CelCelem projektu było określenie poziomu wsparcia społecznego całkowitego, informacyjnego, instrumentalnego, wartościującego i emocjonalnego otrzymywanego przez pacjentów opieki podstawowej, jak i czynników związanych z jego poziomem w odniesieniu do stanu zdrowia psychicznego i somatycznego oraz zmiennych socjodemograficznych.MetodaGrupę badaną stanowiło 516 pacjentów, rekrutowanych w sześciu poradniach opieki podstawowej współpracujących z Uniwersytetami Medycznymi. W niniejszym artykule przedstawione zostaną analizy oparte na danych, uzyskanych dzięki dwóm kwestionariuszom GHQ (General Health Questionnaire) i SWS (Skala Wsparcia Społecznego)..WynikiWykazano najwyższe wartości średnie w zakresie wsparcia instrumentalnego, najniższe – emocjonalnego. W ocenie przy wykorzystaniu skali GHQ-28 najwyższe wartości średnie wykazano w zakresie zaburzeń w funkcjonowaniu społecznym, najniższe - objawów depresji. Wykazano istotną statystycznie zależność poziomu wsparcia społecznego od płci. W przypadku całkowitej wartości wsparcia oraz wsparcia instrumentalnego i wartościującego - mniej subiektywnie ocenianego wsparcia otrzymywały kobiety. Najwyższe wartości współczynnika Spearmana stwierdzono w przypadku: całkowitych wartości GHQ-28, objawów somatycznych, objawów niepokoju i bezsenności, objawów depresji oraz wsparcia całkowitego. Uwzględniając wyniki analizy ANOVA określono, że wraz z nasileniem objawów ocenianych skalą GHQ w najmniejszym stopniu wzrasta poziom wsparcia emocjonalnego, bardziej poziom wsparcia informacyjnego i wartościującego, a najwyraźniej poziom wsparcia instrumentalnego.WnioskiWyniki wskazały na niedocenianie roli wsparcia emocjonalnego, informacyjnego i wartościującego oraz przecenianie roli wsparcia instrumentalnego w interwencjach proponowanych przez opiekę podstawową. Konsekwencją może być częstsze korzystanie przez pacjentów z usług opieki zdrowotnej wraz z niską z nich satysfakcją, nasilenie zaburzeń funkcjonowania społecznego, zwłaszcza u osób chorych przewlekle, którzy stanowią coraz liczniejszą grupę pacjentów opieki podstawowej.
Introduction: ADHD is one of the most frequent developmental disorders in childhood. Adults also suffer from symptoms of attention-deficit/hyperactivity disorder. Prevalence estimates of ADHD in adult community samples (5%) are based on American and West-European studies. Most of research though is concentrated on early ADHD symptoms. There are no sufficient data on clinical manifestation and scale of this problem in Poland. Objectives: To assess prevalence (life and 12-month), access to psychiatric care and other clinical and sociodemographic aspects of ADHD in adult population in Poland (both contemporary and retrospective). The first Polish nationwide survey " Epidemiology of Mental Disorders and Access to Care (EZOP, Poland)" was included in the WHO's WMH. Aims: The aim of this paper is to present collected data on ADHD in community sample. Methods: Composite International Diagnostic Interview (cidi capi v.3.1) was administered in random sample of Poles aged 18-65 (n=10000). Data was collected from November 2010 to March 2011 by trained Millward Brown SMG/KRC interviewers. Results: Response rate is 50.4%. Prevalence estimated on the basis of retrospective reports in Screening Section is 2.2% for attention-deficit symptoms (2.5% for men and 1.9% for women) and 2.8% for hyperactivity symptoms (respectively 3.2% and 2.8%). Further analysis are in progress and detailed results will be known till December 2011. Conclusions: Presented study will allow to introduce data on relation between intensity of early ADHD symptoms and it's later clinical manifestation. The identification of demographic factors influencing the course of the disorder and patterns of treatment will be possible.
IntroductionGrowing number of research concern high prevalence of specific personality disorders among psychiatric patients and influence they have on course or treatment process of co-occurring mental disorders. Moreover personality disordered patients can derive not enough benefits from psychiatric care.ObjectivesIssue being presented is part of doctoral thesis, financed by the Polish National Science Center (decision number DEC-2011/01/N/NZ5/05364). General goal of the research is to observe patients during their hospitalization in regard to compliance with therapeutic procedures from the perspective of co-occurrence of personality disorders. Existing results are not unambiguous, notably with general lack of them in Poland.AimsTo answer the question whether there are any differences (and what kind of?) in adherence to psychiatric treatment pertaining to personality and co-occurring personality disorders?MethodsThis is a prospective study. 120 patients from 3 psychiatric units have been assessed at the admission (mental state, demographic factors, prior history of treatment, personality) and at the end of hospitalization (adherence to current treatment - interviews with patients and psychiatrists). Among used methods are: Brief Psychiatric Rating Scale (BPRS), Structured Clinical Interview for DSM-IV-TR Axis II Personality Disorders (SCID-II), Eysenck’s Personality Questionnaire (EPQ- R) and self-prepared interviews (corresponding with defined indicators of variables studied). Among controlled variables are primary psychiatric diagnosis (although one of the exclusion criteria are: psychosis or mental retardation).ResultsData on relation between personality dimensions and disorders and patterns of psychiatric care use will be introduced and discussed.ConclusionsMore adequate treatment proceedings may be needed.
IntroductionThe past decades has shed new light on the key factors affected mental health service in different country. There is huge need to evaluate mental health service in Poland, but until now we have not any algorithm concerning this matter.ObjectivesTo develop a methodology for the assessment and review of the mental health service in Poland.AimsTo identify the key factors for quality of mental health services, to test the unique methodology to evaluation of Polish mental health service, to develop the specific recommendations.MethodsThe research includes: I phase - identification of key factors for quality in mental health services, II phase - testing the methodology, III phase - development of recommendations and dissemination.Three-steps analysis of key factors which have a strong impact on quality of mental health services:literature review of relevant analysis, research and policy,Delphi exercise with national experts,external experts consultations.The phase II covers piloting and testing the evaluation methodology.Development of recommendations is based on research findings and experts consultations.ResultsThe main result of quality and quantity analyses constitutes a set of key factors for quality of mental health service in Poland. The project is supposed to change the paradigm at Polish evaluation strategy in area of mental health service.ConclusionsIn the light of Polish National Mental Health Program (established in Dec 2010) the results may have a great impact on reforms in Polish mental health service.
IntroductionNational Programme of Mental Health was established by the government in 28.12.2010. It specifies direction of health care development. The main goals of National Programme of Mental Health are: 1. Promotion mental health and prevention of mental disorders 2. Provision of support and easy access to psychiatric health care and other forms of care necessary for living in families and society.3. Development of research and information about mental health. Nevertheless there is still lack of the separate, coherent programme on promoting and preventing mental health among children and adolescents.ObjectivesTo indicate the main barriers in current development of child and adolescent psychiatry in Poland.MethodsQuality and quantity assessment of national programmes, analyses of distribution of child and adolescent mental heath services.ResultsHowever a significant improvement in area of child and adolescent psychiatry took place, some barriers are still noticeable: the insufficient number of child and adolescents psychiatrists, low numbers of programmes related to early intervention, low availability of psychotherapy and sociotherapy, insufficient number of centres to help dysfunctional families and families in crises, low number of programmes on mental health promotion implemented as regular activities in schools.ConclusionsThere are needs of coordination in service planning and regular evaluation of child and adolescent mental heath services.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.