Editorial
Psychiatr Pol. 2020 Dec 31;54(6):1043-1044. doi: 10.12740/PP/131934. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740795 | DOI:10.12740/PP/131934 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dominika Dudek Jerzy A Soba ński Katarzyna Klasa Source Type: research

Lithium treatment - the state of the art for 2020
Psychiatr Pol. 2020 Dec 31;54(6):1047-1066. doi: 10.12740/PP/128340. Epub 2020 Dec 31.ABSTRACTThe paper presents the current state of knowledge on lithium treatment. The history of the therapeutic application of lithium began in 1859 and its introduction to modern psychiatry took place 90 years later. Since the early 1960s, lithium became a precursor of mood-stabilizing drugs and nowadays is the drug of choice for the prevention of manic and depressive recurrences in mood disorders. It remains a valuable drug for the treatment of acute episodes of mania and depression, especially for the augmentation of antidepressant drug...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Janusz Rybakowski Source Type: research

A hormetic approach to understanding antidepressant effectiveness and the development of antidepressant tolerance - A conceptual view
Psychiatr Pol. 2020 Dec 31;54(6):1067-1090. doi: 10.12740/PP/120084. Epub 2020 Dec 31.ABSTRACTAntidepressants such as the selective serotonin reuptake inhibitors (SSRIs) have complex temporal effects. They may worsen symptoms during early treatment, they may reduce depressive symptoms over several weeks of treatment, and they may lose effectiveness over more prolonged treatment or after repeated treatment trials. Conceptually, these effects fall within the domain of hormesis, which refers to a biphasic or multiphasic response to a drug or toxin. Hormetic effects are commonly triggered when a drug interacts with homeostatic...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Paul Andrews Jay Amsterdam Source Type: research

Depressive and anxiety disorders in patients with primary hyperparathyroidism
CONCLUSIONS: A relationship between PHPT and depression was confirmed. Such a relationship was not confirmed for anxiety. A relationship between the severity of depression and the serum calcium ion and parathyroid hormone level was also not confirmed. A statistically significant negative correlation between the severity of anxiety and the serum calcium ion level in the whole population of patients, and an additional positive correlation between the serum parathyroid hormone level and the severity of anxiety in women were confirmed. Self-rating tests are not sufficient for screening for depressive disorders in PHPT patients...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Łukasz Kunert Jacek Gawrychowski Jaros ław Sobiś Grzegorz Bu ła Robert Pudlo Source Type: research

Risk factors for depression. New evidence on selenium deficiency and depressive disorders
CONCLUSIONS: Selenium intake is most strongly related to depression among all the dietary factors considered. In the model, the effect of dietary risk factors on depressive disorders is moderate when compared to non-dietary variables. Chronic pain, low income and morbidity are the main correlatives of depressive disorders.PMID:33740799 | DOI:10.12740/PP/112967 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Krzysztof Czaderny Source Type: research

Paternal perinatal depression: cases
Psychiatr Pol. 2020 Dec 31;54(6):1123-1135. doi: 10.12740/PP/110610. Epub 2020 Dec 31.ABSTRACTFor many years there has been a debate among psychiatrists as to whether and how the patient's gender modifies the psychopathological picture of depression. Despite many years of research on trigger mechanisms, clinical features and the consequences of perinatal depression in women, one can still get the impression that too little is known about this mental disorder in the perinatal period in women. As for men, there are only few reports showing the consequences of paternal depression for the physical and emotional development of ...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Marlena Sok ół-Szawłowska Source Type: research

Electrodermal activity and suicide risk assessment in patients with affective disorders
Psychiatr Pol. 2020 Dec 31;54(6):1137-1147. doi: 10.12740/PP/110144. Epub 2020 Dec 31.ABSTRACTThere are questionnaires and scales, including self-assessment scales, used to evaluate suicide risk. Additionally, suicide risk factors (i.a., prior suicide attempts, willingness to commit suicide, somatic diseases, male gender) are also known. Their application, however, does not provide a sufficient guarantee for properly distinguishing persons with high and low suicide risk. In 1986, Gunnar Edman observed that there is an association between low electrodermal activity and suicidal tendencies, which was confirmed in other studi...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Karolina Wincewicz Tadeusz Nasierowski Source Type: research

Severity of post-traumatic stress symptoms, level of experienced stress and coping strategies in mothers of children previously treated in the neonatal intensive care unit
CONCLUSIONS: Focus on and venting of emotions, denial, mental disengagement, and the level of perceived stress are potentially modifiable factors that are strongly associated with PTSD. Planning, realization and assessment of interventions aimed at reduction of maladaptive coping strategies and perceived stress are recommended for mothers of infants requiring treatment in neonatal intensive care units. In order to minimize distress and improve coping with the treatment of the child, it is necessary to evaluate the effects of various methods of supporting parents.PMID:33740802 | DOI:10.12740/PP/115281 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Anna Aftyka Ilona Ewelina Rozalska Aleksandra Pawlak Oleg Gorbaniuk Source Type: research

Shame, guilt, time perspective, time of imprisonment and PTSD symptoms in sentenced motor vehicle accidents perpetrators - a preliminary report
CONCLUSIONS: In the studied population, every second perpetrator of the accident was affected by PTSD, which was associated with the past and present time perspective. Negative assessment of self and behavior intensified the guilt associated with trauma and reduced the search for justification for one's own actions in external circumstances. Time spent in prison had no effect on moral attitudes or on the moral evaluation of one's own behavior that caused harm to others. However, it was associated with experiencing stress and focusing on one's own suffering.PMID:33740803 | DOI:10.12740/PP/113555 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dorota Merecz-Kot Agata W ężyk Ma łgorzata Waszkowska Aleksandra Andysz Source Type: research

High or very high recidivism risk? The possibilities of recidivism risk assessment under the Polish SVP law (the Act of 22 November 2013)
Psychiatr Pol. 2020 Dec 31;54(6):1181-1194. doi: 10.12740/PP/116908. Epub 2020 Dec 31.ABSTRACTThe paper presents an analysis of possibilities of performing recidivism risk assessment under the Act of 22 November 2013 on the treatment of people with mental disorders posing a threat to life, health or sexual freedom of others. The Act allows, among others, the post-penitentiary isolation of persons posing a threat. The risk assessment at "very high" level is one of the key elements taken into account in adjudication of this procedure.The first part presents basic information on the recidivism risk assessment proced...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Filip Szumski Krzysztof Kasparek J ózef Krzysztof Gierowski Source Type: research

Medical grounds for suspending the professional licence of physicians and dentists by Regional Medical Councils between 1990 and 2014
Psychiatr Pol. 2020 Dec 31;54(6):1195-1207. doi: 10.12740/PP/OnlineFirst/111929. Epub 2020 Dec 31.ABSTRACTOBJECTIVES: The professions of physician and dentist are associated with multiple health risks. The aim of this study was to identify the medical conditions that caused limitation or suspension of the professional license of Polish physicians and dentists, and to assess their return to professional activities.METHODS: We analyzed documentation of Regional Medical Registers concerning the procedure for suspending medical licences or limiting certain medical activities, and decisions of Regional Medical Councils in 1990-...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Piotr Kordel Maciej Kokoci ński Krzysztof Kordel Romuald Krajewski Source Type: research

The reception of Dr Ludwik Jekels' "apostolic activity" to promote psychoanalysis in Poland before the outbreak of World War I. Part 1
Psychiatr Pol. 2020 Dec 31;54(6):1209-1230. doi: 10.12740/PP/115100. Epub 2020 Dec 31.ABSTRACTThe paper sets out to present Dr Ludwk Jekels' activity for the development of psychoanalysis in Poland between 1909 and 1914. Ludwik Jekels was the first Polish psychoanalyst and the first translator of Sigmund Freud's works into Polish. Throughout numerous years he gained his psychoanalytic skills in the classical Viennese school of psychoanalysis while attending lectures conducted by Freud himself. The article analyses a number of previously unknown and unpublished historical sources (e.g., Ludwik Jekels' memories and correspon...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Edyta Dembi ńska Krzysztof Rutkowski Source Type: research

The reception of Dr Ludwik Jekels' "apostolic activity" to promote psychoanalysis in Poland before the outbreak of World War I. Part 2
In conclusion an attempt was made to assess the overall significance of Dr Jekels' activities in Poland.PMID:33740807 | DOI:10.12740/PP/81669 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Edyta Dembi ńska Krzysztof Rutkowski Source Type: research

From the history of Polish psychiatry: paragnomen
We present the case of a 27-year-old male patient who - without any apparent reason - jumped out of the window located at the 7th floor of the building, which resulted in severe injuries of internal organs. That shocking and inexplicable event became reason of many hospitalizations. He was hospitalized in the intensive care and rehabilitation units for months. He denied any suicidal ideation and was unable to give any reasonable justification for his jump. He was diagnosed with moderate depression and he was treated with antidepressants. Subsequently, psychotic symptoms appeared and he was hospitalized in psychiatric wards...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Joanna Wilemborek Marek Jarema Source Type: research

Letter to Editor. Treatment of overweight and obesity during and after a pandemic. Let's not wait for the development of complications - new guidelines for doctors
Psychiatr Pol. 2020 Dec 31;54(6):1263-1268. doi: 10.12740/PP/130768. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740809 | DOI:10.12740/PP/130768 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Magdalena Olszanecka-Glinianowicz Dominika Dudek Krzysztof J Filipiak Marek Krzystanek Leszek Markuszewski Marek Rucha ła El żbieta Tomiak Source Type: research

Letter to the Editor. Psychological support provided by national nursing associations in pandemic. Polish ICU nursing experiences
Psychiatr Pol. 2020 Dec 31;54(6):1269-1272. doi: 10.12740/PP/127936. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740810 | DOI:10.12740/PP/127936 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dorota Ozga Sabina Krupa Wioletta M ędrzycka-Dąbrowska Ma łgorzata Knap Pawe ł Witt Source Type: research

Letter to Editor. Thromboembolic complications in psychiatry from the perspective of legal claims - authors response
Psychiatr Pol. 2020 Dec 31;54(6):1273-1274. doi: 10.12740/PP/128333. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740811 | DOI:10.12740/PP/128333 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Alina Wilkowska Hanna Kujawska-Danecka Adam Hajduk Source Type: research

Editorial
Psychiatr Pol. 2020 Dec 31;54(6):1043-1044. doi: 10.12740/PP/131934. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740795 | DOI:10.12740/PP/131934 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dominika Dudek Jerzy A Soba ński Katarzyna Klasa Source Type: research

Lithium treatment - the state of the art for 2020
Psychiatr Pol. 2020 Dec 31;54(6):1047-1066. doi: 10.12740/PP/128340. Epub 2020 Dec 31.ABSTRACTThe paper presents the current state of knowledge on lithium treatment. The history of the therapeutic application of lithium began in 1859 and its introduction to modern psychiatry took place 90 years later. Since the early 1960s, lithium became a precursor of mood-stabilizing drugs and nowadays is the drug of choice for the prevention of manic and depressive recurrences in mood disorders. It remains a valuable drug for the treatment of acute episodes of mania and depression, especially for the augmentation of antidepressant drug...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Janusz Rybakowski Source Type: research

A hormetic approach to understanding antidepressant effectiveness and the development of antidepressant tolerance - A conceptual view
Psychiatr Pol. 2020 Dec 31;54(6):1067-1090. doi: 10.12740/PP/120084. Epub 2020 Dec 31.ABSTRACTAntidepressants such as the selective serotonin reuptake inhibitors (SSRIs) have complex temporal effects. They may worsen symptoms during early treatment, they may reduce depressive symptoms over several weeks of treatment, and they may lose effectiveness over more prolonged treatment or after repeated treatment trials. Conceptually, these effects fall within the domain of hormesis, which refers to a biphasic or multiphasic response to a drug or toxin. Hormetic effects are commonly triggered when a drug interacts with homeostatic...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Paul Andrews Jay Amsterdam Source Type: research

Depressive and anxiety disorders in patients with primary hyperparathyroidism
CONCLUSIONS: A relationship between PHPT and depression was confirmed. Such a relationship was not confirmed for anxiety. A relationship between the severity of depression and the serum calcium ion and parathyroid hormone level was also not confirmed. A statistically significant negative correlation between the severity of anxiety and the serum calcium ion level in the whole population of patients, and an additional positive correlation between the serum parathyroid hormone level and the severity of anxiety in women were confirmed. Self-rating tests are not sufficient for screening for depressive disorders in PHPT patients...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Łukasz Kunert Jacek Gawrychowski Jaros ław Sobiś Grzegorz Bu ła Robert Pudlo Source Type: research

Risk factors for depression. New evidence on selenium deficiency and depressive disorders
CONCLUSIONS: Selenium intake is most strongly related to depression among all the dietary factors considered. In the model, the effect of dietary risk factors on depressive disorders is moderate when compared to non-dietary variables. Chronic pain, low income and morbidity are the main correlatives of depressive disorders.PMID:33740799 | DOI:10.12740/PP/112967 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Krzysztof Czaderny Source Type: research

Paternal perinatal depression: cases
Psychiatr Pol. 2020 Dec 31;54(6):1123-1135. doi: 10.12740/PP/110610. Epub 2020 Dec 31.ABSTRACTFor many years there has been a debate among psychiatrists as to whether and how the patient's gender modifies the psychopathological picture of depression. Despite many years of research on trigger mechanisms, clinical features and the consequences of perinatal depression in women, one can still get the impression that too little is known about this mental disorder in the perinatal period in women. As for men, there are only few reports showing the consequences of paternal depression for the physical and emotional development of ...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Marlena Sok ół-Szawłowska Source Type: research

Electrodermal activity and suicide risk assessment in patients with affective disorders
Psychiatr Pol. 2020 Dec 31;54(6):1137-1147. doi: 10.12740/PP/110144. Epub 2020 Dec 31.ABSTRACTThere are questionnaires and scales, including self-assessment scales, used to evaluate suicide risk. Additionally, suicide risk factors (i.a., prior suicide attempts, willingness to commit suicide, somatic diseases, male gender) are also known. Their application, however, does not provide a sufficient guarantee for properly distinguishing persons with high and low suicide risk. In 1986, Gunnar Edman observed that there is an association between low electrodermal activity and suicidal tendencies, which was confirmed in other studi...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Karolina Wincewicz Tadeusz Nasierowski Source Type: research

Severity of post-traumatic stress symptoms, level of experienced stress and coping strategies in mothers of children previously treated in the neonatal intensive care unit
CONCLUSIONS: Focus on and venting of emotions, denial, mental disengagement, and the level of perceived stress are potentially modifiable factors that are strongly associated with PTSD. Planning, realization and assessment of interventions aimed at reduction of maladaptive coping strategies and perceived stress are recommended for mothers of infants requiring treatment in neonatal intensive care units. In order to minimize distress and improve coping with the treatment of the child, it is necessary to evaluate the effects of various methods of supporting parents.PMID:33740802 | DOI:10.12740/PP/115281 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Anna Aftyka Ilona Ewelina Rozalska Aleksandra Pawlak Oleg Gorbaniuk Source Type: research

Shame, guilt, time perspective, time of imprisonment and PTSD symptoms in sentenced motor vehicle accidents perpetrators - a preliminary report
CONCLUSIONS: In the studied population, every second perpetrator of the accident was affected by PTSD, which was associated with the past and present time perspective. Negative assessment of self and behavior intensified the guilt associated with trauma and reduced the search for justification for one's own actions in external circumstances. Time spent in prison had no effect on moral attitudes or on the moral evaluation of one's own behavior that caused harm to others. However, it was associated with experiencing stress and focusing on one's own suffering.PMID:33740803 | DOI:10.12740/PP/113555 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dorota Merecz-Kot Agata W ężyk Ma łgorzata Waszkowska Aleksandra Andysz Source Type: research

High or very high recidivism risk? The possibilities of recidivism risk assessment under the Polish SVP law (the Act of 22 November 2013)
Psychiatr Pol. 2020 Dec 31;54(6):1181-1194. doi: 10.12740/PP/116908. Epub 2020 Dec 31.ABSTRACTThe paper presents an analysis of possibilities of performing recidivism risk assessment under the Act of 22 November 2013 on the treatment of people with mental disorders posing a threat to life, health or sexual freedom of others. The Act allows, among others, the post-penitentiary isolation of persons posing a threat. The risk assessment at "very high" level is one of the key elements taken into account in adjudication of this procedure.The first part presents basic information on the recidivism risk assessment proced...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Filip Szumski Krzysztof Kasparek J ózef Krzysztof Gierowski Source Type: research

Medical grounds for suspending the professional licence of physicians and dentists by Regional Medical Councils between 1990 and 2014
Psychiatr Pol. 2020 Dec 31;54(6):1195-1207. doi: 10.12740/PP/OnlineFirst/111929. Epub 2020 Dec 31.ABSTRACTOBJECTIVES: The professions of physician and dentist are associated with multiple health risks. The aim of this study was to identify the medical conditions that caused limitation or suspension of the professional license of Polish physicians and dentists, and to assess their return to professional activities.METHODS: We analyzed documentation of Regional Medical Registers concerning the procedure for suspending medical licences or limiting certain medical activities, and decisions of Regional Medical Councils in 1990-...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Piotr Kordel Maciej Kokoci ński Krzysztof Kordel Romuald Krajewski Source Type: research

The reception of Dr Ludwik Jekels' "apostolic activity" to promote psychoanalysis in Poland before the outbreak of World War I. Part 1
Psychiatr Pol. 2020 Dec 31;54(6):1209-1230. doi: 10.12740/PP/115100. Epub 2020 Dec 31.ABSTRACTThe paper sets out to present Dr Ludwk Jekels' activity for the development of psychoanalysis in Poland between 1909 and 1914. Ludwik Jekels was the first Polish psychoanalyst and the first translator of Sigmund Freud's works into Polish. Throughout numerous years he gained his psychoanalytic skills in the classical Viennese school of psychoanalysis while attending lectures conducted by Freud himself. The article analyses a number of previously unknown and unpublished historical sources (e.g., Ludwik Jekels' memories and correspon...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Edyta Dembi ńska Krzysztof Rutkowski Source Type: research

The reception of Dr Ludwik Jekels' "apostolic activity" to promote psychoanalysis in Poland before the outbreak of World War I. Part 2
In conclusion an attempt was made to assess the overall significance of Dr Jekels' activities in Poland.PMID:33740807 | DOI:10.12740/PP/81669 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Edyta Dembi ńska Krzysztof Rutkowski Source Type: research

From the history of Polish psychiatry: paragnomen
We present the case of a 27-year-old male patient who - without any apparent reason - jumped out of the window located at the 7th floor of the building, which resulted in severe injuries of internal organs. That shocking and inexplicable event became reason of many hospitalizations. He was hospitalized in the intensive care and rehabilitation units for months. He denied any suicidal ideation and was unable to give any reasonable justification for his jump. He was diagnosed with moderate depression and he was treated with antidepressants. Subsequently, psychotic symptoms appeared and he was hospitalized in psychiatric wards...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Joanna Wilemborek Marek Jarema Source Type: research

Letter to Editor. Treatment of overweight and obesity during and after a pandemic. Let's not wait for the development of complications - new guidelines for doctors
Psychiatr Pol. 2020 Dec 31;54(6):1263-1268. doi: 10.12740/PP/130768. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740809 | DOI:10.12740/PP/130768 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Magdalena Olszanecka-Glinianowicz Dominika Dudek Krzysztof J Filipiak Marek Krzystanek Leszek Markuszewski Marek Rucha ła El żbieta Tomiak Source Type: research

Letter to the Editor. Psychological support provided by national nursing associations in pandemic. Polish ICU nursing experiences
Psychiatr Pol. 2020 Dec 31;54(6):1269-1272. doi: 10.12740/PP/127936. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740810 | DOI:10.12740/PP/127936 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dorota Ozga Sabina Krupa Wioletta M ędrzycka-Dąbrowska Ma łgorzata Knap Pawe ł Witt Source Type: research

Letter to Editor. Thromboembolic complications in psychiatry from the perspective of legal claims - authors response
Psychiatr Pol. 2020 Dec 31;54(6):1273-1274. doi: 10.12740/PP/128333. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740811 | DOI:10.12740/PP/128333 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Alina Wilkowska Hanna Kujawska-Danecka Adam Hajduk Source Type: research

Editorial
Psychiatr Pol. 2020 Dec 31;54(6):1043-1044. doi: 10.12740/PP/131934. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740795 | DOI:10.12740/PP/131934 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dominika Dudek Jerzy A Soba ński Katarzyna Klasa Source Type: research

Lithium treatment - the state of the art for 2020
Psychiatr Pol. 2020 Dec 31;54(6):1047-1066. doi: 10.12740/PP/128340. Epub 2020 Dec 31.ABSTRACTThe paper presents the current state of knowledge on lithium treatment. The history of the therapeutic application of lithium began in 1859 and its introduction to modern psychiatry took place 90 years later. Since the early 1960s, lithium became a precursor of mood-stabilizing drugs and nowadays is the drug of choice for the prevention of manic and depressive recurrences in mood disorders. It remains a valuable drug for the treatment of acute episodes of mania and depression, especially for the augmentation of antidepressant drug...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Janusz Rybakowski Source Type: research

A hormetic approach to understanding antidepressant effectiveness and the development of antidepressant tolerance - A conceptual view
Psychiatr Pol. 2020 Dec 31;54(6):1067-1090. doi: 10.12740/PP/120084. Epub 2020 Dec 31.ABSTRACTAntidepressants such as the selective serotonin reuptake inhibitors (SSRIs) have complex temporal effects. They may worsen symptoms during early treatment, they may reduce depressive symptoms over several weeks of treatment, and they may lose effectiveness over more prolonged treatment or after repeated treatment trials. Conceptually, these effects fall within the domain of hormesis, which refers to a biphasic or multiphasic response to a drug or toxin. Hormetic effects are commonly triggered when a drug interacts with homeostatic...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Paul Andrews Jay Amsterdam Source Type: research

Depressive and anxiety disorders in patients with primary hyperparathyroidism
CONCLUSIONS: A relationship between PHPT and depression was confirmed. Such a relationship was not confirmed for anxiety. A relationship between the severity of depression and the serum calcium ion and parathyroid hormone level was also not confirmed. A statistically significant negative correlation between the severity of anxiety and the serum calcium ion level in the whole population of patients, and an additional positive correlation between the serum parathyroid hormone level and the severity of anxiety in women were confirmed. Self-rating tests are not sufficient for screening for depressive disorders in PHPT patients...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Łukasz Kunert Jacek Gawrychowski Jaros ław Sobiś Grzegorz Bu ła Robert Pudlo Source Type: research

Risk factors for depression. New evidence on selenium deficiency and depressive disorders
CONCLUSIONS: Selenium intake is most strongly related to depression among all the dietary factors considered. In the model, the effect of dietary risk factors on depressive disorders is moderate when compared to non-dietary variables. Chronic pain, low income and morbidity are the main correlatives of depressive disorders.PMID:33740799 | DOI:10.12740/PP/112967 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Krzysztof Czaderny Source Type: research

Paternal perinatal depression: cases
Psychiatr Pol. 2020 Dec 31;54(6):1123-1135. doi: 10.12740/PP/110610. Epub 2020 Dec 31.ABSTRACTFor many years there has been a debate among psychiatrists as to whether and how the patient's gender modifies the psychopathological picture of depression. Despite many years of research on trigger mechanisms, clinical features and the consequences of perinatal depression in women, one can still get the impression that too little is known about this mental disorder in the perinatal period in women. As for men, there are only few reports showing the consequences of paternal depression for the physical and emotional development of ...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Marlena Sok ół-Szawłowska Source Type: research

Electrodermal activity and suicide risk assessment in patients with affective disorders
Psychiatr Pol. 2020 Dec 31;54(6):1137-1147. doi: 10.12740/PP/110144. Epub 2020 Dec 31.ABSTRACTThere are questionnaires and scales, including self-assessment scales, used to evaluate suicide risk. Additionally, suicide risk factors (i.a., prior suicide attempts, willingness to commit suicide, somatic diseases, male gender) are also known. Their application, however, does not provide a sufficient guarantee for properly distinguishing persons with high and low suicide risk. In 1986, Gunnar Edman observed that there is an association between low electrodermal activity and suicidal tendencies, which was confirmed in other studi...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Karolina Wincewicz Tadeusz Nasierowski Source Type: research

Severity of post-traumatic stress symptoms, level of experienced stress and coping strategies in mothers of children previously treated in the neonatal intensive care unit
CONCLUSIONS: Focus on and venting of emotions, denial, mental disengagement, and the level of perceived stress are potentially modifiable factors that are strongly associated with PTSD. Planning, realization and assessment of interventions aimed at reduction of maladaptive coping strategies and perceived stress are recommended for mothers of infants requiring treatment in neonatal intensive care units. In order to minimize distress and improve coping with the treatment of the child, it is necessary to evaluate the effects of various methods of supporting parents.PMID:33740802 | DOI:10.12740/PP/115281 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Anna Aftyka Ilona Ewelina Rozalska Aleksandra Pawlak Oleg Gorbaniuk Source Type: research

Shame, guilt, time perspective, time of imprisonment and PTSD symptoms in sentenced motor vehicle accidents perpetrators - a preliminary report
CONCLUSIONS: In the studied population, every second perpetrator of the accident was affected by PTSD, which was associated with the past and present time perspective. Negative assessment of self and behavior intensified the guilt associated with trauma and reduced the search for justification for one's own actions in external circumstances. Time spent in prison had no effect on moral attitudes or on the moral evaluation of one's own behavior that caused harm to others. However, it was associated with experiencing stress and focusing on one's own suffering.PMID:33740803 | DOI:10.12740/PP/113555 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dorota Merecz-Kot Agata W ężyk Ma łgorzata Waszkowska Aleksandra Andysz Source Type: research

High or very high recidivism risk? The possibilities of recidivism risk assessment under the Polish SVP law (the Act of 22 November 2013)
Psychiatr Pol. 2020 Dec 31;54(6):1181-1194. doi: 10.12740/PP/116908. Epub 2020 Dec 31.ABSTRACTThe paper presents an analysis of possibilities of performing recidivism risk assessment under the Act of 22 November 2013 on the treatment of people with mental disorders posing a threat to life, health or sexual freedom of others. The Act allows, among others, the post-penitentiary isolation of persons posing a threat. The risk assessment at "very high" level is one of the key elements taken into account in adjudication of this procedure.The first part presents basic information on the recidivism risk assessment proced...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Filip Szumski Krzysztof Kasparek J ózef Krzysztof Gierowski Source Type: research

Medical grounds for suspending the professional licence of physicians and dentists by Regional Medical Councils between 1990 and 2014
Psychiatr Pol. 2020 Dec 31;54(6):1195-1207. doi: 10.12740/PP/OnlineFirst/111929. Epub 2020 Dec 31.ABSTRACTOBJECTIVES: The professions of physician and dentist are associated with multiple health risks. The aim of this study was to identify the medical conditions that caused limitation or suspension of the professional license of Polish physicians and dentists, and to assess their return to professional activities.METHODS: We analyzed documentation of Regional Medical Registers concerning the procedure for suspending medical licences or limiting certain medical activities, and decisions of Regional Medical Councils in 1990-...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Piotr Kordel Maciej Kokoci ński Krzysztof Kordel Romuald Krajewski Source Type: research

The reception of Dr Ludwik Jekels' "apostolic activity" to promote psychoanalysis in Poland before the outbreak of World War I. Part 1
Psychiatr Pol. 2020 Dec 31;54(6):1209-1230. doi: 10.12740/PP/115100. Epub 2020 Dec 31.ABSTRACTThe paper sets out to present Dr Ludwk Jekels' activity for the development of psychoanalysis in Poland between 1909 and 1914. Ludwik Jekels was the first Polish psychoanalyst and the first translator of Sigmund Freud's works into Polish. Throughout numerous years he gained his psychoanalytic skills in the classical Viennese school of psychoanalysis while attending lectures conducted by Freud himself. The article analyses a number of previously unknown and unpublished historical sources (e.g., Ludwik Jekels' memories and correspon...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Edyta Dembi ńska Krzysztof Rutkowski Source Type: research

The reception of Dr Ludwik Jekels' "apostolic activity" to promote psychoanalysis in Poland before the outbreak of World War I. Part 2
In conclusion an attempt was made to assess the overall significance of Dr Jekels' activities in Poland.PMID:33740807 | DOI:10.12740/PP/81669 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Edyta Dembi ńska Krzysztof Rutkowski Source Type: research

From the history of Polish psychiatry: paragnomen
We present the case of a 27-year-old male patient who - without any apparent reason - jumped out of the window located at the 7th floor of the building, which resulted in severe injuries of internal organs. That shocking and inexplicable event became reason of many hospitalizations. He was hospitalized in the intensive care and rehabilitation units for months. He denied any suicidal ideation and was unable to give any reasonable justification for his jump. He was diagnosed with moderate depression and he was treated with antidepressants. Subsequently, psychotic symptoms appeared and he was hospitalized in psychiatric wards...
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Joanna Wilemborek Marek Jarema Source Type: research

Letter to Editor. Treatment of overweight and obesity during and after a pandemic. Let's not wait for the development of complications - new guidelines for doctors
Psychiatr Pol. 2020 Dec 31;54(6):1263-1268. doi: 10.12740/PP/130768. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740809 | DOI:10.12740/PP/130768 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Magdalena Olszanecka-Glinianowicz Dominika Dudek Krzysztof J Filipiak Marek Krzystanek Leszek Markuszewski Marek Rucha ła El żbieta Tomiak Source Type: research

Letter to the Editor. Psychological support provided by national nursing associations in pandemic. Polish ICU nursing experiences
Psychiatr Pol. 2020 Dec 31;54(6):1269-1272. doi: 10.12740/PP/127936. Epub 2020 Dec 31.ABSTRACTno summary.PMID:33740810 | DOI:10.12740/PP/127936 (Source: Psychiatria Polska)
Source: Psychiatria Polska - March 19, 2021 Category: Psychiatry Authors: Dorota Ozga Sabina Krupa Wioletta M ędrzycka-Dąbrowska Ma łgorzata Knap Pawe ł Witt Source Type: research