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EN
Introduction. Stress is a complex and ubiquitous phenomenon. According to the World Health Organization, it is one of the most common problems of the 21st century. It is no surprise that the majority of people associate stress with something entirely negative. However, there is no life without stress and a certain amount of stress in life is necessary. Aim. The aim of the study was to assess the occurrence of stress among students of the Medical University from the faculties of Medicine, Pharmacy, Dentistry and Public Health, and evaluate its influence on physiological changes and behavior, and present the ways of coping with it. Material and methods. The study comprised 240 students from the faculties mentioned above. Stress was measured by means of a questionnaire consisting of 14 fully anonymous questions which concerned factors causing stress, ways of reacting to it and methods of coping with it. Results. It was found out that stress as an intense emotional reaction to a number of stimuli triggers some physiological and psychological adaptation responses among students. Conclusions. The findings of this research suggest that pharmacy students are the most exposed to high levels of stress. Oral examination is considered to be the most stressful form of testing students’ knowledge. According to survey respondents, the most common symptoms of stress include abdominal pain palpitations, sleep disorders, excessive sweating, hand shaking. The majority of respondents listed the following activities to beat stress: sports, sleeping or listening to music, as most effective in reducing stress. Some of the respondents also turned to substances, such as tobacco or alcohol. The respondents admitted that they have also used drugs
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vol. XXI
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issue 4
573-587
EN
This paper contains an analysis of the determinants of predispositions of individuals to cope with stress in adulthood, very likely shaped in childhood. The theoretical part defines stress and ways to cope with it and describes the conclusions reached to date of studies on attachment styles determinants to cope with stress. Presents the results of the author’s own research showing the preferences of choosing different strategies to cope with stress depending on an attachment style shaped in childhood. The research conducted in 2013 and 2014 was participated by 180 women and 180 men aged 20-40 (M = 28.99, SD = 4.23), living in the Zachodniopomorskie and Lubuskie Voivodeships in Poland. Participants filled in questionnaires defining their ways of coping with stress and their attachment style. The research results obtained show that the respondents who the most frequently manifest active coping with stress and seeking support in difficult situations come from families that built in their child a secure attachment style. Helplessness and avoidant behaviours are more often evinced in stressful situations by the respondents brought up in families who built an anxiety-ambivalent and an avoidance attachment style.
EN
As different areas of life and an individual’s life roles undergo transformation and intermingle increasingly, the ways that people get married and start up families change as well. A dual-career marriage is a modern family model, within which both spouses realize, on the one hand, broadly defined professional careers under conditions of competitive job market and competitive forms of employment, often occupying managerial positions; and life careers on the other hand, those related to family, marital roles, housekeeping and earning the livelihood. As compared with traditional models and egalitarian partnerships, a dual-career marriage involves more sacrifices and threats, but can also provide many benefits. In the study it was attempted to make inquiries in that matter, rooted in our wish to examine this specific link between dual-career couples and a subjective sense of partners’ quality of life, particularly in the aspect of its meaning – as compared with that of spouses in traditional marriages and egalitarian partnerships. Then a more detailed purpose of this study was to verify whether satisfaction with one’s own achievements in partners of a dual-career marriage, both in their professional and extraprofessional life, together with the level of experienced stress are possible significant factors influencing the relation between role conflict and a reported level of sense of purpose in life. The study was conducted during 2013-2014 and involved examining a total of 150 couples in dual-career marriages (300 participants), i.e. relationships within which both partners realized their professional career in the competitive job market, oftentimes they occupied managerial posts and reconciled professional life with the role of a parent. All investigated participants in dualcareer relationships had higher education, their age varied from 28 to 40 years and each marriage had at least 1 child. The control group was composed of 160 egalitarian partnerships and 135 traditional marriages. In order to verify the research questions and hypotheses stated above, four diagnostic tools were used: Purpose in Life test, “Work-Life Balance” Questionnaire, Stress Level Questionnaire and Sense of Happiness Questionnaire. The analysis of empirical material presented that partners in dual-career relationships reported the highest level of experienced stress, fatigue, tension and role conflict, but also the highest levels of satisfaction with one’s achievements or the family’s financial situation – factors which can neutralize the negative impact of experienced stress and conflicts on the general sense of life meaning. Also presented that experiencing role conflicts is negatively correlated with a general sense of purpose in life and with satisfaction with one’s accomplishments, at the same time being positively correlated with experienced stress. It can be noticed, however, that in the calculated model a (high) level of satisfaction with one’s achievements acts as a specific buffer against the influence of experienced role conflict and stress.
EN
Differentiation of self refers to the ability to modulate affect, maintain a clear sense of self, and balance intimacy and autonomy in significant relationships. The author tested whether differentiation mediated the relationship between marital satisfaction and stress perceived by women. The sample consisted of 220 married women. Marital satisfaction was found to be inversely correlated with perceived stress. Greater marital satisfaction also coincided with better differentiation of self (less emotional reactivity, greater I position, less emotional cutoff and fusion with others), while lower level of differentiation was significantly associated with higher feeling of stress. Differentiation of self also mediated the linkage between marital satisfaction and stress perceived by women. The results support searching hypothesis.
EN
Background: This research was aimed at describing the influence of selected intrapsychic factors related to “low” and “high” mountain conditions upon the efficiency of alpine skiing instruction. Material/Methods: Research participants were 48 people without skiing skills. Altitudes from 770 to 1,741 metres above sea level were chosen for “high” groups. A STAI questionnaire was chosen in order to carry out the research. The skiing level achieved by the end of the instruction was assessed expertly with the three essential evolutions, i.e. ploughing curves, slanting slide, and half-ploughing turn, taken into consideration. Results: The anxiety level after the instruction of the “high” group exceeded that in the “low” group (p<0.0895). Significant negative correlations were observed between the mean score for technical evolutions and the accompanying anxiety in the “high” group of subjects. Conclusions: The lower the characteristic anxiety, the better the technical test results. Whenever skiing evolutions are taught, it is necessary to take into consideration both the students' anxiety levels and their physical effectiveness levels. Contributions to the awareness of skiing instruction participants can increase their mental resistance and result in a better final effect of such an instruction.
EN
Although the physiological cost of refereeing has been already studied in the literature, especially in soccer umpires, it remains unknown whether referees spontaneously adapt their energy intake during game days. Six national soccer referees completed 24-hour dietary recalls (assisted by the SU.VI.MAX copybook) during a control day (CON) and a day with a game (GAME). The stress level and hunger feelings were assessed using visual analogue scales. Total energy intake, energy derived from macronutrients and energy intake at each meal were analyzed using the Bilnuts nutrition software. Total daily energy intake was not significantly different between conditions (CON: 2270 ± 535 vs. GAME: 2782 ± 293). Energy derived from fat and protein was not different between conditions but the participants ingested more calories derived from carbohydrates during the GAME day (45.5 ± 5.9% vs. 54.9 ± 5.5%, respectively, p<0.05). The calories ingested during snacking were significantly increased during GAME compared with CON (p<0.05). The stress level was significantly higher during GAME and especially before the breakfast, lunch and snack (p<0.05). Hunger feeling was not different between conditions. Referring leads to nutritional adaptations in elite soccer umpires, who tend to increase their energy intake mainly during snacking, by increasing their carbohydrate consumption.
EN
In the paper results of investigation of the influence of low concentration hydrogen on stress changes in thin catalytic metal films were discussed. The concentration of H2 was altered from 6 ppm to 1% of hydrogen (6N) in nitrogen (6N). Silicon beams covered with palladium or platinum films of various thicknesses were anchored at one end and their deflection at the other end was measured by atomic force microscope. Stress changes were determined by application of modified Stoney formula and compared with results of computer modelling. The influence of stress caused by hydrogen absorption on the alteration of output characteristics of AIII-N based hydrogen sensors was excluded. The time dependence of stress in metallic films for various hydrogen concentrations indicated dissociation limited mechanism of hydrogen absorption.
EN
Background: The previous studies formed the role of oxidants and proinflammatory cytokines in the pathogenesis of acute psychological stress-related cardiac damage leading to mortality and other complications. The aim of the study is to examine the protective effect of rutin against stress-induced cardiac damage. In the literature, no studies have been found analyzing the effects of rutin in acute stress related oxidative damage induced by immobilization method in rats.Material and Methods: Rutin was administered orally to rutin + stress applied (RSG) group albino rats at a dose of 50 mg/kg. For healthy control (HG) and stress applied to control (SAG) groups, distilled water as a solvent was orally administered at the same volume (0.5 ml). One hour after rutin and distilled water applications, all animals except for HG brought into supine position and their legs and arms were ligated and kept in the same position for 24 hours.Results: Oxidant, cytokine and cardiac biomarker levels in blood serum and heart tissues of SAG animals were found to be significantly higher and total glutathione was lower than RSG and HG groups. Histopathologically dilated conjugated blood vessels and myocardial destruction, hemorrhage, edema, and polymorphonuclear leucocyte infiltration were observed in the SAG heart tissues. On the other hand, the histological heart tissue results of the RSG group was found to be similar compare to healthy tissue except for the slightly dilated conjugated blood vessel. Conclusion: These results indicate that the rutin may be useful in the treatment of stress-related oxidative cardiac damage
EN
Coronavirus disease 2019 (COVID-19) is likely to have long-term mental health effects on individuals who have recovered from COVID-19. According to Centers for Disease Control and Prevention (CDC), individuals diagnosed with COVID-19 can see a range of long-term side effects. The aim of the study was to evaluate the effectiveness of neurotherapy (EEG neurofeedback and goal-oriented cognitive training) in the treatment of neurocognitive dysfunctions in a patient after the infection of SARS-CoV-2 and the long long-term side effects after the contraction of COVID-19. The 48-year-old woman ZR, an accountant by profession, an employee of the administration of the Municipal Board of Municipal Resources, fell ill on October 13, 2020. The disease began with very severe burning headache, eyeballs pain, muscle aches. Ten days later more symptoms joined: loss of smell (anosmia) and loss of taste (ageusia), hearing disorders, shortness of breath and chest pains. The symptoms were associated with SARS-CoV-2 coron- avirus infection confirmed by an rt-PCR genetic test. Brain MRI with intravenous paramagnetic contrast medium injection did not show either lesions of acute microischemic significance or areas of pathological enhancement after paramagnetic contrast medium ad- ministration. The patient was treated at home. In mid-November 2020, about a month after the infection of SARS-CoV-2 and con- tracting NeuroCOVID-19, neurocognitive impairment developed and after half a year she was deteriorating and not able to live in- dependently in society because of her condition. She called her problem "brain fog", and was referred for further diagnosis and therapy to the Reintegration and Training Center of the Polish Neuropsychological Society. We diagnosed a range of long-term side effects and introduced neurotherapy (EEG neurofeedback and goal-oriented cognitive training) in the treatment of neurocognitive dysfunctions. It was found that almost all the long-term side effects were reduced in magnitude. The patient improved and she was able to return to work. EEG neurofeedback and goal-oriented cognitive training might be helpful in the reduction of neurocognitive dysfunctions in patients following the infection of SARS-CoV-2 and long-term side effects after the contraction of COVID-19.
EN
Since the outbreak of the COVID-19 pandemic, many scientific papers have described the medical aspects and treatment of the virus infection and its symptoms. There are also many studies on how pandemics of this magnitude affect psychological wellbeing. Despite the spread of COVID-19, it has remained a rather abstract threat for many people in Poland. They have often expressed disbelief and negative attitudes toward social restrictions. The study aimed to investigate changes in attitudes to the COVID-19 threat in young people and the psychological repercussions of social isolation. The present study examined the changes in young people's attitudes, ones not directly affected by COVID19, over a period of a month. It comprised 41 individuals aged 21 to 60. The partic- ipants were asked to fill out a specially designed Internet questionnaire. This consisted of 5 open questions concerning their attitudes, values, feelings, reactions, and vision of the future. They were also encouraged to give their own remarks. At first, 46.6% of participants reported a feeling of discomfort, while 48.4% treated the situation as an opportunity to temporarily slow down the pace of life. However, negative moods and deterioration of mental state arose over time, and 58.7% of respondents reported discomfort in the second study. It shows that counter-arguing against information that causes discomfort and fear does not work for long. Moreover, the majority of them believed that the epidemic would result in the deterioration of their psychological wellbeing. The study revealed that psychological restlessness was almost imperceptible at first, and many participants reported a feeling of relief. Nevertheless, deterioration of mental state arose gradually, often leading to a lack of motivation, feelings of loneliness, helplessness, and, consequently, aggressive behaviors. The neuropsychological and biological aspects of long-term stress are also discussed.
EN
The main objective of this study was to determine the effect of stress of a practical, thirty-hour driving course on changes in salivary cortisol concentration and on changes in systolic and diastolic blood pressure. The second objective was to determine the relation between the style of coping with stress (psychological indicator) and changes in the assessed biological parameters. All volunteers aged 18-30 years completed the Coping Inventory for Stressful Situations (CISS) before the start of the course. They were divided into control (n=15) and experimental (n=18) groups. In the experimental group saliva samples to measure cortisol were collected from each participant: before the start of the course, before the 1st, 13th and 28th driving hour, and blood pressure was measured before the course, during the 15th and 30th hour of the course. Participants in the control group had one saliva sample taken and their blood pressure was measured once at the same time. The results suggest that cortisol concentration in saliva correlates with the hour of the course. Systolic and diastolic pressure also correlates with the hour of the course. CISS test related differences among the individuals in copying with stress (sex as well as age-related) but they did not correlate with the cortisol and blood pressure responses. A driving course is a stress factor that causes changes in salivary cortisol concentration and systolic and diastolic blood pressure. The style of coping with stress does not correlate with changes in the salivary cortisol concentration during the course. Changes in systolic and diastolic blood pressure during the driving course do not depend on the way of coping with stress.
EN
The purpose of this work was to ascertain the association of the level of athletes’ self-esteem with their stress management and experiencing the flow state. The study included 56 men and 18 women, aged 19 to 25, who practiced sport and lived in Gorzów Wielkopolski and its vicinity. The following tools were employed: the Rosenberg Self-Esteem Scale, N.S. Endler and J.D. Parker’s Coping Inventory for Stressful Situations (CISS), and S. Jackson and D. Eklund’s Flow State Scale – 2. For the analysis of variables descriptive statistics, correlation measures (Pearson’s r) and regression analysis were used. It was found that there is a positive correlation at the level of 0.05 between high self-esteem and the task-oriented style of coping with stressful situations, and a significant negative correlation at the level of 0.01 between self-esteem and the emotion-oriented style of stress management. The level of self-esteem also correlates with experiencing the flow state. Self-esteem is an important predictor of the method of coping with stressful situations and experiencing the flow state. People with higher self-esteem achieve the state of a kind of felicity, an autotelic experience. They are aware of their own abilities, have the feeling that they effortlessly control their situation and themselves, and can distance themselves from the surrounding environment. In a stressful situation, they focus on the problem.
EN
The use of nonsteroidal anti-inflammatory drugs (NSAIDs) in combination with being physiologically stressed often occurs in in the course of different pathologies. This situation may result in the alteration of digestive system functioning. The effect of stress brings about changes in the activity of nitric oxide synthase (NOS), arginase, cyclooxygenase (COX) and lipid peroxidation, whereas the use of NSAIDs interrupts the multiple functions of the cell via the inhibition of prostaglandins (PGs) synthesis. Taking into account that NOS and COX-systems are connected in their regulation, the aim of the study was to determine the role played by NOS and lipid peroxidation under conditions of the combined action of NSAIDs and stress. In our study, male rats were used. The NSAIDs (naproxen - a non-selective COX inhibitor, celecoxib - a selective COX-2 blocker, and the compound 2A5DHT (which is the active substance of dual COX, and the lipoxygenase (LOX) inhibitor, darbufelone) were all administered at a dose 10 mg/kg, prior to water restraint stress (WRS). WRS brought about an increase of inducible NOS (iNOS) activity in the intestinal mucosal and muscular membranes, as well as in the pancreas. Because of this, constitutive NOS izoform (cNOS) and arginase activities decreased. Moreover, the MDA concentration increased, indicating the development of oxidative stress. In our work, pretreatment with naproxen, as in the WRS model, engendered a decrease in iNOS activity. What is more, administration of Celecoxib did not change iNOS activity, as compared to WRS alone, and it showed a tendency to reduce lipid peroxidation. In addition, 2A5DHT prior WRS brought about a decrease of iNOS activity, with the subsequent rise of cNOS activity. Of note, MDA concentration decreased in all studied organs, indicating the reduction of lipid peroxidation under the action of the darbufelone active substance.
EN
Coronavirus disease 19 (COVID-19) hospitalisation is a potentially traumatic experience, especially in severe cases. Furthermore, the unprecedented context of the SARS-CoV-2 pandemic, with the daily media bombardment about COVID-19 mortality, may have amplified its life-threatening perception also in patients with moderate infection. The purpose of our study was twofold: 1) to evaluate QEEG/ERPs shows of PTSD associated with severe infection SARS-CoV-2, and neuroCOVID-19, 2) to construct a neurofeedback protocol based on these indices to support the psychotherapy of the case study described herein. Patient N.C. 49, a frontline healthcare worker in the emergency services (an ambulance driver), became ill with Covid-19 on November 14, 2020. Initially, he lost his sense of smell (anosmia), of taste (ageusia), and had latent blinks (heterophila), headaches, and dizziness. After 10 days of illness, the patient had additionally a dry cough and a shortness of breath and he was hospitalized, sedated and mechanically ventilated for 24 days. After a few months he was diagnosed with PTSD (according to the DSM- 5 criteria) and referred to the Reintegration and Training Center of the Polish Neuropsychological Society for further diagnosis and treatment. It was found that the P3 GO and P3 NOGO waves were indeed less in his case (p < 0.01) when compared to the ERPs results of a health group of individuals of a similar age (n = 100), derived from the normative data bases of the Human Brain Index (HBI) in Switzerland. The ERPs wave pattern in our patient reflects the pattern appearing in patients with PTSD. The patient took part in 20 sessions of individually tailored anodal transcranial direct current stimulation (tDCS), with the excitatory stimulation of the left prefrontal cortex and inhibitory stimulation of the right prefrontal cortex which can reduce anxiety, as was proposed in the subject literature. Also, the neuromarker of PTSD obtained with the use of QEEG/ERPs was helpful in choosing the appropriate tDCS protocol. Neurostimulation with the use of tDCS was administered systematically, every day, 15-20 and 30-40 minutes for each session, for 20 days. He also received individual sessions of psychotherapy every day, 30-40 minutes for each session, for 20 day. After the treatment the patient improved and returned to his previous job as a frontline healthcare worker in the emergency services (an ambulance driver) in the fight against COVID-19. Detection of the PTSD neuromarker enabled the development of a proper tDCS protocol and the conduct of effective brain neurostimulation of a patient with PTSD. The proposed protocol of treatment, in combination with goal-oriented individual psychotherapy, offered to the patient, was effective in the reduction of PTSD. ERPs can be useful in the diagnosis of PTSD as well as in selecting an appropriate therapy protocol for these patients.
EN
The aim of the research was to determine the level of professional burnout amongst academic teachers and to demonstrate its relationships with perceived stress and the sense of life satisfaction, as well as selected socio-demographic variables - such as age, gender, marital status and work experience; the title or degree held was an important element of the above analysis. The study included 67 persons (researchers and didactic employees) of one of the faculties at the Andrzej Frycz Modrzewski Krakow University. Employed were the authors' self-designed socio-demographic questionnaire, Maslach Burnout Inventory-Human Services (MBI-HSS), Perceived Stress Scale test (PSS-10) and Satisfaction with Life Scale test (SWLS). As a result of the research conducted, it was found that almost two-thirds of the surveyed research and teaching employees had a high level of having lost a sense of personal accomplishment, and not more than one-third also the same in the case of the other two dimensions of professional burnout according to MBI. A significant relationship was found between the self-reported burnout score and the level of the three dimensions of burnout according to the MBI. It was found that the higher the score on the PSS-10, the higher the level of all three dimensions of professional burnout according to MBI in the surveyed research and teaching staff. It was shown that the higher the score on the SWLS, the lower the level of all three dimensions of professional burnout according to MBI in the surveyed research and teaching staff. Almost two-thirds (62.69%) of the surveyed research and teaching staff had a high level of having lost a sense of personal accomplishment, and no more than one in three of the respondents in the case of the other two dimensions of occupational burnout according to the MBI. It might be concluded that the researchers have a significant percentage of professional burnout. A significant relationship was found between the self-reported burnout score and the level of the three dimensions of burnout according to the MBI among the research and teaching staff surveyed. We also confirmed the relationship between perceived stress and life satisfaction with all three dimensions of job burnout.
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