Psychological correlates of affect in parents of children with cleft lip and/or palate.

OBJECTIVE: Parents of children with developmental malformations of different kinds are vulnerable to many consequences of the experienced stress and attempts to cope with it. The aim of the study was to determine the psychological correlates of affect for parents of such children. PATIENTS AND METHODS: The study included 78 respondents: 69 women and 9 men, aged between 20 and 45, all of them parents of children with craniofacial malformations who had their routine check-ups at an orthodontics clinic. The respondents were evaluated using pencil-and-paper questionnaires, the same survey set for all respondents. The following tools were used in the study: the Inventory for Measuring Coping with Stress (Mini-COPE), the Family Resilience Assessment Scale (FRAS), and the Positive and Negative Affect Schedule (PANAS). The guardians' demographic data and the details of the child's medical history were gathered using a questionnaire constructed for the purposes of the study. RESULTS: The present study confirmed significant correlations between affect and preferred stress coping strategies, as well as between affect and family resilience. Coping strategies and family resilience, treated as a resource, were also significantly correlated in the group of respondents. CONCLUSIONS: Mental resilience is an important resource contributing to effective stress coping in a situation where a child suffers from malformation.

Pain as a mediator in the temperament-alexithymia relationship in individuals suffering from rheumatoid arthritis.

OBJECTIVE: The study aims to establish a relationship between temperament traits, symptoms of alexithymia, and pain intensity in rheumatoid arthritis. Despite the significant progress seen in the area of RA treatment, pain, often life-long, remains the predominant symptom. This constant pain and progressing disability, as well as dependence upon other people cause RA patients to experience psychological stress that can be modified by individual patient traits. Recently, several authors have underlined the need to relate personality and temperament constructs to neurobiological processes that may underlie individual differences. It seems then that patient characteristics may play a significant role in the course of the disease. PATIENTS AND METHODS: The study was performed on a group of patients (N=317) with rheumatoid arthritis diagnosed according to the current criteria of the American-European Consensus of 2010. All patients expressed voluntary consent to participate, and the study protocol was approved by the Local Ethics Committee. This was a survey-based study. It involved the application of the adult version of the Buss and Plomin EAS Temperament Questionnaire (EAS-D), which tests 3 main temperament domains: sociability, activity, and emotionality. The pain was measured on the Visual Analogue Scale (VAS). VAS is used to measure pain intensity. The level of alexithymia was tested using the Toronto Alexithymia Scale-20. The scale consists of 20 statements and includes 3 subscales that measure difficulty in describing feelings/emotions, difficulty in identifying feelings/emotions, and operational externally oriented thinking. RESULTS: The analysis revealed that alexithymia is positively correlated only with one dimension of temperament, i.e., emotionality, and with pain intensity. Moreover, high emotionality was positively correlated with pain. A simple mediation analysis revealed that pain intensity functioned as a mediator in the emotionality-alexithymia relationship. CONCLUSIONS: The observed correlations indicate that RA patients with a high level of emotionality exhibit high alexithymia as they perceive pain related to the disease symptoms more intensely. The observed mediation is partial, meaning that there are also other mediating factors in this relationship.

Do urban and rural residents living in Poland differ in their ways of coping with chronic diseases?

OBJECTIVE: Chronic disease is a critical life event which demands significant psychological adjustment. Coping strategies and resources such as sense of coherence, self-efficacy, etc. remain factors affecting stress response. PATIENTS AND METHODS: The examined group included patients with ischemic heart disease (n = 134), type 1 diabetes mellitus (n = 109) or rheumatoid arthritis (n = 92). 159 patients came from urban area whereas 176 came from rural setting. All patients filled up inventories of life satisfaction, severity of depression, coping strategies, self-efficacy, social support and sense of coherence. RESULTS: The analysis showed that patients from rural areas had higher levels of well-being, i.e., were characterized by lower severity of depression. The predictors of satisfaction with life included two types of resources i.e. self-efficacy, social support and two coping strategies i.e. turning to religion and self-distraction (R2 = 0.39; F = 26.87**). Life satisfaction was determined by social support, sense of coherence and positive reappraisal (R2 = 0.36; F = 29.11**). CONCLUSIONS: Rural/urban differences in the use of coping strategies may be associated with environmental or lifestyle differences. Patients with IHD, T1D or RA in Polish rural areas are high risk for depression so they may need help in finding systematic contact with specialists of healthcare.

Human placental trophoblast in regions of high and low environmental pollution. A histochemical and morphological study.

The authors demonstrate the dependence of development of a uniform layer of syncytiotrophoblast with good cytochrome oxidase activity in placental villi on the absence of noxious industrial by-products in the environment of the pregnant woman. The degree of deviation from the developmental norm observed in regions free from industrial pollution can serve as measure of the degree of that pollution in urban-industrial regions.