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Assessment of dietary habits of patients with recurrent depressive disorders

100%

Stefańska E., Wendołowicz A., Cwalina U., Kowzan U., Konarzewska B., Szulc A., Ostrowska L.

Archives of Psychiatry and Psychotherapy

2014

vol. 16

issue 4

39-46

Aim. The aim of this study was evaluation of selected dietary habits of patients with recurrent depressive disorders. methods. The study included 150 patients (75 patients suffering from recurrent depressive disorders. and 75 healthy people aged 18-64 years). The assessment of dietary habits was carried out by using a food frequency questionnaire. Results. It has been shown that in the compared groups of women, patients with depression consumed significantly less groats (p<0.001), rice (p= 0.02), red meat (p<0.01), fish (p<0.01), vegetables (p<0.001), fruits (p<0.01) and wine (p<0.001) in comparison with women without depression, and they were significantly more likely to consume wheat-rye bread (p= 0.03), cheese (p=0.02), butter (p=0.03), cream (p <0.01), lard (p <0.001), coffee (p=0.03) and sugar (p=0.02) in comparison with women without depression. Statistically significant differences between the two groups of men were diagnosed in the frequent intake of lard (p<0.001) and less frequent vegetable oils (p<0.01), beer (p= 0.01), and fast food (p<0.01) for men with depression compared with men in the control group. Conclusions. In the treatment of patients with depression during the declared change of diet, the need for nutrition education on the principles of rational nutrition should be taken into attention, including the selection of appropriate food groups in order to ensure an optimal supply of all necessary to the proper functioning of the body's nutrients.

Cost-effectiveness analysis of psychotherapy in treatment of essential hypertension in primary care

86%

Kalmatayeva Z., Zholamanova A.

Archives of Psychiatry and Psychotherapy

2014

vol. 16

issue 4

57-64

Aim of the study. To estimate expediency of psychotherapy in patients with essential hypertension from a clinical and economic perspective. Place and duration of study. Clinical material was collected from September 2011 to February 2012 in Polyclinic no. 12, Almaty and the Central City’s Polyclinic, Kaskelen. Method. 75 patients with identified psychosomatic disorders (37 male, 38 female) suffering from hypertension of a first or second degree (from 140/90 to 179/109mmHg) were randomised into two groups (mean age 48.5±3.69 and 47.5±4.2 years). All patients received therapy within the same scheme, but group 1 was additionally treated with psychotherapy. Results. Qualitative improvements were shown on all scales of the “Mini-mult” test for group 1. The control examination of mean blood pressure (BP) at week 14 found a statistically significant difference in final systolic blood pressure (SBP) between the two groups (134.27±3.7 vs. 137.33±3.9, p=0.032), but no such difference in final diastolic blood pressure (DBP) (82.93±5.1 vs. 83.81±4.3, p=0.198). The average cost of the 24-week treatment per person was 47.81USD for group 1 (standard treatment with psychotherapy) and 48.62USD for group 2 (standard treatment). The cost of SBP reduction was 1.98 vs. 2.53USD per 1mmHg for group 1 and 2 respectively and for DBP reduction it was 3.19 vs. 3.73USD per 1mmHg for group 1 and 2 respectively. Blood pressure (BP) reduction was faster in group 1 (7.05 vs. 7.97 weeks). Conclusions. Conservative treatment of hypertension combined with comprehensive psychotherapy leads to better results compared with a conventional conservative treatment scheme, from psychological, clinical and economic points of view, bur results can be different in another country. More trials in different countries with greater numbers of patients are necessary.

Zaburzenia psychiczne u dzieci adoptowanych

72%

Skiepko M., Brągoszewska J.

Psychiatria i Psychologia Kliniczna

2009

vol. 9

issue 3

207-213

Adoption process is viewed as integral and very important part in today’s social fabric. In recent years number of adoptions in Poland is in decline. However, there are still many families, deciding to take the challenge of this very demanding, although rewarding task, where welfare of a child is a principle goal. Child raising by an adoptive family is considerably more complex, than by biological parents, and requires additional effort to overcome emotional difficulties, sometimes on both sides. Main purpose of our work is providing exposure to the mental disorders in adopted children. Current literature on the subject depicts many of the aspects of this problem as multiple categories in ICD-10. Early or late symptoms of orphan’s syndrome can take a form of physical, mental and emotional development deficiency, and also depression, behaviour and personality disorders. Children born with FAS have long-term effects tend to intensify as children move into adulthood. Adolescent from adopted families exhibit susceptibility to affective disorders and inclination to substance dependence (SUD), in greater frequency they attempt to commit suicide. Eating disorders can be attributed to the exposure to various forms of violence. It needs to be emphasized that many cases of children requiring psychiatric care, including hospitalisation, come from adopted families.

Adopcja jest ważnym społecznie procesem. W ostatnich latach częstość adopcji w Polsce spada, nadal jednak znajdują się osoby gotowe podjąć to trudne, ale i zaszczytne wyzwanie. Głównym i nadrzędnym celem adopcji jest dobro dziecka. Wychowanie dziecka w rodzinie adopcyjnej jest trudniejsze niż w biologicznej, często wymaga od rodziców zwiększonego wysiłku i umiejętności radzenia sobie z występującymi zaburzeniami oraz własnymi problemami. Celem naszej pracy było przybliżenie tematyki zaburzeń psychicznych u dzieci adoptowanych. Dostępne piśmiennictwo przedstawia to zagadnienie jako problematykę obejmującą wiele kategorii z 10. rewizji ICD. Często obserwuje się wczesne i późne skutki „choroby sierocej” pod postacią opóźnienia fizycznego, psychicznego i emocjonalnego, a także depresji, zaburzeń zachowania oraz nieprawidłowo kształtującej się osobowości. Dzieci z chorobą alkoholową matki w wywiadzie są obciążone płodowym zespołem alkoholowym i jego późniejszymi powikłaniami. Z kolei adolescenci z rodzin adopcyjnych prezentują zwiększoną zapadalność na zaburzenia afektywne oraz skłonność do uzależnień od substancji psychoaktywnych. Wykazano także większą liczbę podejmowanych prób „S”, a częstsze występowanie zaburzeń odżywiania powiązano z wcześniejszym doświadczaniem różnego rodzaju przemocy. Należy podkreślić, że dzieci adoptowane w porównaniu z dziećmi z rodzin biologicznych stanowią większy odsetek populacji pacjentów zgłaszających się na konsultacje i hospitalizacje psychiatryczne, warto więc zwrócić szczególną uwagę na dotyczące ich zaburzenia.

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2 Archives of Psychiatry and Psychotherapy

1 Psychiatria i Psychologia Kliniczna

2 2014

1 2009

1 Brągoszewska J.

1 Cwalina U.

1 Kalmatayeva Z.

1 Konarzewska B.

1 Kowzan U.

1 Ostrowska L.

1 Skiepko M.

1 Stefańska E.

1 Szulc A.

1 Wendołowicz A.

1 Zholamanova A.

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Assessment of dietary habits of patients with recurrent depressive disorders

Cost-effectiveness analysis of psychotherapy in treatment of essential hypertension in primary care

Zaburzenia psychiczne u dzieci adoptowanych