SUMMARY -Neuropsychological testing of patients in the course of their recovery from brain injuries enables analysis of cognitive defi ciencies and/or emotional changes. Th e principle study objective was to defi ne organic and/or reactive personality changes and the course of these changes in the function of the time span following brain artery aneurysm surgery in both female and male patients. Th e study was carried out at the Clinical Department of Neurosurgery, Zagreb University Hospital Center in Zagreb. Th e data refer to the period from 1989 to 2012 collected in two time intervals, i.e. 11 months and 12-48 months following brain artery aneurysm surgery. Of 72 patients included in the study, there were 28 male and 44 female patients. Neuropsychological testing consisted of clinical interview, clinical assessment of frontal lobe syndrome, Cornell personality questionnaire and Emotional Profi le Index. Study results showed evidence of frontal lobe syndrome in 32% of patients on fi rst testing and signifi cant recovery on retesting, when only 17% of patients presented with frontal lobe syndrome. Th e reactive personality changes found in both testing intervals indicated increased neuroticism. In the fi rst testing period, asthenic syndrome occurred most often, followed by conversion and aggressive-antisocial syndromes, while in the second testing interval asthenic syndrome was most pronounced and conversion and antisocial syndromes showed the same level of expression. Th e results also showed higher depressive and disorganizing states, which were even more pronounced in the second testing interval. As regards sex diff erences, the inclination toward cardiovascular somatization and destructiveness was more expressed in females than in males, showing a tendency of aggravation with increasing the time span following surgery. It may be concluded that the study has contributed to better understanding of organic and/or reactive personality changes in patients undergoing brain artery aneurysm surgery.

SUMMARYThe principal study objective was to define whether memory deficits (numerical, working, verbal-mechanical, verbal-logical and visual memory) occurred in patients submitted to surgery for brain artery aneurysm and whether significant recovery of memory took place with time. The study sample included 92 patients, i.e. 35 (38%) male and 57 (62%) female patients aged 27 to 76 years. Neuropsychological testing was conducted at Zagreb University Hospital Centre, Department of Neurosurgery, from 1998 to 2012, in two time intervals: first within 11 months following surgery, and then 12 to 48 months after surgery. The obtained results showed that verbal-mechanical, verbal-logical, and visual memory deficits were present in the first testing interval. In the second testing, the verbal-logical and visual memory deficits were still present, while the tests of verbal-mechanical memory showed deficits in capacity and learning curve, but the results for short- and long-term memory were within the normal ranges. Neither the first nor the second testing showed deficits of numerical and working memory. Based on our results, we can conclude that long-term verbal-mechanical and visual short- and long-term memory had recovered to a statistically significant level, whereas other types of memory showed no significant recovery.

Aim Addictive behavior is a group of behavioral patterns that are auto-destructive; they are on the increase, have an obsessive-compulsive quality and significant physiological or biological components, and include a lack of ability or an inability to control craving. Health promotion has emerged as a viable approach and a tool for comprehensive and equitable health development. The intention of this paper was to show parts of orientations for health promotion related to prevention and control of drug addiction and drug abuse in theory and practice in the non-health profession and to emphasize the role of psychologists and the psychological profession.

Cilj istraživanja bio je ispitati prediktivni doprinos socijalne podrške i uvida samostigmatizaciji te njezinim dimenzijama kod osoba oboljelih od shizofrenije. Hijerarhijske regresijske analize pokazale su statistički značajan doprinos uvida i socijalne podrške samostigmatizaciji te nekim njezinim dimenzijama kod osoba oboljelih od shizofrenije. Niža socijalna podrška i viši uvid predviđaju višu samostigmatizaciju, višu otuđenost, više prihvaćanje stereotipa te više socijalno povlačenje. Niža socijalna podrška predviđa više iskustvo diskriminacije.

Cilj istraživanja bio je ispitati faktorsku strukturu Samoizvješća psihopatije SRP-III, s očekivanjem za 4 faktora (emocionalna hladnoća, eratični životni stil, antisocijalno ponašanje i interpersonalna manipulacija) te mogu li se IPIP 50 upitnikom ličnosti koji mjeri 5 generalnih dimenzija ličnosti (ugodnost, savjesnost, ekstraverzija, emocionalna stabilnost i intelekt) predvidjeti rezultati na dimenziji psihopatije SRP-III samoizvješća psihopatije. Uzorak je obuhvatio 190 studenata psihologije Hrvatskih studija Sveučilišta u Zagrebu, od čega 173 žene i 17 muškaraca, prosječne dobi od 21 godine. Za potrebe istraživanja prvi put je primijenjena hrvatska verzija Samoizvješća psihopatije SRP-III (Self-report psychopathy scale). Rezultati istraživanja potvrdili su faktorsku strukturu originalnog instrumenta uz zadovoljavajuću pouzdanost dobivenih dimenzija: emocionalne hladnoće, eratičnoga životnog stila, antisocijalnoga ponašanja i impulzivnosti i manipulacije. Ujedno, rezultati su pokazali da se IPIP 50 upitnikom ličnosti može predvidjeti 49,5% varijance rezultata na dimenziji psihopatije, a najboljim prediktorima pokazali su se niska savjesnost i ugodnost, što je u skladu s većinom istraživanja, te ekstraverzija, čiji odnos sa psihopatijom još uvijek nije točno definiran, te intelekt.

Cilj istraživanja bio je utvrditi izraženost stresa, anksioznosti i depresivnosti u zdravstvenih djelatnika tijekom pandemije bolesti COVID-19, čimbenike koji predviđaju njihov intenzitet te stresnost različitih situacija u radnom i obiteljskom okruženju. Primijenjeni su DASS, Brief RCOPE i CD-RISC-10. Istraživanje je provedeno online tijekom svibnja i lipnja 2020. na 135 sudionika metodom snježne grude. Dobiveni rezultati pokazuju višu izraženost stresa i anksioznosti, te podjednaku razinu depresivnosti kao i u istraživanju provedenom u SAD-u na nekliničkom uzorku. Otpornost je negativno povezana sa stresom, anksioznosti i depresivnosti, a negativno religijsko suočavanje je pozitivno povezano s depresivnosti. Također, žene pokazuju niže razine depresivnosti od muških sudionika. Što se tiče situacija u radnom okruženju, zdravstveni djelatnici podjednako brinu o tome je li njihova zaštitna oprema neprimjerena, hoće li imati dovoljno djelatnika na raspolaganju te hoće li se netko od njihovih kolega razboljeti. Nešto manje brinu o tome da je njihovo vlastito zdravlje ugroženo i jesu li zaštitnu opremu upotrebljavali na adekvatan način. Što se tiče situacija u obiteljskom okruženju, najviše brige izaziva pomisao da zbog svojeg posla članove svoje obitelji izlaže riziku zaraze; slijedi briga zbog mogućnosti samoizolacije, dok je briga zbog promjena u ponašanju koje mogu utjecati na kvalitetu bliskih odnosa na posljednjem mjestu. Sudionici u direktnom kontaktu s oboljelima više brinu o tome da neće imati dovoljno djelatnika na raspolaganju i da je njihovo zdravlje ugroženo. Sudionici koji su bili u kontaktu s COVID-19 pacijentima i kolegama kojima je kasnije dijagnosticiran COVID-19 više brinu da neće imati dovoljno djelatnika na raspolaganju i da će se netko od kolega razboljeti. Samci su više zabrinuti zbog neprimjerenosti zaštitne opreme od onih koji žive sa suprugom ili u izvanbračnoj vezi. Ključne riječi: COVID-19, stres, anksioznost, depresivnost, otpornost, religijsko suočavanje

A cerebral aneurysm is a bulge in the wall of a brain blood vessel with a risk to rupture. It occurs in about 2% of the population, somewhat more often in women. Most aneurysms are located in the anterior circulation area. Aneurysm rupture is relatively rare and accounts for 5% of all cerebrovascular brain incidents. Ruptured and asymptomatic/unruptured aneurysms are often treated surgically at the Department of Neurosurgery, Medical School University of Zagreb. The study included 134 patients after cerebral aneurysm surgery during the last 10 years, and neuropsychological testing was performed on average 77 days after surgery. The average age was 52 years and they completed an average of 12 years of education. In the group of patients included in this study, 40.3% of them were operated after ruptured, and 59.7% for unruptured cerebral aneurysm. Most aneurysms were located in the middle cerebral and anterior communicating arteries. With regard to lateralization, there was an equal number of aneurysms located in the right and left hemisphere and bilaterally (on the anterior communicating artery). As part of regular neuropsychological assessment, tests of verbal learning and memory (numerical, logical and mechanical memory) were applied. The aims of the study were to find out whether patients operated for ruptured cerebral aneurysms show greater verbal memory impairments than patients operated for unruptured cerebral aneurysms and whether there was the significant effect of lateralization of aneurysm (to check the interaction effect of both rupture and lateralization on those functions). The results obtained show that, even though there are no statistically significant differences between groups of patients that underwent surgery for ruptured and unruptured brain aneurysm, patients show a trend of somewhat better results on most of the verbal memory functions after surgery for unruptured brain aneurysm. The results show statistically significant difference between groups of patients that underwent surgery for ACoA aneurysm and those with right lateralized cerebral aneurysms on most of the trails on AVLT test. Also, patients with operated ACoA aneurysm have significantly worse scores in learning process (AVLT 3 and AVLT 4) and especially on short-term and long-term verbal memory than the patients who were operated for left or right lateralized aneurysm.

Cilj rada bio je ispitati mogućnost predikcije učestalosti psihosomatskih simptoma putem doprinosa dimenzija velepetorog modela ličnosti (engl. Big-Five model) i stilova suočavanja sa stresom uz kontrolu doprinosa varijabli spola i dobi. Istraživanjem je obuhvaćeno 356 studenata različitih studija Hrvatskog katoličkog sveučilišta. Korištena je skala Upitnika psihosomatskih simptoma za djecu i adolescente (PSS), Upitnik suočavanja sa stresnim situacijama Endlera i Parkera te hrvatska verzija International Personality Item Pool (IPIP 50). Analiza učestalosti psihosomatskih simptoma pokazala je najčešću pojavnost manjka energije, glavobolje i boli u leđima. Najčešći u različitim skupinama simptoma bili su: »knedla« u grlu, doživljaj ubrzanog lupanja srca, prehlada, mišićna napetost, nadutost, akne ili bubuljice te manjak energije ili umor. Rezultati hijerarhijske regresijske analize pokazali su da niža razina emocionalne stabilnosti, viša razina intelekta i viša razina suočavanja usmjerenog na emocije predviđaju veću učestalost psihosomatskih simptoma. Također, dobiven je značajan prediktivni doprinos kontrolirane varijable spola, pri čemu ženski spol predviđa veću učestalost psihosomatskih simptoma. Dobiveni rezultati mogu pomoći u izradi edukativnih programa o suodnosu tjelesnog i mentalnog zdravlja te u savjetodavnom radu s osobama s izraženim psihosomatskim simptomima.