Postepy psychiatrii neurologii最新文献

Purpose: Due to the current COVID-19 pandemic, many new stressors have arisen, which is associated with an increased risk of mental disorders. The purpose of this article is to assess the prevalence of adjustment disorder and symptoms of anxiety and depression in the Polish population, on the basis of two studies conducted during the pandemic.

Methods: Two online survey studies were conducted at different time points: the first in March 2020 on a N = 1742 sample, the second in June 2020, on the sample of N = 567. In both cases, the same self-description questionnaires were used to measure adjustment disorder, depression and generalized anxiety.

Results: In Study I, 75% of participants considered the COVID-19 pandemic to be highly stressful and 43% declared they met the criteria for adjustment disorder. When anxiety and depression were excluded 8.4% of participants met the criteria. On the other hand, in Study II, the criteria for this disorder (without the exclusion of other disorders) were met by 52%. In both studies, significant positive correlations were observed between the symptoms of adjustment disorder and those of anxiety and depression.

Conclusions: The research provides important data on the mental health of Poles during the pandemic. The proportion of people who have potentially met the criteria for adjustment disorder, as well as for depression and anxiety, seems very high. It is advisable to continue monitoring the occurrence of these disorders, depending on developments in the changing context of the pandemic.

Purpose: Musical hallucinations (MH) are a subset of complex auditory hallucinations in which individuals perceive music in the absence of an external auditory stimulus. It is a rare phenomenon, first described by Ballinger in 1846, with diverse presentations from familiar childhood melodies to a simple pitch which evolved into the harmonies Robert Schumann incorporated in his sole Violin Concerto.

Views: This uncommon phenomenon has diverse etiologies, including psychiatric and neurological backgrounds, which guide its classification and methods of treatment. The pathophysiological basis of MH remains understood incompletely, potentially resulting from lesions anywhere along the auditory pathway, from the external auditory canal to the auditory cortex. The strong association between MH and hearing impairment has led researchers to hypothesize that MH represent a "release phenomenon," in which sensory deprivation, eliminating the afferent input to the auditory sensory network, instigates spontaneous activity within a system - comparable to the Charles Bonnet syndrome, in which visual impairment precipitates the development of visual hallucinations (so called auditory Charles Bonnet syndrome), and phantom limb syndrome, in which amputees experience sensations in a limb that is not no longer there. In this paper, we report on six cases of MH in patients with cerebrovascular disease, who presented to the neurology department at the Poznan University of Medical Sciences from 2015 to 2018.

Conclusions: We discuss the findings of computed tomography and magnetic resonance imaging of six cases of MH in patients with cerebrovascular disease, and the treatment leading to its resolution. We briefly review the literature on MH in patients with cerebrovascular diseases, discussing their suggested pathophysiology, clinical presentations and response to medical treatment.

Purpose: COVID-19 severity, characteristics of psychiatric symptoms using a brief psychiatric rating scale, and sociodemographic variables were explored and evaluated.

Methods: An exploratory study was conducted during the COVID-19 pandemic, from July 13th to July 26th 2020, in an isolation facility at the COVID-designated Sola hospital in Ahmedabad, India. A total of 201 inpatients diagnosed with COVID-19 by reverse transcription-polymerase chain reaction (RT-PCR) were included in this study. We assessed the presence and severity of psychiatric symptoms using the Brief Psychiatric Rating Scale (BPRS).

Results: Of the 201 COVID-19 patients, 63 (31.3%), 36 (18%), 16 (8%) and 14 (7%) experienced anxiety, tension, somatic concern and depressed mood respectively. The effect of the severity of COVID-19 on the mean of the total BPRS score was statistically signi- ficant (F = 17.2, p = 0.000). In the severe COVID-19 group, the mean of the total BPRS score (22.6 ± 4.8) was significantly higher than in the moderate (20.3 ± 4.0) and mild (19.1 ± 2.2) COVID-19 groups. High levels of serum ferritin, IL-6 and D-dimer were associated with the presence of neuropsychiatric symptoms like hallucinatory behavior and disorientation.

Conclusions: The majority of COVID-19 patients experienced anxiety, tension and somatic concern. The presence of serious psy- chiatric symptoms like hallucinatory behavior and disorientation were predominantly seen in severe COVID-19 patients with signi- ficantly high serum inflammation and coagulation markers.

Purpose: The aim of the study was to investigate the relationship between the forms of youth activity (in a virtual environment and in the real world) and their mental health in the period of forced social isolation related to the COVID-19 pandemic. The findings presented here are part of a larger international project (research-all.org).

Methods: The subjects were students of primary and secondary schools in Kraków (N = 455), aged 11 to 18 (M = 15.38, SD = 2.10). The instruments used in this study were: the MHC-SF Karaś, Cieciuch and Keyes wellbeing scale, the Connor-Davidson CD-RSC resilience scale, and the DASS-21 Lovibond scale designed to measure depression, anxiety and stress. The participants also reported the amount of time they spent on eight types of activity (online and offline) during and before social isolation.

Results: Correlation analysis showed that the more time students spend actively in a virtual environment, the higher the level of depression (r = 0.27; p < 0.001), anxiety (r = 0.25; p < 0.001), stress (r = 0.25; p < 0.001). The duration of online activity is also negatively correlated with psychological well-being (r = -0.13; p = 0.013), emotional well-being (r = -0.15; p = 0.003) and social well-being (r = -0.12; p = 0.026). Well-being increases with a higher number of activities that are not mediated by a screen medium (r = 0.17; p = 0.001).

Conclusions: Social isolation resulted in an increase in online activity both in education and in the social life of young people. The results obtained indicate the intensification of negative affectivity in adolescents who spend more time in the online environments. Moreover, the protective role of non-Internet physical and social activities for the mental health of young people has been demonstrated.

Purpose: Numerous studies suggest that infection with coronavirus SARS-CoV-2, which causes acute respiratory distress syndrome and COVID-19 illness, can lead to changes in the central nervous system (CNS). Consequently, some individuals with SARS-CoV-2 infection may also present the symptoms of neuropsychological disorders. The goals of this literature review is the synthesis of various perspectives and up-to-date scientific knowledge as well as the formulation of initial recommendations for clinical practice.

Views: According to current state of knowledge, numerous SARS-CoV-2 infection-specific and nonspecific risk factors exist for brain damage, which might lead to neuropsychological impairments in individuals who have recovered from COVID-19. The emerging evidence suggests significant behavioral and cognitive deficits in COVID-19 survivors, which are present in the early phase after recovery and persist for several months. Neuropsychological disturbances can potentially include a wide spectrum of disorders, yet deficits of attention, memory, executive functions, language and visuospatial orientation are among most commonly identified. The relationship between cognitive impairment, emotional disturbances and severity of COVID-19 symptoms needs to be submitted to further research.

Conclusions: The scientific knowledge resulting from neuropsychological empirical studies during the COVID-19 pandemic allows for a postulate of an urgent evidence-based systematic neuropsychological research to be conducted among COVID-19 survivors. More than anything, the recovered individuals must be provided with adequate neuropsychological help in the form of neuropsychological diagnosis, monitoring and rehabilitation.

Purpose: COVID-19 is an infectious disease caused by the newly discovered coronavirus SARS-CoV-2. The research conducted to date has focused mainly on the somatic complications of the disease, while only a few studies look at the potential direct mental health effects of the virus and its neurotropic potential.

Views: The COVID-19 pandemic is also a psychologically significant stressor, affecting not only every aspect of an individual's life, but also economic and social sectors around the world. The deterioration of mental health can be caused not only by the fear of illness, death, or job loss, and uncertainty about the future, but also social isolation resulting from the loss of structured educational activities, professional activities and sanitary regime. We are slowly beginning to see the progressing effect of the current pandemic - not only the increasing symptoms of panic, anxiety and depression, but also somatization disorders, disadaptive syndromes, chronic fatigue syndrome, psychoactive substance abuse, and possibly also fixed post-pandemic personality disorders. Nosophobia, when it comes to the pandemic, takes the form of "coronaphobia".

Conclusions: The protracted duration of the pandemic poses a threat to mental health. It causes a growing failure of psychological mechanisms for coping with the current situation. The study attempts to identify especially mentally vulnerable social groups, including the impact on health protection professionals from the perspective of a physician specializing in psychiatry. Disturbing social phenomena, highlighted by the pandemic, were identified, and practical aspects of the pandemic discussed - the new tasks that psychiatrists and psychologists face.

Purpose: A preliminary assessment of the direct association between coronavirus anxiety and burnout syndrome, depressive symptoms and insomnia among nurses in the context of selected work-related factors.

Methods: This is a cross-sectional study. Fifty professionally active nurses were recruited from various psychiatric facilities and asked to fill out a set of questionnaires: the authors' survey on sociodemographic data, the Coronavirus Anxiety Scale (CAS), the Maslach Burnout Inventory - General Survey (MBI-GS), the revised version of the Center for Epidemiologic Studies Depression Scale (CESD-R), and the Athens Insomnia Scale (AIS). Linear regression models were constructed to predict the AIS, CESD-R and MBI-GS dimensions scores, with the CAS score as a predictor. The models were adjusted for sex, marital status, place of residence, length of service and working hours per week.

Results: A rise in the CAS score was associated with rises in the CESD-R, MBI Exhaustion and MBI Cynicism scores. The effects were of similar size regardless of whether models were adjusted or unadjusted. Unadjusted and adjusted models predicting AIS total scores and MBI-Efficacy score were not fit to empirical data. In these models, the CAS score was not found to be significantly associated with the AIS and MBI-Efficacy scores.

Conclusions: The severity of coronavirus anxiety contributed to the severity of depressive symptoms, cynicism and exhaustion among nurses. The ability to cope effectively with fear of being infected with SARS-CoV-2 may be crucial in preventing and mitigating other mental health sequelae.

Purpose: We aimed to adapt for the Polish language two scales for studies on the psychological consequences of the COVID-19 pandemic - The Fear of COVID-19 Scale (FCV-19S) by Ahorsu et al. and the Scale of Death Anxiety (SDA) by Cai et al.

Methods: Besides the FCV-19S and SDA, the Hospital Anxiety and Depression Scale HADS (Zigmond and Snaith), the Perceived Stress Scale (PSS-10) (Cohen et al.), the General Health Questionnaire GHQ-28 (Goldberg), and the Positive Orientation Scale P (Caprara et al.) were used in the study on 756 people aged 18-68 (M = 31.91, SD = 11.30) - 158 men and 598 women.

Results: Confirmatory factor analysis confirmed the one-dimensional structure of the Polish adaptation of FCV-19S, with satisfac- tory internal consistency and Cronbach's α equal to 0.84. With regard to the Polish adaptation of the SDA, instead of the 4-facto- rial structure (as in the original tool), the analysis uncovered a three-factor structure: intrusions/thoughts, anxiety/emotions, and avoidance. Cronbach's α coefficient for the entire scale was 0.92. Both tools were significantly, positively correlated with anxiety, depression, and stress levels.

Conclusions: Polish adaptations of both tools are characterized by satisfactory psychometric properties, which enable their use in research and clinical practice.

Purpose: The aim of this study is to assess the nutritional determinants that may contribute to potentially reducing the risk of COVID-19 central nervous system infection or, if infection occurs, to experience it in a mild form.

Views: In this study, the authors collected data on nutrients that support traditional drug treatment and potentially reduce central nervous system infections, while also indicating the role they play in the central nervous system (CNS). The article points out that long chain polyunsaturated fatty acids polyunsaturated fatty acids, probiotics and prebiotics, as well as vitamin D selenium and zinc play a role in supporting immune function and reducing the risk of CNS infections. It should be noted that, due to the novel nature of the SARS-CoV-2 virus, limited number of studies evaluating the potential impact of dietary components on COVID-19 risk reduction or their adjunctive effect on treatment are available. Therefore, further clinical studies are needed to confirm these results.

Conclusions: The dietary habits and nutrients described in the article support medical care, including vaccination and other therapies. They are likely to reduce the risk of CNS SARS-CoV-2 infection. The functioning of the physiological gut-brain axis supported by probiotics, polyphenols, certain minerals such as zinc, selenium and vitamin D consumed with the diet, can probably reduce the cost of COVID-19 treatment on the CNS. Also, nutrients other than those mentioned in the article, including vitamins A, E, B₁, B₆, B₁₂ and iron, could potentially reduce the cost of the treatment of this disease.