Psychiatr Pol
-
Comparative Study
[Gender and presence of profound psychological traumas versus comorbidity of panic disorder and depression in difficult and aspirin-induced asthma].
The author examined psychiatrically a group of 106 patients with difficult asthma and 100 patients with aspirin-induced asthma. The special interest of the study was the careful analysis of the time, context and content of different psychological traumas that the patients from both groups had throughout their lives. ⋯ It is possible, that psychological trauma affects the development, course and severity of anxiety and depressive symptoms in asthmatic patients. It may play a special role in development of difficult asthma.
-
Severe mental illnesses have far-reaching consequences for both patients and their relatives. This paper reviews literature on the measures of caregiving consequences. Authors provide a condensed knowledge and research results in the area of caregiving consequences, especially both subjective and objective caregivers' burden. ⋯ In order to identify factors, which have impact on caregiver distress, a variety instruments have been developed. This paper focuses on questionnaires useful for the systematic assessment of both objective and subjective burden: Involvement Evaluation Questionnaire (IEQ), Perceived Family Burden Scale (PFBS), Zarit Caregiver Burden Scale (ZCBS), Experience of Caregiving Inventory (ECI), Family Problems Questionnaire (FPQ). The mentioned instruments proved to be a reliable instrument for measuring caregiver consequences in mental healthcare.
-
Comparative Study
[Comorbidity of aspirin-induced asthma, panic disorder and depression versus gender and presence of profound psychological traumas].
The author examined psychiatrically a group of 100 ambulatory patients with asthma. The special interest of the study was the careful analysis of the time, context and content of different psychological traumas that the patients had throughout their lives. ⋯ It is possible, that psychological trauma affects the development, course and severity of anxiety and depressive symptoms in asthmatic patients.
-
Comparative Study
[Panic disorder and depression influence on the severity of aspirin-induced asthma].
Studies have reported a high rate of depression (DD) and panic disorder (PD) among asthma patients, though the impact of these disorders on asthma severity remains unclear. This study evaluated the prevalence of psychiatric disorders in 100 patients with aspirin-induced asthma and association between psychiatric status and levels of asthma severity. ⋯ Results suggest that psychiatric disorders are prevalent among patients with aspirin-induced asthma and are associated with worse asthma severity. Physicians should consider the impact of these conditions when planning optimal treatment.
-
Neurobiology of the placebo effect dates back to 1978, when Levine discovered that its analgesic action is reversed by naloxone. Since then, various studies have been performed to estimate the impact of placebo on brain metabolism and neurotransmission in analgesia, depression or the Parkinson's disease. ⋯ Environmental conditions, which may result in placebo efficacy increase of seven percent per decade during the last years, are also looked into. Although certain ethical and legal dilemmas appear considering the use of placebo, it is beyond any doubt that realising the influence of expectation and conditioning on the neurobiology of the placebo effect, as well as on the proper therapy, should enable better patient handling and treatment in the future.