为一种益处决定了患者对医生情感支持的期望。在长期诊断的患者中,威胁、价值、障碍/损失和伤害也显著影响患者对医生的期望。将疾病视为一种挑战可以解释24%的饮食习惯变异和29%的预防行为。结论:长期诊断的参与者将他们的疾病视为威胁和困扰。在这些患者中,认知评价的许多方面都与寻求有关疾病的信息和从医生那里获得情感支持的需要有关。相反,在短期诊断的个体中,只有将自己的疾病视为一种益处,才会期望医生提供情感支持和疾病解释。我们的研究证明,将长期疾病视为挑战有助于准备遵循与健康相关的行为。关键词:2型糖尿病,健康相关行为,疾病态度
{"title":"Cognitive appraisal of illness versus expectations towards doctors and health-related behaviours in individuals with short- and long-standing diagnosis of type 2 diabetes","authors":"E. Zawadzka, Łucja Domańska","doi":"10.12923/2353-8627/2023-0009","DOIUrl":"https://doi.org/10.12923/2353-8627/2023-0009","url":null,"abstract":"Tytuł\u0000REVIEW PAPER\u0000\u0000Curr Probl Psychiatry 2023; 24, 97-104\u0000\u0000DOI: 10.12923/2353-8627/2023-0009\u0000\u0000© 2023 Authors. This is an open access article distributed under the Creative Commons Attribution-NonComercial-No Derivs licence (https://creativecommons.org/licenses/by/4.0/)\u0000\u0000Ewa Zawadzka , Łucja Domańska \u0000 Department of Clinical Psychology and Neuropsychology, Institute of Psychology, University of Maria Curie-Skłodowska, Lublin, Poland\u0000\u0000Abstract\u0000Introduction: Patients with diabetes need to be actively involved in the treatment process, i.e. treatment regimens and regular health check-ups. The aims of the study were to assess the profiles of illness cognitive appraisals in individuals with type 2 diabetes, and to recognize the relationships between illness cognitive appraisals and both expectations towards doctors and readiness to health-related behaviours.\u0000Materials and methods: A total number of 99 participants with type 2 diabetes were divided into short- and long-standing diagnosis sub-groups. Illness-Related Appraisals Scale, The Patient Requests Form, Health-Related Behavior Inventory were administered.\u0000Results: The comparison of most representative profiles showed significant differences between sub-groups in perceiving the illness as threat, benefit, obstacle/loss. In both sub-groups, treating the illness as a benefit determined patient’s expectations of emotional support from doctors. In patients with long-standing diagnosis also threat, value, obstacle/loss and harm impact significantly on the patients’ expectations towards doctors. Treating the illness as a challenge explained about 24% of variability of eating habits and 29% of preventive behaviours.\u0000Conclusions: Participants with long-standing diagnosis treat their illness as threatening and disturbing. In these patients many dimensions of cognitive appraisal are related to seeking information about the illness and to a need of emotional support from doctors. On the contrary, in individuals with short-standing diagnosis, only perceiving their illness as a benefit is associated with the expectation towards their doctors to provide emotional support and explanation of the illness. Our study proved that perceiving the long-lasting illness as a challenge contributes to readiness to follow health-related behaviours.\u0000Keywords: type 2 diabetes, health-related behaviour, attitude to illness","PeriodicalId":56342,"journal":{"name":"Current Problems of Psychiatry","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78809387","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}
引用次数: 0
Comorbid Insomnia and Sleep Apnea (COMISA) – a real problem for psychiatrists, pulmonologists, and primary care physicians 共病性失眠和睡眠呼吸暂停(COMISA)——精神科医生、肺科医生和初级保健医生的一个真正的问题
Pub Date : 2023-04-21 DOI: 10.12923/2353-8627/2023-0008
Aleksander Ryczkowski, E. Rudnicka-Drożak, K. Karakuła
Introduction: Insomnia and obstructive sleep apnea are among the most common sleep-wake disorders. A relatively new category of disorders, studied more thoroughly for only a few years, is the occurrence of symptoms of both obstructive sleep apnea and insomnia in one patient and treating it as a different disease entity. This phenomenon is increasingly referred to as COMISA (Co-morbid insomnia and sleep apnea).The aim of this paper is to: 1) draw attention to this interesting issue, 2) show treatment differences of COMISA from isolated insomnia or obstructive sleep apnea and to help choose better therapy by general practitioners, pulmonologists, and psychiatrists for these patients.Materials and methods: The literature review was based on a search of articles in Medline, PubMed, and Google Scholar from 2012 to 2023 using the keywords: obstructive sleep apnea; insomnia; cognitive behavioral therapy for insomnia; continuous positive airway pressure; COMISA. The analysis included original studies, meta-analyses, and review articles.Discussion: The prevalence of both diseases in patients is importantly higher than in the general population. Many patients with COMISA or OSA alone remain undiagnosed. The most common examination of OSA requires a hospital stay to perform polysomnography or polygraphy (2). A lot of people are not willing to go through with the diagnostic process.Conclusions: It is important that during the standard medical history, doctors take into account the possibility of co-occurrence of these diseases, due to the high risk of not diagnosing them on time.Keywords: Obstructive sleep apnea, Insomnia, Cognitive behavioral therapy for insomnia, Continuous positive airway pressure, COMISA
失眠和阻塞性睡眠呼吸暂停是最常见的睡眠-觉醒障碍。一种相对较新的疾病类别,仅用了几年的时间进行了更深入的研究,即在一个病人身上同时出现阻塞性睡眠呼吸暂停和失眠的症状,并将其作为不同的疾病实体进行治疗。这种现象越来越多地被称为COMISA(共病性失眠和睡眠呼吸暂停)。本文的目的是:1)引起人们对这一有趣问题的关注,2)显示COMISA对孤立性失眠或阻塞性睡眠呼吸暂停的治疗差异,并帮助全科医生、肺科医生和精神科医生为这些患者选择更好的治疗方法。材料和方法:本文献综述基于2012 - 2023年Medline、PubMed和谷歌Scholar上的文章检索,关键词:阻塞性睡眠呼吸暂停;失眠;失眠的认知行为疗法;持续气道正压;COMISA。分析包括原始研究、荟萃分析和综述文章。讨论:患者中这两种疾病的患病率明显高于一般人群。许多单独患有COMISA或OSA的患者仍未得到诊断。最常见的OSA检查需要住院进行多导睡眠描记或测谎(2)。很多人不愿意经历诊断过程。结论:由于不能及时诊断的风险较高,在标准病史中,医生应考虑到这些疾病合并的可能性。关键词:阻塞性睡眠呼吸暂停,失眠,认知行为治疗失眠,持续气道正压,COMISA
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引用次数: 0
An analysis of the fulfilment criteria for a medical experiment with regards to the use of intravenous ketamine in the treatment of drugresistant depression 关于静脉注射氯胺酮治疗耐药抑郁症的医学实验实现标准的分析
Pub Date : 2023-03-16 DOI: 10.12923/2353-8627/2023-0007
Anna Maria Gutowska-Ibbs, Agnieszka Permoda-Pachuta, Hanna Karakuła- Juchnowicz
Introduction: Clinical experience, as well as the results of real-world data analysis point to the need for developing a model for the care of patients with drug-resistant depression, which could lead to improved access to effective and safe treatment. Scientific studies carried out to date have unequivocally documented the mode of action of ketamine and identified factors which can influence the efficacy of single infusions of ketamine for depression as well as in cases of affective bipolar disorder.Material and method: Case report including a review of national and international literature and an analysis of the case in the light Polish of EU law.Discussion: The use of ketamine in the treatment of drug-resistant depression raises question regarding its legal qualification, in particular whether such treatment can be characterized as a medical experiment. Conclusions: In the light of international publications, which confirm the validity of the method described above, one might assume that the treatment could be qualified as off-label use of a medicine, but not as a medical experiment as it is understood in the legislation (art. 21 ZawLekU). However, given the nature of this treatment, its qualification as off-label use is not the only one possible and others cannot be immediately ruled out.
临床经验以及现实世界的数据分析结果表明,需要开发一种治疗耐药抑郁症患者的模式,这可能会导致更好地获得有效和安全的治疗。迄今为止进行的科学研究明确记录了氯胺酮的作用方式,并确定了可能影响单次输注氯胺酮治疗抑郁症和情感性双相情感障碍疗效的因素。材料和方法:案例报告,包括对国内和国际文献的回顾,以及对欧盟法律中波兰语的案例分析。讨论:使用氯胺酮治疗耐药抑郁症引发了有关其法律资格的问题,特别是这种治疗是否可以被定性为医学实验。结论:鉴于国际出版物证实了上述方法的有效性,人们可能会认为,这种治疗可以被定性为药物的标签外使用,而不是立法中所理解的医学实验(第16条)。21 ZawLekU)。然而,考虑到这种治疗的性质,它作为标签外使用的资格并不是唯一可能的,其他的也不能立即排除。
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引用次数: 0
Life satisfaction of nursing, midwifery and emergency medicine studentsduring the COVID-19 pandemic COVID-19大流行期间护理、助产和急诊医学专业学生生活满意度调查
Pub Date : 2023-02-28 DOI: 10.12923/2353-8627/2023-0006
Anna Stefanowicz-Bielska, Magdalena Słomion, M. Rąpała
Introduction: The COVID-19 pandemic has affected life satisfaction of students of medical and health science. The aim of this study was to assess the level of life satisfaction among undergraduate students of nursing, midwifery and emergency medicine during the COVID-19 and to evaluate the impact of adherence to COVID-19 disease prevention measures on their level of life satisfaction.Material and methods: The study was conducted using a self-constructed questionnaire and a standardized psychological questionnaire, the Satisfaction with Life Scale, among students of nursing, midwifery and emergency medicine in the Pomeranian Voivodeship during the COVID-19 pandemic.Results: A total of 37 men and 238 women participated in the study. The mean age of all students was 21.5 (SD±3.83, min-max 19-39). The number of 93% of respondents reported avoiding people who coughed and had a cold, and 85.5% avoided large gatherings. When it comes to 84% of the students, they were vaccinated. As far as 73% of the students are concerned, they estimated that they had a medium level of knowledge about SARS-CoV-2 infection. Most students had a low (39.3%) and medium (32.7%) level of life satisfaction. A total number of 28% of the students reported a high satisfaction with life. There was not evidence of the influence of gender, field of study, year of study and the preventive behaviours on their level of life satisfaction. Conclusions: Most Polish students of nursing, midwifery and emergency medicine had a low and medium level of life satisfaction during the COVID-19 pandemic. Of the possible preventive behaviours, Polish students most often avoided people who coughed and had a cold, and they avoided large gatherings. Not all students registered for vaccination.Keywords: students, life, COVID-19, personal satisfaction
新冠肺炎疫情影响医学卫生专业学生生活满意度。本研究旨在评估2019冠状病毒病(COVID-19)期间护理、助产和急诊医学本科学生的生活满意度水平,并评估遵守COVID-19疾病预防措施对其生活满意度的影响。材料与方法:采用自编问卷和标准化心理问卷《生活满意度量表》对2019冠状病毒病疫情期间博美拉尼亚省护理、助产和急诊医学专业学生进行调查。结果:共有37名男性和238名女性参与了这项研究。所有学生的平均年龄为21.5岁(SD±3.83,最小-最大19-39)。93%的受访者表示会避开咳嗽和感冒的人,85.5%的受访者会避开大型聚会。84%的学生接种了疫苗。就73%的学生而言,他们估计他们对SARS-CoV-2感染有中等水平的知识。大多数学生的生活满意度为低(39.3%)和中(32.7%)。28%的学生表示对生活非常满意。没有证据表明性别、学习领域、学习年份和预防行为对他们的生活满意度有影响。结论:2019冠状病毒病大流行期间,波兰护理、助产和急诊医学专业学生的生活满意度大多处于中低水平。在可能的预防行为中,波兰学生最常避开咳嗽和感冒的人,他们避免大型聚会。并非所有学生都登记接种疫苗。关键词:学生,生活,COVID-19,个人满意度
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引用次数: 0
Are we ready for Telepsychiatry? Benefits and challenges of digitalpsychotherapy 我们准备好看远程精神病学了吗?数字心理治疗的好处和挑战
Pub Date : 2023-02-27 DOI: 10.12923/2353-8627/2023-0005
Klaudia Kister, Jakub Laskowski, Ewelina Dybała, A. Makarewicz
Background: Telemedicine is one of the most modern and fastest-growing branches of medicine. The most common form is video consultation. We distinguish between synchronous and asynchronous telepsychiatry. This study aims to show the benefits of using telepsychiatry services, the challenges it poses to users, and to evaluate its use against traditional therapy.Materials and methods: A review of literature from 1956-2023 in EMBASE, OpenKnowledge and PubMed databases was conducted. Keywords used were: telepsychiatry, teletherapy, and digital psychiatry. Ninety-eight articles were included.Discussion: Telepsychiatry is an opportunity for regions affected by medical staff shortages. It bypasses cultural barriers, the problem of traveling and reduces the cost of medical point-of-service. Telepsychiatry is an opportunity for patients who do not use psychiatrists due to discrimination in a conservative society. Groups that may find it challenging include the elderly, the blind, and the deaf. Creating a healthy therapeutic alliance through a screen can be impossible, making it difficult to achieve successful therapy. A barrier to developing telepsychiatry is the need for more guidelines for dealing with medical errors.Conclusions: Telemedicine can help in accessing specialized care regardless of location. Telepsychiatry provides a safe and anonymous environment for patients reluctant to receive inpatient therapy. The effectiveness of online therapy is primarily debated. Telepsychiatry should be limited to follow-up consultations and well-known patients - it is a form of complementing the diagnosis and treatment process. The authors point to the need for developing specific guidelines for conducting teletherapy with particular attention to the problem of suicide.Keywords: telepsychiatry, teletherapy, digital psychiatry.
背景:远程医疗是最现代和发展最快的医学分支之一。最常见的形式是视频咨询。我们区分同步远程精神病学和异步远程精神病学。本研究旨在显示使用远程精神病学服务的好处,它给用户带来的挑战,并评估其与传统疗法的使用。材料和方法:检索EMBASE、OpenKnowledge和PubMed数据库1956-2023年的文献。关键词:远程精神病学、远程治疗和数字精神病学。共纳入98篇文章。讨论:远程精神病学是受医务人员短缺影响地区的一个机会。它绕过了文化障碍、旅行问题,并降低了医疗服务点的成本。远程精神治疗是在保守社会中因歧视而不使用精神科医生的患者的机会。老年人、盲人和聋哑人等群体可能会觉得这很有挑战性。通过筛选建立健康的治疗联盟是不可能的,因此很难实现成功的治疗。发展远程精神病学的一个障碍是需要更多处理医疗差错的指导方针。结论:远程医疗可以帮助获得专业护理,无论地点。远程精神病学为不愿接受住院治疗的患者提供了一个安全和匿名的环境。网络治疗的有效性主要是有争议的。远程精神病学应限于后续咨询和知名患者-这是一种补充诊断和治疗过程的形式。作者指出,需要制定具体的指导方针来进行远程治疗,特别关注自杀问题。关键词:远程精神病学,远程治疗,数字精神病学。
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引用次数: 0
Mental disorders in people with keratoconus 圆锥角膜患者的精神障碍
Pub Date : 2023-02-17 DOI: 10.12923/2353-8627/2023-0003
Szymon Florek, R. Pudlo, P. Gościniewicz, Ewa Mrukwa-Kominek3
Introduction: There are many reports on the association of various psychiatric disorders with visual impairment. The association of dry eye syndrome with depressive disorders has been particularly well documented. In the context of keratoconus patients group, data on similar relationships are inconclusive. Attempts have also been made to assess the personality of patients suffering from keratoconus, and the first study in this area was produced as early as 1976. Material and methods: For the literature review, full-text medical databases, such as PubMed and Embase, were searched for articles on the association of keratoconus with depressive-anxiety disorder and personality disorder. Articles published within the last 30 years were considered. Results: The personality of patients with keratoconus has been a research issue for many years, but research to date has not clearly defined what personality traits characterise this particular group of patients. Research into the relationship between keratoconus and depressive-anxiety disorders has only recently been conducted, and the results - although inconclusive - suggest a co-occurrence of depressive symptoms with keratoconus. A different and interesting field for further research is the association of keratoconus with schizophrenia, as these diseases may have a common background. Conclusions: A review of the literature does not identify a 'keratoconus personality', but there are reports of specific functioning in patients with keratoconus. There are isolated reports in the literature regarding the co-occurrence of keratoconus and depressive-anxiety disorder. Keywords: depression, personality, anxiety, psychiatric disorders, keratoconus
导读:关于各种精神障碍与视觉障碍的关联有很多报道。干眼综合征与抑郁症的关联已被详细记录。在圆锥角膜患者组的背景下,类似关系的数据尚无定论。人们也曾尝试评估圆锥角膜患者的性格,早在1976年就进行了这方面的首次研究。材料与方法:在文献综述中,检索PubMed和Embase等全文医学数据库,检索圆锥角膜与抑郁焦虑障碍和人格障碍相关的文章。过去30年内发表的文章被考虑在内。结果:圆锥角膜患者的性格是一个研究多年的问题,但迄今为止的研究还没有明确定义这一特殊患者群体的性格特征。圆锥角膜和抑郁焦虑症之间关系的研究直到最近才开始进行,尽管结果不确定,但表明抑郁症状与圆锥角膜同时发生。圆锥角膜与精神分裂症的关系是一个值得进一步研究的不同且有趣的领域,因为这些疾病可能有共同的背景。结论:回顾文献并没有发现“圆锥角膜人格”,但有报道称圆锥角膜患者具有特定的功能。文献中有关于圆锥角膜与抑郁焦虑障碍共发的孤立报道。关键词:抑郁,人格,焦虑,精神障碍,圆锥角膜
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引用次数: 0
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Current Problems of Psychiatry
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