Pub Date : 2023-02-20DOI: 10.20471/may.2023.59.01.05
Koraljka Bačić Baronica, S. Tomasović, Jelena Košćak Lukač, Josip Sremec, R. Baronica
The prevalence of migraine is higher in women than in men, with female to male ratio 3:1 in reproductive age. It is believed that sex hormones play significant role in migraine pathogenesis. Therefore, treatment of migraine in women has some specificities due to hormonal differences between sexes and due to hormonal fluctuations during menstrual cycle, pregnancy, lactation and perimenopause. Treatment of migraine during pregnancy depends on safety profile of the therapy. NSAID-s like naproxen and ibuprofen are being considered safe during the second trimester, but during the first and third trimester they may have adverse effects on pregnancy and foetus. CGRP antagonists should be avoided during pregnancy. Acetaminophen, ibuprofen, and diclofenac are considered to be safe acute therapy during breastfeeding and for preventive treatment propranolol should be used as first line therapy. Women with severe menstrual and menstrual related migraine without aura may be treated with hormonal therapy, whereas it should be avoided among patients with aura due to increased risk of stroke.
{"title":"Specificity of Migraine Treatment in Women","authors":"Koraljka Bačić Baronica, S. Tomasović, Jelena Košćak Lukač, Josip Sremec, R. Baronica","doi":"10.20471/may.2023.59.01.05","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.05","url":null,"abstract":"The prevalence of migraine is higher in women than in men, with female to male ratio 3:1 in reproductive age. It is believed that sex hormones play significant role in migraine pathogenesis. Therefore, treatment of migraine in women has some specificities due to hormonal differences between sexes and due to hormonal fluctuations during menstrual cycle, pregnancy, lactation and perimenopause. Treatment of migraine during pregnancy depends on safety profile of the therapy. NSAID-s like naproxen and ibuprofen are being considered safe during the second trimester, but during the first and third trimester they may have adverse effects on pregnancy and foetus. CGRP antagonists should be avoided during pregnancy. Acetaminophen, ibuprofen, and diclofenac are considered to be safe acute therapy during breastfeeding and for preventive treatment propranolol should be used as first line therapy. Women with severe menstrual and menstrual related migraine without aura may be treated with hormonal therapy, whereas it should be avoided among patients with aura due to increased risk of stroke.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44067303","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 : 2023-02-20DOI: 10.20471/may.2023.59.01.22
Janja Pretnar Oblak
Letter to the Editor
给编辑的信
{"title":"Sex Differences of Oral Anticoagulant Therapy in Atrial Fibrillation","authors":"Janja Pretnar Oblak","doi":"10.20471/may.2023.59.01.22","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.22","url":null,"abstract":"Letter to the Editor","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43864237","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 : 2023-02-20DOI: 10.20471/may.2023.59.01.10
D. Mahović, Matea Bračić
Cluster headache is a pain syndrome characterised by severe, unilateral and predominantly orbital pain which lasts 15 - 180 minutes. It is accompanied by a range of ipsilateral autonomic symptoms, such as lacrimation, rhinorrhoea and myosis. Cluster headaches can be episodic with periods of remission or chronic. Even though it is a relatively rare condition, the excruciating pain causes significant disruption of patients’ daily life. The pathophysiology behind cluster headaches is complex and despite making significant progress, the pathogenetic cascade of events hasn’t been entirely elucidated yet. However, research into this subject has discovered brain structures, peripheral pathways and neuropeptides which have key roles in pathogenesis. The basis of diagnosing cluster headaches is a detailed patient history and the exclusion of other primary headaches and potential secondary causes. Sex differences in clinical presentation need to be taken into consideration in order to avoid misdiagnosis. Treatment options are divided into three categories: acute, transitional and prophylactic treatment. Although there are a lot of treatment modalities available, further research is necessary in order to find new therapeutic targets and more effective prophylaxis, especially for chronic cluster headache.
{"title":"Cluster Headache: Literature Review with Reference to Sex Differences","authors":"D. Mahović, Matea Bračić","doi":"10.20471/may.2023.59.01.10","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.10","url":null,"abstract":"Cluster headache is a pain syndrome characterised by severe, unilateral and predominantly orbital pain which lasts 15 - 180 minutes. It is accompanied by a range of ipsilateral autonomic symptoms, such as lacrimation, rhinorrhoea and myosis. Cluster headaches can be episodic with periods of remission or chronic. Even though it is a relatively rare condition, the excruciating pain causes significant disruption of patients’ daily life. The pathophysiology behind cluster headaches is complex and despite making significant progress, the pathogenetic cascade of events hasn’t been entirely elucidated yet. However, research into this subject has discovered brain structures, peripheral pathways and neuropeptides which have key roles in pathogenesis. The basis of diagnosing cluster headaches is a detailed patient history and the exclusion of other primary headaches and potential secondary causes. Sex differences in clinical presentation need to be taken into consideration in order to avoid misdiagnosis. Treatment options are divided into three categories: acute, transitional and prophylactic treatment. Although there are a lot of treatment modalities available, further research is necessary in order to find new therapeutic targets and more effective prophylaxis, especially for chronic cluster headache.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46217265","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 : 2023-02-20DOI: 10.20471/may.2023.59.01.17
Melanija Pintarić, Rafaela Vukasović, A. Lovrenčić‐Huzjan
Previous neurosonological study demonstrated the value of neurosonology in daily monitoring of the cervical artery dissection. This study showed rate of recurrence of 27 % in unaffected arteries. There are two group of recurrences, early and late. Early spontaneous cervical artery dissection (sCAD) recurrences are not uncommon and usually involve arteries previously unaffected by dissection. They are oligosymptomatic (headache or neck pain) or asymptomatic and might be correlated with a transient arterial disorder. Late sCAD recurrences are rare and can occur at site of previous sCAD and might be indicative of an underlying persistent connective tissue weakness. In this case report we present a 31- year old female patient who presented to emergency room because of headache and pain in the neck which started 3 days before. Initial brain CT scan and CT-angiography were normal. Next day she became disoriented and complained of headache, vertigo, nausea. Magnetic resonance of the brain showed little hematoma in quadrigeminal cistern and left vertebral artery dissection in V2 segment. Initial neurovascular ultrasound (nUS) showed dissection in V2 segment left vertebral artery. Next nUS after five days showed new dissection in V1 and V2 segment in right vertebral artery. Following nUS showed initial regression hematoma in both vertebral arteries. To conclude, early sCAD recurrences are not uncommon and usually involve arteries previously unaffected by dissection. Because of that it is important to daily neurosonology monitoring of the dissection.
{"title":"Young Female with Recurrent Spontaneous Cervical Artery Dissection","authors":"Melanija Pintarić, Rafaela Vukasović, A. Lovrenčić‐Huzjan","doi":"10.20471/may.2023.59.01.17","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.17","url":null,"abstract":"Previous neurosonological study demonstrated the value of neurosonology in daily monitoring of the cervical artery dissection. This study showed rate of recurrence of 27 % in unaffected arteries. There are two group of recurrences, early and late. Early spontaneous cervical artery dissection (sCAD) recurrences are not uncommon and usually involve arteries previously unaffected by dissection. They are oligosymptomatic (headache or neck pain) or asymptomatic and might be correlated with a transient arterial disorder. Late sCAD recurrences are rare and can occur at site of previous sCAD and might be indicative of an underlying persistent connective tissue weakness. In this case report we present a 31- year old female patient who presented to emergency room because of headache and pain in the neck which started 3 days before. Initial brain CT scan and CT-angiography were normal. Next day she became disoriented and complained of headache, vertigo, nausea. Magnetic resonance of the brain showed little hematoma in quadrigeminal cistern and left vertebral artery dissection in V2 segment. Initial neurovascular ultrasound (nUS) showed dissection in V2 segment left vertebral artery. Next nUS after five days showed new dissection in V1 and V2 segment in right vertebral artery. Following nUS showed initial regression hematoma in both vertebral arteries. To conclude, early sCAD recurrences are not uncommon and usually involve arteries previously unaffected by dissection. Because of that it is important to daily neurosonology monitoring of the dissection.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46290654","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 : 2023-02-20DOI: 10.20471/may.2023.59.01.14
V. Vuletić
The influence of sex differences in movement disorders is still under-recognized. There are significant sex differences in the pathophysiology, epidemiology, clinical manifestations, and treatments outcome of many of movement disorders especially Parkinson’s disease. Importance of sex specific differences in invasive treatment outcomes emphasize the importance of their considering when devising patient’s individual management strategies. Increased recognition and future prospective studies specifically addressing sex differences in invasive treatments’ outcomes may help and provide a tailored therapeutic and precision medicine approach to movement disorders. We highlight the most relevant invasive treatment’s effects in advanced movement disorders that differ between men and women. But also, the differences in selection of invasive methods. Increased recognition of sex differences and their impact on treatment of advanced phase of movement disorders, that are very disabling, is very important for future studies and precise and personalized medicine. In this article, we provide a review of sex- related differences in treatment of advanced movement disorders, mostly Parkinson’s diseases.
{"title":"Sex Differences in the Therapy of Advanced Movement Disorders","authors":"V. Vuletić","doi":"10.20471/may.2023.59.01.14","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.14","url":null,"abstract":"The influence of sex differences in movement disorders is still under-recognized. There are significant sex differences in the pathophysiology, epidemiology, clinical manifestations, and treatments outcome of many of movement disorders especially Parkinson’s disease. Importance of sex specific differences in invasive treatment outcomes emphasize the importance of their considering when devising patient’s individual management strategies. Increased recognition and future prospective studies specifically addressing sex differences in invasive treatments’ outcomes may help and provide a tailored therapeutic and precision medicine approach to movement disorders. We highlight the most relevant invasive treatment’s effects in advanced movement disorders that differ between men and women. But also, the differences in selection of invasive methods. Increased recognition of sex differences and their impact on treatment of advanced phase of movement disorders, that are very disabling, is very important for future studies and precise and personalized medicine. In this article, we provide a review of sex- related differences in treatment of advanced movement disorders, mostly Parkinson’s diseases.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48232680","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 : 2023-02-20DOI: 10.20471/may.2023.59.01.24
Srđana Telarović
Letter to the Editor
给编辑的信
{"title":"Epidemiology of Parkinson’s Disease","authors":"Srđana Telarović","doi":"10.20471/may.2023.59.01.24","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.24","url":null,"abstract":"Letter to the Editor","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081076","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 : 2023-02-20DOI: 10.20471/may.2023.59.01.02
F. Silconi, Marijana Radić, M. Bralic, Žana Besser Silconi
Subarachnoid haemorrhage (SAH) is the only type of stroke with female predominance. We conducted a retrospective analysis of SAH patients throughout a decade and tried to establish any reason for such remarkable sex difference. We conducted a retrospective analysis of subarachnoid haemorrhages treated in Istria County between 2010 and 2021. Some of those patients were referred to a comprehensive stroke centre and we collected those data too. We also collected data regarding the outcome recorded at follow up exams of patients treated for SAH in that period. A total of 193 patients with subarachnoid haemorrhage were found in observed period. We found a lower incidence regarding general population but with a tendency to increase, compared with data from other studies. Among all SAH, 113 were female, which makes a Risk Ratio (RR) of 1.44. The highest RR in females was in aneurysmal subarachnoid haemorrhages, 2.06. We obtained a similar high RR of 2.03 in the case of female ruptured multiple intracranial aneurysms (IA), clearly with a worse outcome. Conversely, the RR in non-aneurysmal subarachnoid haemorrhages and perimesencephalic subarachnoid haemorrhages was lower in the case of female sex and amounted 0.67. We noticed similar sex inequality as shown in other studies, so we can also state that women are at higher risk of IA rupture than men. The reason has to be multifactorial. As found in this study, women have different predilection sites of IA rupture compared with men so we strongly believe that certain hemodynamic forces may lead to aneurysm growth and rupture. As we also confirmed IA rupture is age dependent more in women than in men. As shown in other studies, oestrogen level might be the reason for that. Future studies should further establish and prove these risk factors for IA aneurysm rupture and improve preventive measures.
{"title":"Why She? A Retrospective Study on Sex Inequality Related to Subarachnoid Haemorrhage","authors":"F. Silconi, Marijana Radić, M. Bralic, Žana Besser Silconi","doi":"10.20471/may.2023.59.01.02","DOIUrl":"https://doi.org/10.20471/may.2023.59.01.02","url":null,"abstract":"Subarachnoid haemorrhage (SAH) is the only type of stroke with female predominance. We conducted a retrospective analysis of SAH patients throughout a decade and tried to establish any reason for such remarkable sex difference. We conducted a retrospective analysis of subarachnoid haemorrhages treated in Istria County between 2010 and 2021. Some of those patients were referred to a comprehensive stroke centre and we collected those data too. We also collected data regarding the outcome recorded at follow up exams of patients treated for SAH in that period. A total of 193 patients with subarachnoid haemorrhage were found in observed period. We found a lower incidence regarding general population but with a tendency to increase, compared with data from other studies. Among all SAH, 113 were female, which makes a Risk Ratio (RR) of 1.44. The highest RR in females was in aneurysmal subarachnoid haemorrhages, 2.06. We obtained a similar high RR of 2.03 in the case of female ruptured multiple intracranial aneurysms (IA), clearly with a worse outcome. Conversely, the RR in non-aneurysmal subarachnoid haemorrhages and perimesencephalic subarachnoid haemorrhages was lower in the case of female sex and amounted 0.67. We noticed similar sex inequality as shown in other studies, so we can also state that women are at higher risk of IA rupture than men. The reason has to be multifactorial. As found in this study, women have different predilection sites of IA rupture compared with men so we strongly believe that certain hemodynamic forces may lead to aneurysm growth and rupture. As we also confirmed IA rupture is age dependent more in women than in men. As shown in other studies, oestrogen level might be the reason for that. Future studies should further establish and prove these risk factors for IA aneurysm rupture and improve preventive measures.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49575691","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 : 2022-10-20DOI: 10.20471/dec.2022.58.02.07
Pallavi Abhilasha, V. Panneer Selvam, Thenmozhi Lakshmanamoorthy, Arul Saravanan Ramachandran
Introduction: Vitiligo is a chronic disorder of skin pigmentation caused by the selective destruction of melanocytes. It causes psychological distress and affects quality of life. Materials and method: An institution based case control study with 55 cases and 55 controls with vitiligo and without vitiligo was undertaken. They were assessed using the Vitiligo area severity index (VASI), Vitiligo Disease Activity Scoring (VDAS), Hamilton Depression Scale (HAMD) and Dermatology life quality index (DLQI). Results: In our study sample 29.1 % had vulgaris, 27.3 % had focal type of vitiligo, and 32.7 % had acro-facial vitiligo, 5.5 % mixed and 5.5 % segmental type of vitiligo was respectively seen. 76.4 % of the cases scored for mild depression and 16.4 % of the cases scored for moderate degree of depression. 23 (41.8 %) of the cases had mild degree of anxiety and 2 (3.6 %) had moderate degree of anxiety. Acro- facial and vulgaris group scored more for anxiety. Significant difference between two groups on WHO Quality of Life scale BREF and DLQI scores. Discussion: Psychiatric morbidity and Quality of Life was found to be significant in patient group with vitiligo than normal controls. There was a higher positive correlation between QOL and VASI scores, denoting the poor quality of life in patients attributable to the severity of the lesions. Conclusion: Psycho-dermatological services will help to mitigate the sufferings and improve the quality of life of patients with vitiligo.
{"title":"A Cross Sectional Study of Psychiatric Morbidity and Quality of Life in Vitiligo Patients","authors":"Pallavi Abhilasha, V. Panneer Selvam, Thenmozhi Lakshmanamoorthy, Arul Saravanan Ramachandran","doi":"10.20471/dec.2022.58.02.07","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.07","url":null,"abstract":"Introduction: Vitiligo is a chronic disorder of skin pigmentation caused by the selective destruction of melanocytes. It causes psychological distress and affects quality of life. Materials and method: An institution based case control study with 55 cases and 55 controls with vitiligo and without vitiligo was undertaken. They were assessed using the Vitiligo area severity index (VASI), Vitiligo Disease Activity Scoring (VDAS), Hamilton Depression Scale (HAMD) and Dermatology life quality index (DLQI). Results: In our study sample 29.1 % had vulgaris, 27.3 % had focal type of vitiligo, and 32.7 % had acro-facial vitiligo, 5.5 % mixed and 5.5 % segmental type of vitiligo was respectively seen. 76.4 % of the cases scored for mild depression and 16.4 % of the cases scored for moderate degree of depression. 23 (41.8 %) of the cases had mild degree of anxiety and 2 (3.6 %) had moderate degree of anxiety. Acro- facial and vulgaris group scored more for anxiety. Significant difference between two groups on WHO Quality of Life scale BREF and DLQI scores. Discussion: Psychiatric morbidity and Quality of Life was found to be significant in patient group with vitiligo than normal controls. There was a higher positive correlation between QOL and VASI scores, denoting the poor quality of life in patients attributable to the severity of the lesions. Conclusion: Psycho-dermatological services will help to mitigate the sufferings and improve the quality of life of patients with vitiligo.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47635755","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 : 2022-10-20DOI: 10.20471/may.2022.58.02.09
Josip Bošnjaković
The article examines the relationship between the “Don’t Exist” injunction and the developmental conditions of two groups of adolescents: those who grew up alongside parents who experienced war and post-war conditions, and those who grew up in conditions of peace. Growing up in war and post-war conditions means, for adolescents, that they incorporate the injunctive messages “Do not exist” more than those who grow up in conditions of peace. Injunctive messages from parents were expressed non-verbally during the early years of today’s adolescents’ upbringing. The consequence of having high levels of the injunction “Don’t Exist” is observed through the psychological indisposition that we detected with the ESPERO questionnaire. The research results reported in this article refer to research conducted among Croatian adolescents in the spring of 2011. These adolescents were born during the war against Croatia (1991-1995) and were between 1-3 years old. The results show us that there is a statistically significant difference between adolescents raised in war and post-war conditions with adolescents raised in peaceful conditions. Based on the data, seven psychoeducational steps are suggested for the healthy development of a person and for a possible way of life for those who have suffered the consequences of war. In addition to this, the significant contribution of transactional analysis to the understanding of psychological processes in social relationships is highlighted.
{"title":"Life Challenges with Psychological Consequences Connected to Growing up in War and Post-War Conditions","authors":"Josip Bošnjaković","doi":"10.20471/may.2022.58.02.09","DOIUrl":"https://doi.org/10.20471/may.2022.58.02.09","url":null,"abstract":"The article examines the relationship between the “Don’t Exist” injunction and the developmental conditions of two groups of adolescents: those who grew up alongside parents who experienced war and post-war conditions, and those who grew up in conditions of peace. Growing up in war and post-war conditions means, for adolescents, that they incorporate the injunctive messages “Do not exist” more than those who grow up in conditions of peace. Injunctive messages from parents were expressed non-verbally during the early years of today’s adolescents’ upbringing. The consequence of having high levels of the injunction “Don’t Exist” is observed through the psychological indisposition that we detected with the ESPERO questionnaire. The research results reported in this article refer to research conducted among Croatian adolescents in the spring of 2011. These adolescents were born during the war against Croatia (1991-1995) and were between 1-3 years old. The results show us that there is a statistically significant difference between adolescents raised in war and post-war conditions with adolescents raised in peaceful conditions. Based on the data, seven psychoeducational steps are suggested for the healthy development of a person and for a possible way of life for those who have suffered the consequences of war. In addition to this, the significant contribution of transactional analysis to the understanding of psychological processes in social relationships is highlighted.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47605421","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 : 2022-10-20DOI: 10.20471/may.2022.58.02.01
S. Galić, K. Matešić, B. Vuković
The aim of this study was to examine whether the ROCF qualitative scoring system developed by Loring, Lee and Meador for differentiating complex partial seizures originating from either the right or left temporal lobe is effective in differentiating left-sided and right-sided brain lesions that are the result of cerebrovascular insult or brain tumours. We were also interested in determining whether this scoring system, which was developed for scoring trials with delayed recall, could be applied to trials with immediate recall and copying. The study consisted of 24 participants with lesions of the left hemisphere and 33 participants with right-sided lesions. Participants with right-sided lesions had a significantly greater number of qualitative errors in copying, immediate and delayed recall, and these three variables are the major contributors in distinguishing between groups. Based on these variables and quantitative results on copying, immediate and delayed recall, we were able to correctly classify 78.3 % of participants with left-sided lesions and 66.7 % of participants with right-sided lesions. Given that more than 90 % of participants with left-sided lesions had two or more errors in delayed recall, it is clear that the criterion of two or more errors which was set by Loring, Lee and Meador for patients with a right-sided focus in epilepsy is not applicable to patients with tumours and strokes. These results do not confirm the usefulness of qualitative errors for distinguishing left-sided and right-sided lesions caused by a tumour or stroke, except, perhaps, in cases of very high results (six or more errors) and when one of these errors is error X in immediate and/or delayed recall.
{"title":"Rey-Osterrieth Complex Figure Test in Differentiating Between Left and Right Lesions Caused by Brain Tumors and Stroke","authors":"S. Galić, K. Matešić, B. Vuković","doi":"10.20471/may.2022.58.02.01","DOIUrl":"https://doi.org/10.20471/may.2022.58.02.01","url":null,"abstract":"The aim of this study was to examine whether the ROCF qualitative scoring system developed by Loring, Lee and Meador for differentiating complex partial seizures originating from either the right or left temporal lobe is effective in differentiating left-sided and right-sided brain lesions that are the result of cerebrovascular insult or brain tumours. We were also interested in determining whether this scoring system, which was developed for scoring trials with delayed recall, could be applied to trials with immediate recall and copying. The study consisted of 24 participants with lesions of the left hemisphere and 33 participants with right-sided lesions. Participants with right-sided lesions had a significantly greater number of qualitative errors in copying, immediate and delayed recall, and these three variables are the major contributors in distinguishing between groups. Based on these variables and quantitative results on copying, immediate and delayed recall, we were able to correctly classify 78.3 % of participants with left-sided lesions and 66.7 % of participants with right-sided lesions. Given that more than 90 % of participants with left-sided lesions had two or more errors in delayed recall, it is clear that the criterion of two or more errors which was set by Loring, Lee and Meador for patients with a right-sided focus in epilepsy is not applicable to patients with tumours and strokes. These results do not confirm the usefulness of qualitative errors for distinguishing left-sided and right-sided lesions caused by a tumour or stroke, except, perhaps, in cases of very high results (six or more errors) and when one of these errors is error X in immediate and/or delayed recall.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48416531","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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