Background: Coronavirus disease 2019 (COVID-19), like any other pandemic, has imposed an unprecedented threat to physical and mental health to all nations, worldwide. There is no enough evidence in the literature in this area. The present study has been done to explore the organization of psychiatric services in Bosnia and Herzegovina (BH) to meet mental health needs of BH citizens during the particular restrictive measures caused by COVID-19 pandemic. Materials This online survey has been done for BH psychiatric institutions. Data were collected from psychiatric institutions in the mental health network of BH. A total of 38 complete responses have been received. Results: Of 38 study participants, three were the departments of psychiatry in university clinical centers, two were psychiatric hospitals, four were psychiatric wards in general hospitals, 27 were community mental health centers, and two were institutes for alcoholism and drug addiction. During the pandemic, all services functioned on a reduced scale, adhering to measures to protect and self-protect both staff and service users. Protective equipment was provided to staff in some institutions in a timely and complete manner and in some in an untimely and incomplete manner. Consultative psychiatric examinations were mainly performed through telephone and online, where it exists as a standard patient monitoring protocol. The application of long-acting antipsychotics was continuous with adherence to restricted and protective measures. In opiate addiction replacement therapy services, substitution therapy was provided for a longer period to reduce frequent contacts between staff and patients. Individual and group psychotherapy continued in reduced number using online technologies, although this type of service was not administratively regulated. An initiative has been given to regulate and administratively recognize telepsychiatry by health insurance funds in the country. A number of psychological problems associated with restrictive measures and fear of illness have been reported by patients as well as by the professionals in mental healthcare teams. There were no COVID-19-positive patients seeking help from institutions that responded to the questionnaire. In one center, infected people with COVID-19 from abroad sought help through the phone. Only one involuntary hospitalization was reported. The involvement of mental health professionals in the work of crisis headquarters during the design of the COVID-19 pandemic control measures varies from satisfactory to insufficient. Education of staff, patients, and citizens was regular with direct instructions through meetings, press, and electronic media. Conclusions: During the COVID-19 pandemic in BH, all psychiatric services functioned on a reduced scale, adhering to measures to protect and self-protect staff and service users. All patients who asked for help have been adequately treated in direct inpatient ...
Marija Burgić-Radmanović Affective disorders in childhood have been more intensively studied in the last three decades. They can be recognized among the children of all ages, but are more frequent among the older children. The main characteristics of mood disorders are similar among children, adolescents and adults, although development factors affect their clinical features. Development factors affect the manifestation of all symptoms. Two main criteria for these disorders in childhood are mood disorders, such as reduced or elevated mood and irritability. These symptoms may result in social or academic damage. Depression among children is a widespread , family and recurrent condition, which continues episodically in adulthood. Depression is frequently associated with other psychiatric disorders, increasing the risk of suicidal behaviour, misuse of psychoactive substances and behavioural disorders. Depression in childhood brings about worse psychosocial, academic and family functioning. Family, social and environmental factors have a significant role in affective disorders of children and young people.
Introduction: Numerous researches show significant presence of cardiovascular disorders, especially hypertension in depressed patients that show up several years after first depressive episode. Mortality caused by cardiovascular disorders in depressed patients is 50% higher than in general population. Comorbid depression and cardiovascular disorders is making worse health condition, increasing suffering, making hard treatment, and outcome is not good. Objective: The goal is to confirm presence of hypertension in depressed patients as the most common comorbid cardiovascular diseases. Method: A retrospective study has been conducted using data from medical history of 274 depressed patients hospitalized and treated at the Psychiatric Clinic, Clinical Center Banjaluka. These parameters were assessed: sex, age, number of hospitalizations, marital and employer status, comorbid disease, BMI, presence of hypertension, lipid status and glicemia's level. Data were presented using tables and graphs. Results: Results obtained in our study were: Hypertension in comorbidity with depression was found in 106 patients (38,5%), 75 of them were males and 31 of them were females. The majority were at age 40-60 years. Obesity was found in 21% of them. High lipid's level was found in 20% of them. 11% of patients had high level of glicemia. More than half of the patients had lower socioeconomic status. Conclusion: Depression is often accompanied by cardiovascular disorders. It is very important to recognize this comorbidity in order to treat it successfully and to make better treatment's outcome.
Sindrom sagorijevanja na poslu specijalizanata porodične medicine APSTRAKT Cilj istraživanja je bio da se ispita prevalenca sindroma sagorijevanja na poslu kod ljekara na specijalizaciji iz porodične medicine u Republici Srpskoj u odnosu na pol, bračni status i broj djece. Istraživanje je provedeno anketiranjem ljekara na specijalizaciji iz porodične medicine u edukativnim centrima porodične medicine Banja Luka i Doboj u periodu od 1. februara do 30. aprila 2010. godine. Ispitanici su popunjavali anketni upitnik za samoprocjenu nivoa stresa i 'Maslach Burnout Inventory' koji su bili dopunjeni podacima o dobi, polu, bračnom stanju i broju djece sa kojima žive. Istraživanjem je obuhvaćeno 57 ljekara, od kojih je bilo 20 muškaraca. Visok nivo stresa imalo je 77.2% ljekara. Ispitanici su imali umjeren nivo emocionalne iscrpljenosti i depersonalizacije. Kod ljekara-žena, izražen je umjeren, a kod ljekaramuškaraca niži nivo ličnog zadovoljstva; ali među ovim grupama ispitanika nije nađena statistički značajna razlika. Rezultati istraživanja nisu pokazali da postoji povezanost između pola, bračnog stanja, uključujući i broj djece u porodici, na pojavu sindroma sagorijevanja na poslu. KLJUČNE RIJEČI sindrom sagorijevanja na poslu, specijalizanti, bračno stanje, djeca u porodici
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