Pub Date : 2022-03-20DOI: 10.20471/may.2022.58.01.01
Igor Vladimirovich Kravchenko
On the example of 65 patients with paranoid schizophrenia, the effect of coronavirus infection on this group of patients was studied. It has been established that coronavirus infection can manifest itself in patients with paranoid schizophrenia in the form of transient psychoses, which are represented by schizophrenic symptoms, as well as clinical manifestations of confusion syndromes. An assumption was made about the possibility of coronavirus infection to influence different links of pathogenesis, during the formation of psychotic disorders in this group of patients.
{"title":"Clinical Aspects of Comorbidity of Coronovirus Infection and Paranoid Schizophrenia","authors":"Igor Vladimirovich Kravchenko","doi":"10.20471/may.2022.58.01.01","DOIUrl":"https://doi.org/10.20471/may.2022.58.01.01","url":null,"abstract":"On the example of 65 patients with paranoid schizophrenia, the effect of coronavirus infection on this group of patients was studied. It has been established that coronavirus infection can manifest itself in patients with paranoid schizophrenia in the form of transient psychoses, which are represented by schizophrenic symptoms, as well as clinical manifestations of confusion syndromes. An assumption was made about the possibility of coronavirus infection to influence different links of pathogenesis, during the formation of psychotic disorders in this group of patients.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44848133","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}
Pub Date : 2022-03-20DOI: 10.20471/may.2022.58.01.08
ANAM JAMIL, J. Syed, Humaira Shamim Kiyan, Kainat Gul, Madiha Shakeel, M. Mustafa
Background: COVID shelters and many emergency centers were established as a countermeasure to control this pandemic that hit the word by the end of 2019. Due to unavailability of medical care, along with physical health is-sues, these patients suffer with mental health related issues. Aims: This study aimed to explore the both, physical and psychological impacts upon the patients diagnosed with COVID-19 and admitted in intensive care units of hospitals of Pakistan during the third wave. Methods: This cross-sectional survey was performed during the peak time of COVID-19 for the duration of two months i.e. April & May 2021. After getting ethical approval from Shifa International Hopsital (Ref# 070-021), permission was sorted from public and private hospitals of Pakistan. 183 conscious patients diagnosed with COVID and currently admitted in intensive care units were randomly selected from hospitals of Islamabad and Rawal-pindi. Written consent was taken from patients and their caregivers after they were briefed regarding the importance of the study. PHQ-15 was used to assess somatic symptoms related to COVID-19 whereas DASS-21 was used to assess level of depression, anxiety and stress among patients. Results: Of 183 hospitalized patients of COVID-19 in intensive care units, 170 (92.9%) participants showed mild to severe level of somatic symptoms on PHQ-15. Shortness of breath, feeling hearth race, back pain, stomach pain, low energy and sleeping difficulties were the most common somatic complaints reported by patients. The statistics of DASS-21 showed that 51 (27.86%) participants had mild to severe level of depres-sion, 74 (40.4%) had mild to profound level of anxiety and 96 (52.45%) reported mild to profound level of stress. Conclu-sion: This study portrayed a better understanding and confirms the physical and psychological impacts upon hospitalized COVID-19 patients, therefore highlighting the need of both physical and mental health interventions to minimize these impacts.
背景：新冠肺炎避难所和许多急救中心是为了控制这场在2019年底爆发的疫情而建立的。由于无法获得医疗服务，再加上身体健康问题，这些患者面临着与心理健康相关的问题。目的：本研究旨在探讨第三波疫情期间对确诊为新冠肺炎并入住巴基斯坦医院重症监护室的患者的身体和心理影响。方法：这项横断面调查是在新冠肺炎高峰期进行的，为期两个月，即2021年4月和5月。在获得Shifa International Hopsital（参考号070-021）的伦理批准后，巴基斯坦公立和私立医院获得了许可。183名被诊断为新冠肺炎并目前入住重症监护室的清醒患者是从伊斯兰堡和拉瓦尔平迪的医院随机选择的。在向患者及其护理人员简要介绍研究的重要性后，他们获得了书面同意。PHQ-15用于评估与新冠肺炎相关的躯体症状，而DAS-21用于评估患者的抑郁、焦虑和压力水平。结果：在重症监护室的183名新冠肺炎住院患者中，170名（92.9%）参与者在PHQ-15表现出轻度至重度躯体症状。患者报告的最常见的躯体症状是呼吸急促、感觉灼热、背痛、胃痛、能量不足和睡眠困难。DAS-21的统计数据显示，51名（27.86%）参与者有轻度至重度的抑郁，74名（40.4%）参与者有中度至重度的焦虑，96名（52.45%）参与者报告有轻度至中度的压力。结论：这项研究更好地理解并证实了对住院新冠肺炎患者的身体和心理影响，因此强调了身体和心理健康干预的必要性，以最大限度地减少这些影响。
{"title":"Physical and Psychological Impacts on COVID-19 Hospitalized Patients of 3rd WavePhysical and Psychological Impacts on COVID-19 Hospitalized Patients of 3rd Wave","authors":"ANAM JAMIL, J. Syed, Humaira Shamim Kiyan, Kainat Gul, Madiha Shakeel, M. Mustafa","doi":"10.20471/may.2022.58.01.08","DOIUrl":"https://doi.org/10.20471/may.2022.58.01.08","url":null,"abstract":"Background: COVID shelters and many emergency centers were established as a countermeasure to control this pandemic that hit the word by the end of 2019. Due to unavailability of medical care, along with physical health is-sues, these patients suffer with mental health related issues. Aims: This study aimed to explore the both, physical and psychological impacts upon the patients diagnosed with COVID-19 and admitted in intensive care units of hospitals of Pakistan during the third wave. Methods: This cross-sectional survey was performed during the peak time of COVID-19 for the duration of two months i.e. April & May 2021. After getting ethical approval from Shifa International Hopsital (Ref# 070-021), permission was sorted from public and private hospitals of Pakistan. 183 conscious patients diagnosed with COVID and currently admitted in intensive care units were randomly selected from hospitals of Islamabad and Rawal-pindi. Written consent was taken from patients and their caregivers after they were briefed regarding the importance of the study. PHQ-15 was used to assess somatic symptoms related to COVID-19 whereas DASS-21 was used to assess level of depression, anxiety and stress among patients. Results: Of 183 hospitalized patients of COVID-19 in intensive care units, 170 (92.9%) participants showed mild to severe level of somatic symptoms on PHQ-15. Shortness of breath, feeling hearth race, back pain, stomach pain, low energy and sleeping difficulties were the most common somatic complaints reported by patients. The statistics of DASS-21 showed that 51 (27.86%) participants had mild to severe level of depres-sion, 74 (40.4%) had mild to profound level of anxiety and 96 (52.45%) reported mild to profound level of stress. Conclu-sion: This study portrayed a better understanding and confirms the physical and psychological impacts upon hospitalized COVID-19 patients, therefore highlighting the need of both physical and mental health interventions to minimize these impacts.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42968603","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}
Pub Date : 2022-03-20DOI: 10.20471/may.2022.58.01.09
Khalid Astitene, A. Barkat
- Background: Post-traumatic stress disorder (PTSD) is a disorder related to trauma and stress. A survey was con-ducted to assess the prevalence of PTSD among adolescents enrolled in public high schools in the prefecture of Salé in Morocco. Also assess the impact of this disorder by studying the prevalence of PTSD comorbidities (anxiety and depres-sion). Materials and methods: Ten schools were randomly selected and 500 students were selected using a cross-section-al survey. Five measurement scales in the survey are: A socio-demographic questionnaire, List of stressful events during the adolescent life according to DSM-IV, the Children’s Post Traumatic Stress Reaction Index (CPTS-RI), the State Trait Anxiety Inventory Form Y (STAIY) and the Children Depression Inventory (CDI). The survey was carried out from March to June 2017. Cox regression analyzes were performed to investigate independent variables predictors of PTSD. Results: The number of students who completed the study was 348 students aged between 14 and 17 years (16.13 ± 0.81). We found 25.8% of prevalence of PTSD. The factors predictors of PTSD were: gender (hazard ratio (HR) = 1.422, 95% C.I = 1.030 - 1.964, p = 0.033), repetitive dreams (HR = 1.286, 95% C.I = 1.154 - 1.434, p < 0.0001), sleep interrupted (HR = 1.237, 95% C.I = 1.105 - 1.386, p < 0.0001), difficulties of memory (HR = 1.134, 95% C.I = 0.996 - 1.291, p = 0.050) and difficulties of concentration (HR = 1.135, 95% C.I = 1.010 - 1.276, p = 0.034). While for PTSD comorbidities, 81.50% wwere found to have anxiety and 56.67% to have depression. Conclusions: The impact of PTSD is quite remarkable among school-aged adolescents. Therefore, efforts are needed to construct psychological support plans for students in need.
{"title":"The Prevalence and Impact of Post-Traumatic Stress Disorder among Moroccan Adolescents Enrolled in Public High Schools in Salé: a Cross-Sectional Study","authors":"Khalid Astitene, A. Barkat","doi":"10.20471/may.2022.58.01.09","DOIUrl":"https://doi.org/10.20471/may.2022.58.01.09","url":null,"abstract":"- Background: Post-traumatic stress disorder (PTSD) is a disorder related to trauma and stress. A survey was con-ducted to assess the prevalence of PTSD among adolescents enrolled in public high schools in the prefecture of Salé in Morocco. Also assess the impact of this disorder by studying the prevalence of PTSD comorbidities (anxiety and depres-sion). Materials and methods: Ten schools were randomly selected and 500 students were selected using a cross-section-al survey. Five measurement scales in the survey are: A socio-demographic questionnaire, List of stressful events during the adolescent life according to DSM-IV, the Children’s Post Traumatic Stress Reaction Index (CPTS-RI), the State Trait Anxiety Inventory Form Y (STAIY) and the Children Depression Inventory (CDI). The survey was carried out from March to June 2017. Cox regression analyzes were performed to investigate independent variables predictors of PTSD. Results: The number of students who completed the study was 348 students aged between 14 and 17 years (16.13 ± 0.81). We found 25.8% of prevalence of PTSD. The factors predictors of PTSD were: gender (hazard ratio (HR) = 1.422, 95% C.I = 1.030 - 1.964, p = 0.033), repetitive dreams (HR = 1.286, 95% C.I = 1.154 - 1.434, p < 0.0001), sleep interrupted (HR = 1.237, 95% C.I = 1.105 - 1.386, p < 0.0001), difficulties of memory (HR = 1.134, 95% C.I = 0.996 - 1.291, p = 0.050) and difficulties of concentration (HR = 1.135, 95% C.I = 1.010 - 1.276, p = 0.034). While for PTSD comorbidities, 81.50% wwere found to have anxiety and 56.67% to have depression. Conclusions: The impact of PTSD is quite remarkable among school-aged adolescents. Therefore, efforts are needed to construct psychological support plans for students in need.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48308759","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}
Pub Date : 2021-06-15DOI: 10.20471/dec.2021.57.02.15
Sanda Moslavac, Mislav Škrobo, Elvira Lazić Mosler, D. Karlović
Cerebrospinal fluid (CSF) analysis is one of the most important tests in the diagnosis of central nervous system (CNS) diseases. Although CSF analysis is most commonly used in neurological pathological conditions, it also has its place in psychiatry. Studies to date have described several valuable specific cytomorphological phenomena in the cerebrospinal fluid of patients with acute schizophrenia, which indicate inflammatory or immune-mediated etiopathogenesis of the disease. Additional and long-term research is needed to confirm and standardize the importance of cytological analysis of cerebrospinal fluid in the diagnosis and etiopathogenesis of acute schizophrenia.
{"title":"Cytological Analysis of CSF in Patients with Acute Schizophrenia","authors":"Sanda Moslavac, Mislav Škrobo, Elvira Lazić Mosler, D. Karlović","doi":"10.20471/dec.2021.57.02.15","DOIUrl":"https://doi.org/10.20471/dec.2021.57.02.15","url":null,"abstract":"Cerebrospinal fluid (CSF) analysis is one of the most important tests in the diagnosis of central nervous system (CNS) diseases. Although CSF analysis is most commonly used in neurological pathological conditions, it also has its place in psychiatry. Studies to date have described several valuable specific cytomorphological phenomena in the cerebrospinal fluid of patients with acute schizophrenia, which indicate inflammatory or immune-mediated etiopathogenesis of the disease. Additional and long-term research is needed to confirm and standardize the importance of cytological analysis of cerebrospinal fluid in the diagnosis and etiopathogenesis of acute schizophrenia.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49566071","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}
Pub Date : 2021-06-15DOI: 10.20471/dec.2021.57.02.14
Mislav Škrobo, V. Peitl, A. Silić, A. Matošić, Branka Vidrih, D. Karlović
In March 2020, three months after the first cases surfaced in the Chinese city of Wuhan, WHO declared a global pandemic of the novel coronavirus, which by than had already spread through a great number of countries all over the world. In order to protect the health of healthcare workers and patients, activities and measures of disease prevention have been taken; in such circumstances, psychiatry found itself faced with various challenges, one of them being the preservation of the continuity of electroconvulsive therapy (ECT) in patients with severe or refractory psychiatric disorders. Such patients are a priority and demand immediate treatment in hospital settings adapted to epidemiological circumstances. Having studied the instructions and recommendations of the competent authorities, as well as reviewing available literature, this paper presents the most important measures for the smooth performance of ECT in conditions associated with the COVID-19 disease.
{"title":"Electroconvulsive Therapy During the COVID-19 Pandemic","authors":"Mislav Škrobo, V. Peitl, A. Silić, A. Matošić, Branka Vidrih, D. Karlović","doi":"10.20471/dec.2021.57.02.14","DOIUrl":"https://doi.org/10.20471/dec.2021.57.02.14","url":null,"abstract":"In March 2020, three months after the first cases surfaced in the Chinese city of Wuhan, WHO declared a global pandemic of the novel coronavirus, which by than had already spread through a great number of countries all over the world. In order to protect the health of healthcare workers and patients, activities and measures of disease prevention have been taken; in such circumstances, psychiatry found itself faced with various challenges, one of them being the preservation of the continuity of electroconvulsive therapy (ECT) in patients with severe or refractory psychiatric disorders. Such patients are a priority and demand immediate treatment in hospital settings adapted to epidemiological circumstances. Having studied the instructions and recommendations of the competent authorities, as well as reviewing available literature, this paper presents the most important measures for the smooth performance of ECT in conditions associated with the COVID-19 disease.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47492429","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}
Pub Date : 2021-06-01DOI: 10.20471/DEC.2021.57.02.12
D. Breitenfeld, M. Lucijanić, Vesna Lecher-Švarc, Ivan Šimunec, Ankica Akrap, R. Švarc
In this article the authors are presenting medical diseases of the Russian composers. On the first place the authors analyzed “The Five” (M. A. Balakirev, A.P. Borodin, C.A. Cui, M.P. Musorgski and N. Rimski-Korsakov). “The Five” created special and different musical expression in the contrast to the rest of the Europe. Their work is a spontaneous continuation of one tradition and also the inspiration for the other composers. The other 29 Russian composers and their patographies are presented chronologically.
{"title":"Psychiatric and other Diseases of Russian Composers","authors":"D. Breitenfeld, M. Lucijanić, Vesna Lecher-Švarc, Ivan Šimunec, Ankica Akrap, R. Švarc","doi":"10.20471/DEC.2021.57.02.12","DOIUrl":"https://doi.org/10.20471/DEC.2021.57.02.12","url":null,"abstract":"In this article the authors are presenting medical diseases of the Russian composers. On the first place the authors analyzed “The Five” (M. A. Balakirev, A.P. Borodin, C.A. Cui, M.P. Musorgski and N. Rimski-Korsakov). “The Five” created special and different musical expression in the contrast to the rest of the Europe. Their work is a spontaneous continuation of one tradition and also the inspiration for the other composers. The other 29 Russian composers and their patographies are presented chronologically.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44856360","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}
Pub Date : 2021-06-01DOI: 10.20471/DEC.2021.57.02.07
M. Çöpür, Sidar Çöpür
Letter to Editor
致编辑的信
{"title":"New Perspectives in Attention Deficit Hyperactivity Disorder: Possible Link to Oxytocin","authors":"M. Çöpür, Sidar Çöpür","doi":"10.20471/DEC.2021.57.02.07","DOIUrl":"https://doi.org/10.20471/DEC.2021.57.02.07","url":null,"abstract":"Letter to Editor","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48656015","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}
Pub Date : 2021-06-01DOI: 10.20471/DEC.2021.57.02.03
T. Zavidić, V. B. Lang
Aim: We sought to examine the frequency and characteristics of insomnia among adults in central Istria, as well as to analyse sociodemographic characteristics and explore whether there is an association between symptoms of insomnia and sociodemographic parameters. Methods: This research included 685 participants that visited family medicine offices (FMOs) in Central Istria from September till December 2016. Mean age of the sample was 52.73 ± 17.93 years. Participants were randomly selected and interviewed and all gave their informed consent. Participants with sleep disturbances and insomnia lasting one year prior to study enrolment were assessed using the questionnaire designed for the study; along with gathering of sociodemographic data. Results: More than half of the participants had insomnia, 30% of them each night or several times a week, mostly older participants and women. Regardless of the frequency of insomnia symptoms, all participants reported great impairment in all areas of daytime functioning. The most frequent incidence of insomnia was associated with more frequent sleep apnoea and less frequent bruxism. Frequent night awakenings and restless legs syndrome were not related to a greater incidence of insomnia. Conclusion: Insomnia is a common problem among patients treated in primary care. Family physicians are therefore in an ideal position to identify, evaluate and treat insomnia. The high prevalence of insomnia highlights the need for a more adequate recognition and treatment of this psychiatric illness.
{"title":"Prevalence and Characteristics of Insomnia Problems Among Adults in Central Istria","authors":"T. Zavidić, V. B. Lang","doi":"10.20471/DEC.2021.57.02.03","DOIUrl":"https://doi.org/10.20471/DEC.2021.57.02.03","url":null,"abstract":"Aim: We sought to examine the frequency and characteristics of insomnia among adults in central Istria, as well as to analyse sociodemographic characteristics and explore whether there is an association between symptoms of insomnia and sociodemographic parameters. Methods: This research included 685 participants that visited family medicine offices (FMOs) in Central Istria from September till December 2016. Mean age of the sample was 52.73 ± 17.93 years. Participants were randomly selected and interviewed and all gave their informed consent. Participants with sleep disturbances and insomnia lasting one year prior to study enrolment were assessed using the questionnaire designed for the study; along with gathering of sociodemographic data. Results: More than half of the participants had insomnia, 30% of them each night or several times a week, mostly older participants and women. Regardless of the frequency of insomnia symptoms, all participants reported great impairment in all areas of daytime functioning. The most frequent incidence of insomnia was associated with more frequent sleep apnoea and less frequent bruxism. Frequent night awakenings and restless legs syndrome were not related to a greater incidence of insomnia. Conclusion: Insomnia is a common problem among patients treated in primary care. Family physicians are therefore in an ideal position to identify, evaluate and treat insomnia. The high prevalence of insomnia highlights the need for a more adequate recognition and treatment of this psychiatric illness.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598304","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}
Pub Date : 2021-06-01DOI: 10.20471/DEC.2021.57.02.11
Jasminka Matić
Dostoevsky’s spirit is broken by a difficult childhood, years of imprisonment and forced military service in the difficult conditions of remote Russia, and the shackles of married life with the “sick, hysterical widow ”. Wandering through dreamy Europe made him aware of the attachment to the Russian homeland and revealed love and allusion of peace; he falls in love with Ana by dictating the text of the “Gambler ”, which will provide them with bread and shelter in the days of losing the gambling luck and questionable existence. In his wandering through Europe as the “land of holy wonders”, Dostoevsky informs us through the confessions of the gambler Alexei about the temptations of the “world” addicted to the gambling table. The significance of divisive passions is questioned: those towards women, love and even more, gambling, destructive, demonic. In 27 days while he was presenting Ana with the thoughts of the main character of the “Gambler ”, and she was recording them in a transcript, the writer was going through his own agony. The novel will see the light of day, but unlike Alexei, a character waiting for a new tomorrow to decide on ending a life driven by an unhealthy addictive habit, Dostoevsky, after the novel ends, experiences catharsis and sails into economic security by taking royalties for this and subsequent novels. As when after a stormy night at sea, a sunny morning dawns, a hint of love, happiness and the desired family peace is prayed to the author. Ana will focus the writer, a gambler, on family life and caring for children, and abduct him from addiction by sailing with him to the next “storm”. The basic theme of the novel – the obsession with gambling – is the experience of Dostoevsky, a writer with “a heart in which God and Satan fight, and the pledge is human life.” In the days when in the hustle and bustle of modern life, COVID-19, complete human alienation and escalation of violence we turn to the spiritual, looking for a way out in the metaphysical, surreal, healing and nurturing, andrational and explainable does not offer a final answer, someone seeks a way out of addiction and someone in a classic, something familiar and valuable. Or in metaphysics that goes beyond the physical and the knowable, in an attempt to reach the higher, the spiritual. The return to the great connoisseur of the human psyche, Dostoevsky, in a return to the interest in man, the inspiration of the human and the humane, but also the space behind knowable and the “metaphysical drama”. The idea of the French writer Albarez that for Dostoevsky, “in contrast to most other novelists, man is primarily not a biological, social, economic, psychological, but a metaphysical being”, becomes understandable.
{"title":"Review of “The Gambler” and F.M. Dostoevsky in the light of addiction inclination","authors":"Jasminka Matić","doi":"10.20471/DEC.2021.57.02.11","DOIUrl":"https://doi.org/10.20471/DEC.2021.57.02.11","url":null,"abstract":"Dostoevsky’s spirit is broken by a difficult childhood, years of imprisonment and forced military service in the difficult conditions of remote Russia, and the shackles of married life with the “sick, hysterical widow ”. Wandering through dreamy Europe made him aware of the attachment to the Russian homeland and revealed love and allusion of peace; he falls in love with Ana by dictating the text of the “Gambler ”, which will provide them with bread and shelter in the days of losing the gambling luck and questionable existence. In his wandering through Europe as the “land of holy wonders”, Dostoevsky informs us through the confessions of the gambler Alexei about the temptations of the “world” addicted to the gambling table. The significance of divisive passions is questioned: those towards women, love and even more, gambling, destructive, demonic. In 27 days while he was presenting Ana with the thoughts of the main character of the “Gambler ”, and she was recording them in a transcript, the writer was going through his own agony. The novel will see the light of day, but unlike Alexei, a character waiting for a new tomorrow to decide on ending a life driven by an unhealthy addictive habit, Dostoevsky, after the novel ends, experiences catharsis and sails into economic security by taking royalties for this and subsequent novels. As when after a stormy night at sea, a sunny morning dawns, a hint of love, happiness and the desired family peace is prayed to the author. Ana will focus the writer, a gambler, on family life and caring for children, and abduct him from addiction by sailing with him to the next “storm”. The basic theme of the novel – the obsession with gambling – is the experience of Dostoevsky, a writer with “a heart in which God and Satan fight, and the pledge is human life.” In the days when in the hustle and bustle of modern life, COVID-19, complete human alienation and escalation of violence we turn to the spiritual, looking for a way out in the metaphysical, surreal, healing and nurturing, andrational and explainable does not offer a final answer, someone seeks a way out of addiction and someone in a classic, something familiar and valuable. Or in metaphysics that goes beyond the physical and the knowable, in an attempt to reach the higher, the spiritual. The return to the great connoisseur of the human psyche, Dostoevsky, in a return to the interest in man, the inspiration of the human and the humane, but also the space behind knowable and the “metaphysical drama”. The idea of the French writer Albarez that for Dostoevsky, “in contrast to most other novelists, man is primarily not a biological, social, economic, psychological, but a metaphysical being”, becomes understandable.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67598316","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}
Pub Date : 2021-06-01DOI: 10.20471/DEC.2021.57.02.06
F. Chaudhary, B. Ahmad, Madiha Gul, A. Rafiq, D. Butt, M. Rehman, Paras Ahmad
This study was aimed to investigate the relationship between the psychological status of oral health care workers (OHCWs) and the willingness to treat a patient during the COVID-19 pandemic. This cross-sectional study was carried out on oral health care workers at ten different dental hospitals in Pakistan from March to July 2020. Information on the socio-demographic status, and willingness to report for duty and treat patients during the COVID-19 pandemic were assessed using a self-administered questionnaire. The psychological impact of the COVID-19 pandemic was assessed using the Urdu version of the Generalized Anxiety Disorder Scale and Impact of Events Scale. Simple and multiple linear regression tests were used for analysis. A total of 392 OHCWs participated in this study and 25% of them had moderate to severe anxiety levels and only 14% had post-traumatic stress disorder. About 26% of the OHCWs were willing to work and treat patients during the COVID-19 pandemic and they had lower anxiety and stress scores. Greater anxiety and stress were associated with participants who were older, female, single, married, living with family and friends. The adjusted coefficients of GAD and IES scores were greater in participants who were not willing and unsure to work compared to their colleagues who were willing. The OHCWs are anxious and stressed because of the COVID-19 outbreak and that affects the perception of whether they should work and treat patients during the pandemic.
{"title":"The Psychological Impact of the COVID-19 Pandemic on Oral Health Care Workers and its Impact on Their Willingness to Work During this Pandemic","authors":"F. Chaudhary, B. Ahmad, Madiha Gul, A. Rafiq, D. Butt, M. Rehman, Paras Ahmad","doi":"10.20471/DEC.2021.57.02.06","DOIUrl":"https://doi.org/10.20471/DEC.2021.57.02.06","url":null,"abstract":"This study was aimed to investigate the relationship between the psychological status of oral health care workers (OHCWs) and the willingness to treat a patient during the COVID-19 pandemic. This cross-sectional study was carried out on oral health care workers at ten different dental hospitals in Pakistan from March to July 2020. Information on the socio-demographic status, and willingness to report for duty and treat patients during the COVID-19 pandemic were assessed using a self-administered questionnaire. The psychological impact of the COVID-19 pandemic was assessed using the Urdu version of the Generalized Anxiety Disorder Scale and Impact of Events Scale. Simple and multiple linear regression tests were used for analysis. A total of 392 OHCWs participated in this study and 25% of them had moderate to severe anxiety levels and only 14% had post-traumatic stress disorder. About 26% of the OHCWs were willing to work and treat patients during the COVID-19 pandemic and they had lower anxiety and stress scores. Greater anxiety and stress were associated with participants who were older, female, single, married, living with family and friends. The adjusted coefficients of GAD and IES scores were greater in participants who were not willing and unsure to work compared to their colleagues who were willing. The OHCWs are anxious and stressed because of the COVID-19 outbreak and that affects the perception of whether they should work and treat patients during the pandemic.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48451112","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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