[Usefulness of an original questionnaire for the sleep pattern analysis in distinguishing between some psychopathological syndromes]. / Przydatnosc autorskiego kwestionariusza do oceny przebiegu snu w niektórych zespolach psychopatologicznych.

By the use of an original questionnaire constructed by the authors, sleep patterns in 194 patients with mental disorders admitted to the hospital were investigated. Six main psychopathological syndromes were diagnosed in this group. The results suggest that most of these syndromes exhibit their characteristic sleep patterns. Our questionnaire seems to be a simple and reliable tool helpful in comparing psychopathological syndromes between them.

[New diagnostic criteria for the neuropsychiatric form of systemic lupus erythematosus]. / Nowe kryteria diagnostyczne neurologiczno-psychiatrycznej postaci tocznia rumieniowatego ukladowego.

Systemic lupus erythematosus (SLE) is an autoimmunologic illness, which apart from changes in the skin, the locomotor system and the internal organs, attacks also the nervous system. The paper presents 19 neuropsychiatric symptomic syndromes which after conduction of multidisciplinary, international research were accepted by the American College of Rheumatology (ACR) as the criteria of systemic lupus erythematosus (SLE). This broadens the criteria applied since 1982, which were only considering acute symptoms and psychoses as characteristic of the neuropsychiatric form of systemic lupus erythematosus (NPSLE). In the new neurologic criteria concerning the CNS are: epileptic attacks and acute attack disorders, headaches, vascular diseases, demyelinating syndrome, aseptical meningitis, chorea, myelopathy. Psychiatric syndromes which make up the new criteria are: acute amentive state, anxiety disorders, cognitive function impairment, affective disorders, psychoses. The criteria connected to the CNS are: cranial nerve damage, mononeuropathy, damage of nerve plexus, polyneuropathy, vegetative neuropathy, myasthenia and acute inflammatory demyelinating polyneuropathy. Clinical symptoms of these syndromes were set and laboratory and visualising tests were developed, which are useful in their diagnosis. The intention of the ACR in setting new, significantly broader criteria of NPSLE, was to stress the diversity of symptoms and for a practical aspect to allow the diagnosis of NPSLE in patients having this disease, in whom the symptoms connected with the nervous system may dominate in the clinical picture, or may be before the dermatological, locomotor or internal organ symptoms.

[Analysis of the structure of admissions and the course of hospitalization of drug addicts treated at the I Clinic for Mental Diseases, Medical Academy, in Gdansk 1982-1988]. / Analiza struktury przyjec i przebiegu hospitalizacji toksykomanów leczonych w I Klinice Chorób Psychicznych AM w Gdansku w latach 1982-1988.

The structure of admissions and the course of hospitalization were evaluated in the group of 78 (48 men, 30 women) with diagnosis of psychoactive substance dependence hospitalized in the Ist Clinic of Psychiatry in Gdansk during the period of 1982-88. The mean duration of hospitalization lasted 24 days. The most numerous (59%) group of opioid dependent patients was characterized by the shortest time of hospitalization. The longest duration of the abstinence symptoms was observed in the group of multiple-substance+ dependent patients. 62% of them were taking the drugs during hospitalization. In the group of euphoria + there was a positive correlation between the period of abstinence symptoms and a duration of hospitalization. Half of the patients discontinued hospitalization before the end of therapy. The abstinence symptoms were treated with neuroleptics, clomethiazole and subcomatic insulin.

[Disorders and difficulties in the psychosocial adaptation of epileptics]. / Zaburzenia i trudnosci w przystosowaniu psychospolecznym u chorych z padaczka.

Disturbances of and difficulties in psychosocial adaptation were analysed in 63 epileptics (with generalized convulsions and partial complex seizures) and in 31 subjects without diseases of the central nervous system (control group). The disturbances of adaptation were not more frequent in epileptics than in controls. On the other hand, it was observed that patients with partial complex seizures constituted a group non-homologous with respect to the degree of difficulties in functioning (disturbances and difficulties) which was probably due to their greater dependence on the conditions of realization of their psychosocial needs in relation to healthy subjects and patients with generalized seizures.