Oddzial Kliniczny Psychiatrii Doroslych

Poland

Oddzial Kliniczny Psychiatrii Doroslych

Poland
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PubMed | Oddzial Kliniczny Psychiatrii Doroslych, Klinika Psychiatrii Dzieci i Mlodziezy Katedry Psychiatrii UJ CM. and Pracownia Psychologii i Psychoterapii Systemowej
Type: Journal Article | Journal: Psychiatria polska | Year: 2015

Analysis of the correlation between the assessment of current family relations in families of patients diagnosed with eating disorders and the assessment of the relations in the family of origin of their parents.54 female patients with restrictive anorexia nervosa, 22 female patients with binge-purge anorexia, 36 female patients with bulimia. Two control groups were included: 36 female patients with depressive disorders and 85 schoolgirls from Krakow. The study also covered the girls parents. Family of Origin Scale and FAM Family Assessment Measure (Polish version).In the families of schoolgirls from Krakow better evaluation of the experience of intimacy and autonomy in the family of origin of parents of the investigated girls was associated with their and their children more favourable perception of relations in the present nuclear family. What proved particularly significant were perception of transgenerational experiences of the fathers. Only a few statistically significant correlations were observed in all clinical groups. In the parents of the investigated patients a weak correlation was observed between the current marital relations perception and transgenerational experiences evaluation and a significant correlation between parents transgenerational experience evaluation and the assessment of the relations with their daughters.No specific correlations were found between the perception of the transgenerational experience of parents and evaluation of current relations in the nuclear family of their children with eating disorders. The results in the group with eating disorders suggest that the relations between parents and daughters are more intense than marital relations.


Siwek M.,Zaklad Zaburzen Afektywnych Katedry Psychiatrii UJ CM | Dudek D.,Zaklad Zaburzen Afektywnych Katedry Psychiatrii UJ CM | Jaeschke R.,Zaklad Zaburzen Afektywnych Katedry Psychiatrii UJ CM | Dembinska-Kiec A.,Katedra Biochemii Klinicznej UJ CM | And 10 more authors.
Psychiatria Polska | Year: 2015

Aim. The relationships between obesity and bipolar spectrum disorders (BSD) are unclear. Thus, the aim of our study were to approximate the prevalence of soft bipolar features in patients seeking treatment for obesity. Methods. We performed a nested case-control study (cases: 90 patients with the mean BMI=38.1±7.0 [range: 30.1-62.5]; controls: 70 healthy volunteers with the mean BMI=21.6±2.1 [range: 18.5-24.9]). The participants were screened for the BSD symptoms with the Mood Disorder Questionnaire. Results. Patients with obesity were significantly more likely to score ≥7 pts. on the MDQ 25.6% vs. 8.6%; p=0.01). In comparison to non-obese individuals, the obese patients scored significantly higher in MDQ section I and on the MDQ items referring to the 'irritability-racing thoughts' dimension of hypomania. The multiple logistic regression analysis revealed that obesity had been significantly related to the odds of obtaining ≥7 pts. on the MDQ section 1 (odds ratio [OR] = 2.07; 95% confidence interval [CI]: 1.17-3.63), and marginally significantly related to experiencing periods of 'ups' and 'downs'(OR = 1.67; 95% CI: 1.00-2.81). Conclusions. Our study adds to previous suggestions that obesity may be significantly related to the BSD. However, the clinical implications of this finding need to be determined in further studies, performed in accordance with the paradigm of evidence based medicine (EBM).


Pilecki M.W.,Klinika Psychiatrii Dzieci i Mlodziezy | Jozefik B.,Pracownia Psychologii i Psychoterapii Systemowej | Koscielniak M.,Oddzial Kliniczny Psychiatrii Doroslych
Psychiatria Polska | Year: 2015

Aim. Analysis of the correlation between the assessment of current family relations in families of patients diagnosed with eating disorders and the assessment of the relations in the family of origin of their parents. Material. 54 female patients with restrictive anorexia nervosa, 22 female patients with binge-purge anorexia, 36 female patients with bulimia. Two control groups were included: 36 female patients with depressive disorders and 85 schoolgirls from Krakow. The study also covered the girls' parents. Method. Family of Origin Scale and FAM Family Assessment Measure (Polish version). Results. In the families of schoolgirls from Krakow better evaluation of the experience of intimacy and autonomy in the family of origin of parents of the investigated girls was associated with their and their children more favourable perception of relations in the present nuclear family. What proved particularly significant were perception of transgenerational experiences of the fathers. Only a few statistically significant correlations were observed in all clinical groups. In the parents of the investigated patients a weak correlation was observed between the current marital relations perception and transgenerational experiences evaluation and a significant correlation between parents' transgenerational experience evaluation and the assessment of the relations with their daughters. Conclusions. No specific correlations were found between the perception of the transgenerational experience of parents and evaluation of current relations in the nuclear family of their children with eating disorders. The results in the group with eating disorders suggest that the relations between parents and daughters are more intense than marital relations.


Rachel W.,Klinika Psychiatrii Doroslych | Turkot A.,Oddzial Kliniczny Psychiatrii Doroslych
Psychoterapia | Year: 2015

Social, family and professional life depending on diverse factors. The caregiver burden is mainly related to patients with behavioral disturbances (BPSD) and loss of cognitive functions. Caring for a patient with dementia directly links to significant psychological stress. It also affects the caregivers' physical and mental health. The psychiatric morbidity is higher among the caregivers population. Depression, anxiety disorder and insomnia have been found to be the most common. In this article, the authors share their own experiences and reflections from the use of psychotherapy with caregivers. The primary goal of psychotherapy is to help the patient's caregiver adapt to the new situation and in improving relationships and communication with the patient. An important element of therapy is to reign in emotions associated with exercising care, helping with getting over the loss a loved one, accepting restrictions imposed on social and family life, and preventing feelings of loneliness. The aims of therapeutic interventions should include: education about dementia, improving the effectiveness and skills needed to deal with patients, and fostering a sense of security. It seems that the best kind of help for caregivers of people suffering from dementia, are their support groups. © 2015, Polish Psychiatric Association. All rights reserved.


The article is a case report of a woman with dependent personality disorder treated in individual psychodynamic psychotherapy. The essential background of the treatment is based on an earlier, 20 year long period of a previous therapy, which was conducted in the humanistic approach, in the Gestalt model. The immediate reason to begin the treatment described in the article was for the patient's worsening of her psychic state. This was after receiving the news of death of the therapist, who led the previous Gestalt therapy for a long time. In the discussion, the author focuses on the analysis of how the differences in diagnosis and ways of treatment depend on the psychotherapeutic paradigm in which the therapist works. The analysis is done on the examples of patients with psychopathology of over-dependence and takes into consideration both the therapeutic paradigms which the reported patient met. In the context of mode of ending the treatment through breaking it off by the patient, weaknesses and shortfalls of the presented process of psychotherapy are mentioned.


PubMed | Zaklad Zaburzen Afektywnych Katedry Psychiatrii UJ CM., Oddzial Kliniczny Psychiatrii Doroslych, II Katedra Chirurgii Ogolnej UJ CM., Katedra Psychiatrii UM w Poznaniu. and 2 more.
Type: Journal Article | Journal: Psychiatria polska | Year: 2015

AIM : The relationships between obesity and bipolar spectrum disorders (BSD) are unclear. Thus, the aim of our study were to approximate the prevalence of soft bipolar features in patients seeking treatment for obesity.We performed a nested case-control study (cases: 90 patients with the mean BMI=38.17.0 [range: 30.1-62.5]; controls: 70 healthy volunteers with the mean BMI=21.62.1 [range: 18.5-24.9]). The participants were screened for the BSD symptoms with the Mood Disorder Questionnaire.Patients with obesity were significantly more likely to score 7 pts. on the MDQ 25.6% vs. 8.6%; p=0.01). In comparison to non-obese individuals, the obese patients scored significantly higher in MDQ section I and on the MDQ items referring to the irritability-racing thoughts dimension of hypomania. The multiple logistic regression analysis revealed that obesity had been significantly related to the odds of obtaining 7 pts. on the MDQ section 1 (odds ratio [OR] = 2.07; 95% confidence interval [CI]: 1.17-3.63), and marginally significantly related to experiencing periods of ups and downs(OR = 1.67; 95% CI: 1.00-2.81).Our study adds to previous suggestions that obesity may be significantly related to the BSD. However, the clinical implications of this finding need to be determined in further studies, performed in accordance with the paradigm of evidence based medicine (EBM).

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