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1.
PLoS One ; 18(2): e0279984, 2023.
Article in English | MEDLINE | ID: mdl-36791124

ABSTRACT

The purpose of this study was to examine the relationship between time spent abroad, level of religious experience, and loneliness in Polish migrants in the UK. Factors differentiating the level of loneliness were migration time (up to one year, from one to five years, and over five years) and religious experience, which was postulated to have a protective function against the level of loneliness experienced. The R-UCLA test was used to verify the level of loneliness, and religious experience was measured with the Religious Experience Scale in participants (N = 200) who were Polish migrants. The results showed that the relationship between time abroad and loneliness is not linear-the highest levels of loneliness were experienced in those who had been living in the UK between one and five years, which is consistent with the observations of Homoncik et al. (2017). Furthermore, the level of religious experience was significantly related to loneliness in that those with high levels of religious experience displayed lower levels of loneliness than those with low levels of religious experience. These results may suggest the need for interventions to raise awareness of potential risks among people with high levels of loneliness.


Subject(s)
Loneliness , Transients and Migrants , Humans , Poland , United Kingdom
2.
J Psychosom Res ; 164: 111074, 2023 01.
Article in English | MEDLINE | ID: mdl-36395531

ABSTRACT

Rheumatoid arthritis is a chronic disease that negatively affects functioning; however, the relationship between cognitive appraisals and illness-related beliefs and adaptation indices remains unclear. OBJECTIVE: The aim of this review was to assess the relationship between cognitive appraisals, illness beliefs and indicators of adaptation to life with a chronic disease, such as the severity of depressive symptoms, anxiety, and quality of life. METHODS: A database search was carried out between May 13 and 18, 2022, with no time restrictions. Thirty studies (5 related to cognitive appraisals, 25 related to illness beliefs) were identified. RESULTS: The studies identified in the review were of satisfactory quality. An analysis of the articles allowed for a meta-analysis focusing on the relationship between the belief related to illness consequences and the severity of depressive symptoms, which gave an overall correlation estimate of 0.50 [0.44-0.56]. CONCLUSION: Both cognitive appraisals and illness beliefs are related to indicators of rheumatoid arthritis adaptation, such as depressive symptom severity, anxiety and acceptance levels. Further longitudinal research would be crucial in further elucidating the impact of cognitive factors on adjustment level and its trajectories over time. CLINICAL TRIAL REGISTRATION: Review was pre-registered at https://osf.io/gd9cw (DOI:http://10.17605/OSF.IO/GD9CW).


Subject(s)
Arthritis, Rheumatoid , Quality of Life , Humans , Quality of Life/psychology , Adaptation, Psychological , Arthritis, Rheumatoid/psychology , Anxiety/psychology , Cognition
3.
Joint Bone Spine ; 89(3): 105298, 2022 05.
Article in English | MEDLINE | ID: mdl-34656753

ABSTRACT

OBJECTIVE: An increasing number of studies have demonstrated cognitive impairment in patients with rheumatoid arthritis (RA). The literature indicates many factors play an important role in this clinical problem, such as the severity of depressive symptoms and the treatment used. The aim of this study was to systematically review studies comparing cognitive functioning between healthy participants and RA patients and to determine both the severity and potential moderators of cognitive impairment. METHODS: For this purpose, 16 studies that fulfilled all selection criteria were carefully selected. Altogether, 921 patients with RA (812 women and 109 men) and 700 controls participated in these studies. Due to the inability to perform a network meta-analysis, it was decided to determine the effect sizes for studies which used the same measurement methods. RESULTS: The analysis demonstrated greater impairment of cognitive functioning in patients with RA than in healthy controls, with effect sizes ranging from small to large, depending on the assessment method used in the study. CONCLUSIONS: The study pinpoints potential biases, lack of replication, and inconsistencies in reporting data as possible confounding factors and suggests further recommendations for assessment methods, research directions and clinical implications. CLINICAL TRIAL REGISTRATION: Not applicable.


Subject(s)
Arthritis, Rheumatoid , Cognitive Dysfunction , Arthritis, Rheumatoid/drug therapy , Cognitive Dysfunction/diagnosis , Cognitive Dysfunction/epidemiology , Cognitive Dysfunction/etiology , Female , Humans , Male
4.
Front Psychiatry ; 12: 614361, 2021.
Article in English | MEDLINE | ID: mdl-33967846

ABSTRACT

Hypothyroidism may affect 3-8.5% of the population and is a growing global health problem. Objective: The aim of the current study was to assess the relationships between cognitive representations of this illness and the severity of symptoms of depression, anxiety, and anger in women who suffer from hypothyroidism. Methods: The study used a cross-sectional design with on-line recruitment and measurements. A total of 354 women took part in the study and completed the following questionnaires: a 5-point self-rating scale that measures the three major symptoms of hypothyroidism, the Illness-Related Beliefs Questionnaire, the Hospital Anxiety and Depression Scale-Modified (HADS-M), and a clinical and sociodemographic data questionnaire. Results: The study found a relationship between the severity of emotional distress symptoms and illness-related beliefs. These beliefs were correlated with depressive symptoms, anxiety, and anger regardless of age, education, hormone levels or time since the diagnosis. In addition, the results of regression analyses, both hierarchical and stepwise, indicated that beliefs about the disease explained relatively high levels of the outcome variables (about 30% of the variance of depressive and anxiety symptoms and 16% of anger) as measured by HADS-M. Conclusions: Psychological factors seem to play an important role in the development of symptoms of depression, anxiety, and anger in patients with hypothyroidism. Psychosocial interventions targeting personal beliefs about the nature of the disease and its social aspects may be an effective way to reduce emotional distress symptoms.

5.
J Clin Psychol ; 76(12): 2314-2328, 2020 12.
Article in English | MEDLINE | ID: mdl-32592617

ABSTRACT

OBJECTIVE: As demonstrated in a pilot study, hypothyroidism has a highly stressful impact on some areas of functioning. This study aims to evaluate the connection between illness-related beliefs (IRBs) and the impact of hypothyroidism on fertility and close relationships, which were the strongest stressors, and the level of depressive, anxiety, and anger symptoms. METHODS: Two hundred and thirteen women being treated for hypothyroidism took part in an online survey and completed the modified Hospital Anxiety and Depression Scale, Hypothyroidism Symptoms Severity rating scales, and a measure of IRBs. Other relevant clinical data were also collected. RESULT: Mean levels of thyroid-stimulating hormone indicated that the women were euthyroid. Four groups of participants were identified based on IRBs. The group holding a strong IRB about the negative impact of illness only on close relationships scored significantly higher on depressive symptoms than women in the other groups. The group holding strong IRBs about the negative impact of illness on both close relationships and fertility scored significantly higher on anxiety symptoms than the women in the other groups. Regression analysis showed that IRBs about the negative impact of hypothyroidism predicted anxiety, depressive, and anger symptoms. CONCLUSIONS: Negative IRBs about the impact of illness on fertility and close relationships contribute to increased levels of emotional distress symptoms in women being treated for hypothyroidism.


Subject(s)
Health Knowledge, Attitudes, Practice , Hypothyroidism/psychology , Psychological Distress , Adult , Female , Fertility , Humans , Hypothyroidism/therapy , Interpersonal Relations , Middle Aged , Pilot Projects , Surveys and Questionnaires , Young Adult
6.
Ann Dermatol ; 32(6): 452-459, 2020 Dec.
Article in English | MEDLINE | ID: mdl-33911787

ABSTRACT

BACKGROUND: Psoriasis exerts a profound negative impact on health-related quality of life (QoL). Although the severity of psoriasis is one potential variable that contributes to decreased QoL, previous studies have shown only weak or no association between measures of psoriasis severity and QoL. We hypothesized that this relationship is moderated by temperament factors. OBJECTIVE: We aimed to verify whether the relationship between disease severity and QoL is moderated by a constellation of temperament traits (i.e., temperament risk factors) and whether this moderation takes place via cognitive-appraisal and coping processes. METHODS: One hundred fifty patients with psoriasis vulgaris participated in the study. Psoriasis severity was assessed by a standardized measure, the Psoriasis Area and Severity Index (PASI), and the patients also completed a battery of psychological questionnaires assessing QoL, temperament, disease-related cognitive appraisals, and coping strategies. RESULTS: A specific constellation of temperament traits was found to moderate the strength of the association between the PASI and QoL. This constellation of temperament traits was associated with certain disease-related cognitive appraisals (i.e., threat, obstacle/loss, harm, profit, value) and emotion-focused coping strategies (i.e., self-blame, avoidance, resignation, seeking social support, and seeking information). CONCLUSION: The constellation of temperament traits is a crucial individual variable that strongly moderates the negative impact of psoriasis severity on QoL, potentially through the activation of non-adaptive cognitive appraisals and coping strategies in susceptible individuals.

7.
Palliat Support Care ; 18(3): 314-321, 2020 06.
Article in English | MEDLINE | ID: mdl-31637989

ABSTRACT

OBJECTIVE: Social support has been reported as beneficial for the psychological functioning of people coping with a disease. The objective of this study was to verify whether levels of perceived social support are associated with psychosocial functioning in women who have had a mastectomy and whether specific types of social support are linked to specific indices of functioning. METHOD: Seventy women with a history of mastectomy completed questionnaires measuring their psychosocial functioning as related to their health status: Disease-Related Appraisal Scale, Acceptance of Life with the Disease Scale and Beck Depression Inventory. All participants also completed a measure of perceived social support (Disease-Related Social Support Scale). RESULTS: Women who reported higher levels of perceived social support revealed statistically significantly lower levels of depressive symptoms, higher appraisals of their disease in terms of challenge and value, and lower appraisals of their disease in terms of obstacle/loss. Women with greater social support also revealed higher levels of acceptance of life with the disease compared to those with less social support. Regression analyses showed that spiritual support was the type of support that significantly accounted for the variance in the majority of functioning indices. Some indices of functioning were also significantly accounted for by emotional and instrumental support. SIGNIFICANCE OF THE RESULTS: The process of psychological adjustment to a life-threatening disease such as breast cancer depends on multiple variables; however, social support, including spiritual support, seems to be one significant contributor to this process.


Subject(s)
Breast Neoplasms/surgery , Mastectomy/adverse effects , Psychology/standards , Social Support , Adaptation, Psychological , Adult , Aged , Aged, 80 and over , Body Image/psychology , Breast Neoplasms/psychology , Female , Humans , Mastectomy/psychology , Middle Aged , Psychology/statistics & numerical data , Quality of Life/psychology , Surveys and Questionnaires
8.
Front Psychol ; 10: 1526, 2019.
Article in English | MEDLINE | ID: mdl-31312165

ABSTRACT

Smoking and obesity are important factors related to the etiology and clinical features of chronic obstructive pulmonary disease (COPD). The aim of this study was to carry out deeper analyses of the links between smoking status and body mass index as well as of the links between individual dimensions of health-related quality of life (QoL) and acceptance of life with disease in patients with COPD. Information about BMI, smoking status, clinical features of COPD, a COPD assessment test, and airflow obstruction indicators were obtained from 105 outpatients attending a pulmonary clinic. Analysis of covariance demonstrated that the subgroups of patients distinguished based on smoking status and BMI differed significantly in severity of Cough, Dyspnea, Limitation of daily activities, Lack of self-confidence, and Quality of sleep, independently of sociodemographic factors and clinical features of COPD. The results of our study suggest a certain path of the potential effects of obesity and smoking status on QoL. Risky health behaviors, such as smoking and at-risk body mass, only affect some aspects of health-related QoL.

9.
Int J Fertil Steril ; 9(4): 465-76, 2016.
Article in English | MEDLINE | ID: mdl-26985333

ABSTRACT

BACKGROUND: Infertility is a factor which has been linked to higher prevalence of sexual dysfunctions in women; however, ambiguous results have been reported about the impact of infertility on women's sexual satisfaction. The purpose of this study was to compare sexual and dyadic functioning in infertile and fertile women. Furthermore, the associations between sexual variables and clinical variables (depressive symptoms, period trying to conceive, and treatment period) were assessed in infertile women sample. MATERIALS AND METHODS: The cross-sectional study involved 50 women with the history of infertility and 50 fertile women recruited from the general population. The Sexual Satisfaction Scale (SSS), Mell-Krat Scale (women's version), Family Assessment Measure (FAM-III), and Beck Depression Inventory (BDI) were administered to all participants. RESULTS: Infertile women reported lower sexual satisfaction and more maladaptive patterns of dyadic functioning in comparison to the control group. As many as 45 (90%) of infertile women, compared to 13 (26%) of the control group, reported the scores on the Mell-Krat Scale indicative of the presence of dysfunctions in sexual reactivity (P≤0.001). Infertile women reported significantly higher levels of depressive symptoms than the women from the control group (P≤0.001). Negative correlations were observed between sexual satisfaction and dyadic functioning in both groups (P≤0.05); however, the patterns of these associations were different in infertile and fertile women. For example, negative correlations were found between satisfaction with control and task accomplishment, role performance, affective involvement, and values and norms in infertile women. However, these relationships were not observed in the control group. No correlations were revealed between sexual reactivity and dyadic functioning in infertile women and the control group. Negative correlations were observed between satisfaction with control and relationship duration and treatment period as well as between sexual reactivity and period of trying to conceive. Multiple regression analyses also revealed different predictors of sexual satisfaction in both groups: affective involvement (P≤0.05) and relationship duration (P≤0.05) in infertile women, whereas communication (P≤0.05), affective expression (P≤0.05) and depressive symptoms (P≤0.05) in the control group. CONCLUSION: Infertility is an important factor affecting sexual and dyadic functioning and is linked to higher depressive symptoms in infertile women.

10.
Biomed Res Int ; 2016: 3694792, 2016.
Article in English | MEDLINE | ID: mdl-28097132

ABSTRACT

Social support and knowledge of the disease have been shown to facilitate adaptation to a chronic disease. However, the adaptation process is not fully understood. We hypothesized that these factors can contribute to better adaptation to the disease through their impact on disease-related cognitive appraisal. To analyze the links between social support and the knowledge of the disease, on one hand, and disease-related appraisals, on the other hand, one hundred fifty-eight women with stress UI, aged 32 to 79, took part in the study. Questionnaire measures of knowledge of UI, social support, and disease-related appraisals were used in the study. The level of knowledge correlated significantly negatively with the appraisal of the disease as Harm. The global level of social support correlated significantly positively with three disease-related appraisals: Profit, Challenge, and Value. Four subgroups of patients with different constellations of social support and knowledge of the disease were identified in cluster analysis and were demonstrated to differ significantly on four disease-related appraisals: Profit, Challenge, Harm, and Value. Different cognitive appraisals of UI may be specifically related to social support and knowledge of the disease, with social support affective positive disease-related appraisals, and the knowledge affecting the appraisal of Harm.


Subject(s)
Cognition/physiology , Health Knowledge, Attitudes, Practice , Patients/psychology , Urinary Incontinence/epidemiology , Adult , Female , Humans , Middle Aged , Social Support , Stress, Psychological , Surveys and Questionnaires , Urinary Incontinence/pathology , Urinary Incontinence/psychology
11.
Postepy Dermatol Alergol ; 31(1): 12-20, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24683392

ABSTRACT

INTRODUCTION: Skin conditions have a negative impact on quality of life and it is necessary to quantify this impact. Skindex-29 is a self-report questionnaire developed to measure dermatology-specific quality of life. AIM: The objective of this study is to adapt this questionnaire to Polish conditions. The adaptation procedure involved the works on the linguistic content of the items and testing psychometric properties of the Polish version of Skindex-29, including item characteristics, factorial structure, aspects of reliability and validity. MATERIAL AND METHODS: Two-hundred and ninety patients (63.4% women and 35.2% men) suffering from a range of skin conditions were recruited from several dermatological out-patient and in-patient clinics in Poland. Quality of life was measured using Skindex-29 and appropriate clinical data were collected. RESULTS: The global score of Skindex-29 showed the normal distribution. Cronbach's α reliability coefficients were found to be high to very high for all Skindex-29 indexes. Factor analysis yielded four factors, in contrast to the original version of the questionnaire, for which a three-factor solution had been reported. Skindex-29 validity was demonstrated by showing the differences in the quality of life scores across different diagnostic categories, and between in-patients and out-patients. Skindex-29 global scores were found to be significantly predicted by the localization of the skin lesions on legs, anogenital areas and palms. CONCLUSIONS: The findings of this study support reliability and validity of the Polish version of Skindex-29, but they also raise questions to its three-factor structure.

12.
Prz Menopauzalny ; 13(2): 84-8, 2014 May.
Article in English | MEDLINE | ID: mdl-26327835

ABSTRACT

Urinary incontinence (UI) is one of the most common diseases in women. It involves uncontrolled leaking of urine through the urethra. UI incidence depends on age and in certain age groups it can affect up to 60% of the female population. The symptoms can be persistent and due to their embarrassing nature they can lead to significant deterioration of quality of life and psychological functioning. The aim of this study was to investigate the relationship between the quality of life and selected aspects of functioning. Seventy female outpatients of a public clinic in Naleczów, Poland, were examined, and the following methods were used: the Urinary Incontinence Life Quality Scale (Szymona-Palkowska, Kraczkowski), Disease-Related Appraisal Scale (Janowski, Steuden), Coping Inventory for Stressful Situations (Endler, Parker), Disease-Related Social Support Scale (Brachowicz, Janowski, Sadowska), and the Knowledge Appraisal Scale for Urinary Incontinence (Szymona-Palkowska, Kraczkowski). The obtained results suggest that the strongest predictors for the quality of life with UI would be: perception of the disease as an injustice and a challenge (a reverse relationship) and an avoidance-oriented style of coping with stress through companionship seeking (a positive relationship). The duration of the disease and the level of related knowledge proved to be crucial in the analysis of one dimension, i.e. distance to the symptoms.

13.
Stress Health ; 30(1): 34-42, 2014 Feb.
Article in English | MEDLINE | ID: mdl-23653433

ABSTRACT

The purpose of this study was to analyse the associations of emotional control with sociodemographic and clinical variables in a sample of patients with a range of chronic somatic diseases. The relationships between emotional control, coping styles and adjustment to the disease were investigated. The sample consisted of 300 patients with the mean age of 54.60 ± 17.57 years. Courtauld Emotional Control Scale was used to measure the patients' tendency to suppress negative emotions, Coping Inventory for Stressful Situations was used to measure coping styles and Acceptance of Illness Scale was applied to determine adjustment to the disease. Patients with neurological conditions showed significantly lower suppression of anger. Levels of emotional control were found to be related to gender, age and educational level but not to the place of residence. Task-oriented style of coping with stress correlated positively with suppression of depression and anxiety, whereas acceptance of illness correlated negatively with suppression of anger. Levels of emotional control are only weakly related to the type of diagnosis; however, some clinical samples may show lower suppression of anger. Suppression of negative emotions is weakly related to adjustment indicators such as certain coping styles and acceptance of illness.


Subject(s)
Adaptation, Psychological , Attitude to Health , Chronic Disease/psychology , Emotional Intelligence , Emotions , Stress, Psychological/psychology , Adolescent , Adult , Aged , Aged, 80 and over , Analysis of Variance , Avoidance Learning , Demography , Female , Humans , Male , Middle Aged , Regression Analysis , Repression, Psychology , Socioeconomic Factors , Surveys and Questionnaires , Young Adult
14.
Int J Dermatol ; 53(7): 820-9, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24261840

ABSTRACT

BACKGROUND: Pruritus is a common subjective symptom of psoriasis whose levels may be affected by a range of variables. The objective of this study was to evaluate the frequency of pruritus and its associations with clinical and psychological characteristics of psoriasis patients. MATERIALS AND METHODS: One-hundred and seventy-four patients with psoriasis took part in the study, and they were assessed on clinical (psoriasis area and severity index [PASI], localization of lesions, pruritus severity, duration of the disease) and psychological (coping, personality, cognitive appraisal of the disease, quality of life) variables. ANOVA, Pearson's χ(2)-tests, and correlational analyses were employed to analyze the data. RESULTS: The frequency of reported pruritus was found to be related to PASI (P < 0.000) and localization of skin lesions on visible body areas (P < 0.05). Patients reporting more frequent pruritus were significantly older (P < 0.05), had lower quality of life (P < 0.000), more frequently used coping strategies of resignation (P < 0.05) and self-blame (P < 0.05), and tended to appraise their disease in terms of a threat (P < 0.05), obstacle/loss (P < 0.05), and harm (P < 0.01). No significant associations were found between pruritus and basic personality traits. After controlling for age, all these variables remained significantly correlated with pruritus, whereas after controlling for psoriasis severity, only age, quality of life, and a coping strategy of resignation still significantly correlated with pruritus frequency. CONCLUSIONS: The findings emphasize the importance of pruritus in the majority of psoriasis patients and its significant association with compromised quality of life, older age, greater psoriasis severity, and a specific pattern of psychological responses to stress.


Subject(s)
Adaptation, Psychological , Pruritus/psychology , Psoriasis/psychology , Quality of Life , Severity of Illness Index , Adult , Age Factors , Diagnostic Self Evaluation , Female , Humans , Male , Middle Aged , Pruritus/etiology , Psoriasis/complications , Surveys and Questionnaires
15.
PLoS One ; 8(5): e63920, 2013.
Article in English | MEDLINE | ID: mdl-23675516

ABSTRACT

PURPOSE: The purpose of the study was to determine health-related behaviors, profile of health locus of control (HLC), and to assess the relationships between these constructs among patients suffering from chronic somatic diseases. MATERIAL AND METHODS: Three-hundred adult patients suffering from various chronic diseases participated in the study. The patients' mean age was 54.6 years (SD = 17.57). RESULTS: No statistically significant differences were found between the different clinical groups in health-related behavior, acceptance of illness, internal HLC or chance HLC. Patients with neurologic conditions showed slightly lower powerful others HLC than did some other clinical groups. Health-related behavior was significantly positively related to all three categories of HLC, with most prominent associations observed with powerful others HLC. Only one type of health-related behavior--preventive behavior--correlated significantly and negatively with acceptance of illness. Differences in the frequency of health-related behavior were also found due to gender (women showing more healthy nutritional habits than men), age (older subjects showing more frequent health-promoting behavior), education (higher education was associated with less frequent health-promoting behavior) and marital status (widowed subjects reporting more frequent health-promoting behavior). CONCLUSIONS: Health-related behavior in patients with chronic diseases seems to be unrelated to a specific diagnosis; however it shows associations with both internal and external HLC. Sociodemographic factors are also crucial factors determining frequency of health-related behavior in such patients.


Subject(s)
Attitude to Health , Chronic Disease/psychology , Health Behavior , Internal-External Control , Adolescent , Adult , Aged , Aged, 80 and over , Analysis of Variance , Female , Humans , Male , Middle Aged , Surveys and Questionnaires , Young Adult
16.
Arch Med Sci ; 8(1): 130-7, 2012 Feb 29.
Article in English | MEDLINE | ID: mdl-22457687

ABSTRACT

INTRODUCTION: Neuropsychological assessment of patients with dementia necessitates the use of varied memory tasks designed to measure different memory processes, including information memorization, retention and retrieval. A valid memory battery should be demonstrated to discriminate between demented and non-demented subjects and its scores should be related to the degree of intellectual impairment. The objective of this study was to evaluate the potential usefulness of Choynowski's Memory Scale in assessment of patients with dementia. MATERIAL AND METHODS: Thirty-two patients with dementia and 64 age- and gender- matched healthy controls took part in the study. All participants were examined by means of Choynowski's Memory Scale, and the patients were additionally assessed by the Mini Mental State Examination and Clock Drawing Test (CDT). RESULTS: All subtests of Choynowski's Memory Scale were found to highly significantly (p ≤ 0.001) discriminate between patients with dementia and healthy controls. Except for Digit Span, all other subtests of Choynowski's battery were highly correlated with the global mental status as assessed by MMSE with correlation coefficients ranging from 0.59 to 0.81. Most subtests of Choynowski's Memory Scale were also moderately or highly correlated with performance on the CDT, and the correlations coefficients between the total score on Memory Scale and the CDT were r = 0.66 and r = 0.61 (p ≤ 0.001) for the free recall drawing and copying, respectively. CONCLUSIONS: Choynowski's Memory Scale showed high discriminative properties and strong associations with the degree of intellectual impairment in dementia. The results encourage the use of this battery in clinical settings.

17.
Arch Dermatol Res ; 304(6): 421-32, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22456752

ABSTRACT

Social support was shown to be an important factor buffering negative effects of stress in a range of clinical populations. Little is known, however, about the role of social support in the population of patients with psoriasis although strong psychosocial stress has been implicated in this disease. The objective of this study was to evaluate the association between social support and selected indices of adaptation to life with the disease, including health-related quality of life, depressive symptoms and acceptance of life with the disease, in a sample of patients with psoriasis. Additionally, gender differences in these relationships were analyzed. One-hundred-four patients with psoriasis completed psychological tests measuring disease-related social support, health-related quality of life, depressive symptoms and acceptance of life with the disease. Psoriasis severity was assessed by Psoriasis Area and Severity Index. The patients reporting higher social support levels had significantly higher quality of life, lower depression levels, and higher acceptance of life with the disease. The strengths of these effects, however, were different in women and men. Higher social support was slightly more closely associated with better acceptance of life with the disease in men than in women. However, higher social support was more closely associated to lower depression and better quality of life in women than in men. Among different types of social support, tangible support was found to be the best predictor for the all adaptation indices. Effects of social support perceived by psoriasis patients on adaptation to the disease may be gender-related and exact pathways of these effects may depend on the type on the dimension of social support and the selected type of adaptation indicator. Tangible support seems the most important type of support contributing to better adaptation in both women and men with psoriasis.


Subject(s)
Adaptation, Psychological , Psoriasis/psychology , Social Support , Adolescent , Adult , Aged , Cluster Analysis , Female , Humans , Male , Middle Aged , Quality of Life , Regression Analysis , Severity of Illness Index
18.
Dermatol Ther ; 24(1): 131-3, 2011.
Article in English | MEDLINE | ID: mdl-21276166

ABSTRACT

Subcutaneous mycoses are fungal infections that predominantly affect the dermis and subcutaneous tissue. The most common pathogen responsible for these infections is Candida albicans; however, another yeast from this group, Candida parapsilosis, becomes the cause of increasing numbers of mycotic infections. Recent reports suggested that this microorganism may be particularly resistant to disinfectants, which can facilitate its spread through the medical staff, instruments, and biomaterial. We report a case of a patient in whom a C. parapsilosis infection occurred as a complication following a minor electrocoagulation procedure. Because all obtained laboratory findings were nonspecific, the infection could be properly diagnosed only through cultures from the skin lesion.


Subject(s)
Candidiasis/etiology , Electrocoagulation/adverse effects , Postoperative Complications/microbiology , Aged , Antifungal Agents/therapeutic use , Candidiasis/diagnosis , Candidiasis/drug therapy , Fluconazole/therapeutic use , Humans , Male , Mycoses/drug therapy , Mycoses/etiology , Treatment Outcome
19.
Eur Spine J ; 19(4): 613-23, 2010 Apr.
Article in English | MEDLINE | ID: mdl-19756782

ABSTRACT

Low back pain (LBP) is a chronic disorder which exerts a profound impact on various spheres of psychosocial functioning, including emotional distress, functional limitations and decrements in social contacts. The objective of this study was to investigate the associations between the indices of psychosocial functioning in patients with chronic LBP and a range of psychological factors. Specifically, the study aimed at exploring the relative participation of personality, social support, disease-related cognitive appraisals and coping styles in accounting for the differences in psychosocial functioning of patients with LBP. One-hundred-twenty patients with LBP took part in the study and completed a battery of psychological questionnaires: NEO-Five Factors Inventory, Ways of Coping Questionnaire, Disease-Related Social Support Scale, Disease-Related Appraisals Scale and Psychosocial Functioning Questionnaire (PFQ). The PFQ dimensions were used as dependent variables in a series of stepwise regression analysis models with the scores from other questionnaires entered as independent variables. A cognitive appraisal of the disease in terms of an obstacle was strongly related to all domains of functioning; however, other appraisals (threat, challenge, harm, profit and overall disease importance) were uniquely associated with particular domains of functioning. Deprivation of social support was a significant predictor of distress experienced in interpersonal context and of sense of being disabled. Among basic personality traits, agreeableness was negatively associated with distress in interpersonal context, and conscientiousness was positively related to acceptance of life with the disease. Problem-focus coping was linked to higher acceptance of life with the disease. Among sociodemographic variables, older age and lower educational level were related to greater subjective feelings of being disabled. Pain severity was found unrelated to any of psychosocial functioning domains. Different aspects of psychosocial functioning are best accounted for by diverse patterns of psychological factors, which suggests involvement of different psychological mechanisms in development of LBP-related disability.


Subject(s)
Adaptation, Psychological , Low Back Pain/psychology , Quality of Life/psychology , Social Support , Stress, Psychological/psychology , Activities of Daily Living/psychology , Adult , Chronic Disease , Female , Health Status , Health Surveys , Humans , Male , Middle Aged , Pain Measurement/psychology , Personality , Psychological Tests , Regression Analysis , Severity of Illness Index , Surveys and Questionnaires
20.
Psychiatr Pol ; 43(1): 41-51, 2009.
Article in Polish | MEDLINE | ID: mdl-19694399

ABSTRACT

BACKGROUND: Worrying is a process involving chronic, repetitive activation of unproductive thought chains whose contents are predominantly characterized by anticipation of future outcomes undesirable for the individual. Numerous studies demonstrated the role of excessive worrying in the patomechanisms of general anxiety disorder and depression as well as its associations with several non-adaptative aspects of functioning. Some neuroimaging studies suggested an association of worrying with frontal cortex activity. AIM: The objective of this study was to assess the associations of worrying with the frontal lobe functions, as measured by the Stroop Task. METHODS: Fifty female students took part in the study. Each participant completed the Penn State Worry Questionnaire (PSQW), a psychometric measure of worrying tendencies, and performed on the Color Words Stroop Task. RESULTS: No statistically significant associations were found between the worrying levels and response times on the Stroop Task. However, worrying was found to be statistically significantly related to the number of errors committed on the Stroop Task, with women characterized by higher worrying levels, making approximately two-fold fewer errors in comparison to women with lower worrying levels. CONCLUSIONS: In women, higher worrying levels may be associated with a qualitatively better performance on some mental tasks, which may probably be accounted for by the involvement of higher attentional readiness or personality traits, such as perfectionism.


Subject(s)
Anxiety/psychology , Attention/physiology , Cognition/physiology , Cues , Task Performance and Analysis , Adult , Female , Humans , Mental Health , Students/psychology , Surveys and Questionnaires , Young Adult
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