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This prospective study conducted at a single center in 2022 aims to identify risk and protective factors for postpartum depression (PPD) in Polish women and to assess the impact of pregnancy, delivery, the postpartum period, and psychosocial factors on PPD. After delivery and 4 weeks later, 311 women filled out two questionnaires of our design related to risk factors for PPD. Immune Power Personality Questionnaire, Walsh Family Resilience Questionnaire, and Edinburg Postnatal Depression Scale were also applied. The predictors of PPD identified at two time points included: use of antidepressants, previous depressive episodes, family history of depression, risk of preterm delivery, anxiety about child's health, and breastfeeding and sleep problems. Risk factors for PPD found only after delivery were: suicidal ideation before pregnancy, stressful life events, premature rupture of the membranes, and cesarean section. Inhalation analgesia during labor reduced the PPD frequency. At 4 weeks' postpartum, regular physical activity was also predictive of PPD, while breastfeeding, financial satisfaction, and sufficient sleep duration were protective factors. PPD after delivery was negatively correlated with capacity to confide, hardiness, assertiveness, self-complexity, and communication. PPD at 4 weeks postpartum decreased belief systems, organization patterns, and communication. Two proposed self-designed questionnaires can be useful for effectively screening PPD in the Polish population.

Background: Increased inflammation and heightened physiological stress reactivity have been associated with pathophysiology of depressive symptoms. The underlying biological mechanisms by which inflammation and stress may influence neurogenesis are changes in the kynurenine (KYN) pathway, which is activated under stress. Supplementation with n -3 polyunsaturated fatty acids ( n -3 PUFAs) has anti-inflammatory properties and can increase stress resilience. Whether n -3 PUFAs alter KYN stress response is unknown. Objectives: This placebo-controlled study investigated the effect of n -3 PUFAs on KYN metabolism, inflammation, depressive symptoms, and mood. Moreover, stress-induced changes following a laboratory stressor have been assessed. Methods: In this placebo-controlled study, 47 healthy male adults received either 4 g n -3 PUFAs per day (Omega-3 group) or a placebo (Placebo group) for 12 weeks. Results: A significant group-by-time interaction was found for the inflammatory markers gp130 (F = 7.07, p = 0.011), IL-6R alpha (F = 10.33, p = 0.003), and TNF_RI (F= 10.92, p = 0.002). No significant group-by-time interactions were found for KYN metabolites, depressive symptoms, and mood (except for Hedonic tone (F = 6.50, p = 0.014)), nor for stress-induced changes in KYN metabolites and mood following a laboratory stressor. Conclusions: Overall, increased n -3 PUFA levels in healthy men ameliorate inflammatory markers but do not ameliorate KYN metabolism, depressive symptoms, mood, or KYN metabolism and mood following a stress induction. This study was registered at ClinicalTrials.gov with the identifier NCT05520437 (30/08/2022 first trial registration).

Background: The prevalence of depressive symptoms (DS) among physically active individuals tends to be lower compared to sedentary controls. This association seems to be moderated by gender and level of physical activity (PA). The objective of this meta-analysis was to assess the relationship between PA and DS in males based on different levels of PA., Methods: A systematic review and meta-analyses were conducted following the PRISMA Statement for Systematic Reviews. The literature search was conducted from January 1, 2003 to February 20, 2023. Cross-sectional and cohort studies including male participants aged 18 years or older were included in the analysis. Evidence from selected studies was synthesised as differences between odds ratios to assess whether DS were exhibited among those who were engaged in low, moderate, and high PA via random-effects meta-analyses. This study is registered on PROSPERO, number CRD42023417219., Results: Out of 1737 records identified, 5 eligible studies were included with a total of 35,811 participants. Results indicated significant effects of moderate PA on DS (OR = 0.68; 95 % C.I. 0.50-0.93). No effect of low and high PA on DS was found (OR = 0.79; 95 % C.I. 0.52-1.20 and OR = 0.78; 95 % C.I. 0.47-1.30)., Conclusion: Males who engage in moderate PA present lower prevalence of DS compared to no-PA reference. Such associations were not found for low or high PA. Hence, mental health benefits of PA could possibly be achieved at appropriate levels of PA. High heterogeneity between the studies should be considered when interpreting the results., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier B.V.)

Objectives: The present study examined the relationship between medical student fatigue with psychological variables: emotional intelligence (EI), sense of coherence (SoC) (comprehensibility, manageability, and meaningfulness), quality of life (QoL), stress, and satisfaction with studying medicine., Material and Methods: The sample consisted of 566 medical students from the Medical University of Gdańsk, Poland. The instruments used were the Chalder Fatigue Scale , Schutte Self Report Emotional Intelligence Test , Sense of Coherence Questionnaire , and a questionnaire designed by the authors, comprised questions relating to the quality of life, stress levels, and satisfaction with studying medicine., Results: The results show that fatigue was negatively related to the ability to use emotions effectively in the management of one's activities (EI), 1 aspect of SoC - a level of comprehensibility, QoL, and satisfaction with studying medicine. Fatigue is positively related to the ability to recognize, understand, and control emotions (EI) and stress connected with studying medicine., Conclusions: The outcomes of the study afford a better understanding of the relation- ship between selected variables in the field of individual differences in the context of fatigue in the medical student population. It may help medical educators and authorities to have a better understanding of the phenomenon of building resilience and increasing abilities to cope with the negative effects of chronic stress such as fatigue in the population of medical students. Early recognition of specific psychological features in medical stu- dents, such as misunderstanding emotions and their perception of environments as unstructured, would make it possible to prepare early support and development programmes. Int J Occup Med Environ Health. 2023;36(4):517-25., (This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.)

The role of psychosocial factors in the development of changes in lichen planus and other diseases of the oral cavity has been implicated, but is still understudied. Therefore, the aim of our study was to describe the specific profile of psychological functioning of patients with these diseases, including the role of temperamental traits, action-oriented personality components, and self-esteem. In total, 94 adult women participated in the study: (1) with lichen planus (LP; n = 46; M age = 54.80, SD = 12.53), (2) with other oral conditions ( n = 25; M age = 34.76, SD = 16.03), (3) without chronic disease ( n = 24; M age = 40.96, SD = 13.33). The following questionnaires were used: ZKA-PQ/SF, Polish Adaptive and Maladaptive Perfectionism Questionnaire, ACS-90, PROCOS, and MSEI. Results indicated no significant differences in temperament dimensions between studied groups. However, women diagnosed with LP presented lower levels of maladaptive perfectionism and social support than healthy women. Furthermore, women with LP also obtained lower scores for social resourcefulness and higher scores for moral self-approval than healthy women. Summarizing, patients with LP often use compensatory mechanisms that negatively affect their social functioning; thus diagnostic/therapeutic programs directed towards those group should be holistic, including psychologists and psychiatrists who support patients' psychological well-being.

Communication is one of the three overarching processes of family resilience, along with the belief system and organizational processes of family life. Honest, unambiguous communication with a child is one of the important bases of a child's development and feeling of security and healthy functioning in relations. The aim of our research was to construct a questionnaire aimed to measure consistency in communication on two dimensions: verbal and non-verbal communication, statements, and actions of parents. In this study, 404 persons participated: 319 (79.0%) women and 85 (21.0%) men, aged 18 to 61 (M = 24.83, SD = 7.87). Confirmatory factor analysis confirmed a two-factor model with 52 items that were well-fitted to the data for both versions. The model indicators were found to be well suited to the data (for communication with the mother were: χ2 /df = 1.58, RMSEA = 0.03, CFI = 0.99, TLI = 0.99, SRMR = 0.06, and for the communication with father version: χ2 /df = 2.34, RMSEA = 0.05, CFI = 0.98, TLI = 0.98, SRMR = 0.07). The Błażek Ambivalent Parental Communication Questionnaire (BAPCQ) could be used in a clinical context as well as in scientific studies and is designed to test adults who evaluate their communication with their parents.

Background: The effects of adverse childhood experiences may persist in adult life and manifest themselves in various areas of functioning. The aim of the study was to identify the emotional and experiential factors that determine civilizational diseases and the methods of regulating emotions and functioning in society., Participants and Procedure: The surveyed group was composed of 141 adults. The respondents defined the existence of adverse experiences and their attachment styles in retrospective. The methods of regulating emotions were also measured, as well as the presence of civilizational diseases., Results: The authors found a correlation between the style of attachment and the traumatic events experienced during the first 18 years of life and the existence of civilizational diseases. Adverse experiences in childhood and attachment styles proved to be predictors of specific social behaviour aimed at regulating emotions., Conclusions: The results emphasised the importance of the bond with a parent and of traumatic childhood experiences for the future health condition and for the social and emotional functioning. The study demonstrated that persons who experienced traumatic events in their families or in the peer environment in the first 18 years of their lives reported the presence of civilizational diseases. A correlation was found between peer violence, the threat of being abandoned by a caregiver, and diagnosed civilizational diseases in respondents. The fearful-ambivalent style in the relationship with the father proved to be a predictor of reported civilizational diseases. Adverse childhood experiences are linked to regulating emotions by taking perspective. The attachment style developed in the relationship with parents determined the ways of regulating negative and positive emotions in contact with other people. Persons who developed an avoidant attachment style in the relationships with the mother or the father less frequently seek social support when they experience negative emotions., Competing Interests: The authors declare no conflict of interest., (Copyright © Institute of Psychology, University of Gdansk.)

Sexual and gender identity is a fundamental part of one's overall identity and plays an important role in human functioning. Questioning one's sexuality associated with low level of self-concept clarity, certainty, consistency and stability with regard to the individual's beliefs about oneself, can affect their sense of coherence and value system. The aim of the study was to compare heterosexual and cisgender people with non-heteronormative and non-cisgender people regarding their attitudes and the way they perceive significant personal values. It was assumed that non-heterosexual and non-cisgender individuals would have lower self-concept clarity and lower sense of coherence, and that among them such values as openness to change and transcending Self would be dominant. The study was conducted on a group of 337 individuals aged 18 to 30. The participants filled out four self-report online questionnaires. Self-concept clarity was found to be connected with a greater tendency to question one's sexual and gender identity. The results also indicate differences between heterosexual/cisgender participants and non-heterosexual/non-cisgender participants in terms of the degree of self-concept clarity and sense of coherence. Non-heteronormative and cisgender individuals show a greater tendency to question their identity and have lower self-concept clarity, which may lower their sense of coherence.

Separation of siblings is one of the most difficult diagnostic problems faced by psychologists. Such situations are happening more often in the face of the increasing number of divorces and breakdown of relationships. Therefore, a diagnostic task becomes an in-depth assessment of intra-family relationships, ties connecting family members, the preferences of individual people and predicting the long-term consequences of the proposed solutions. The article is dedicated to this problem, and the issue is addressed through the theoretical perspective and the analysis of two cases, i.e., the situation of separated siblings. In the study of children, we present a relatively new method, based on the authors' clinical experience, which could be used to diagnose the family situation of children. The first goal was to analyze the reasons for the separation of siblings whose parents were in conflict during the separation (first case study) and after the separation (second case study), as well as to assess the functioning of the children resulting from the family breakdown, and the decision to separate them from siblings. The analysis allowed identifying the areas of sibling functioning, which should become the subject of diagnosis when working on expert opinions in divorce cases, or cases establishing contact between parents and children. The second aim of the report was to assess the effectiveness of using play as a diagnostic method in a situation that is a source of stress for the child (family breakdown) and causes tension (the diagnostic process in which this topic is discussed).

Family resilience is a construct based on interactive processes occurring in the family, enabling the family to effectively overcome everyday stressors, as well as developmental and unpredictable crises. By observing how the family deals with difficulties using family resilience processes, we are able to support both parents and protect children against the harmful effects of unfavourable conditions. The aim of our research was to carry out the procedure of adaptation to the Polish language and culture of the Walsh Family Resilience Questionnaire. In this study, 930 Poles participated (72.5% women), aged from 18 to 63 (M = 26.94, SD = 9.8). They filled in the questionnaire online. Confirmatory factor analysis confirmed the model with three factors: belief system, organisational processes, and communication processes. The model indicators were found to be well suited to the data: χ 2 /df = 1.12, RMSEA = 0.01, CFI = 0.99, TLI = 0.99, SRMR = 0.04. The reliability (Cronbach's alpha) of the scales was also satisfactory (0.94 for the belief systems, 0.86 for the organisational processes, and 0.94 for the communication processes). Tool validation with FRAS-PL scales showed convergence. We named the Polish version of the WFRQ Questionnaire Kwestionariusz Prężności Rodzinnej Walsh (WFRQ-PL) and found it to be a good tool for assessing the processes of family resilience in our country.

In Poland, often for economic reasons, the staffing of medical rescue teams is limited to the legally required minimum. This gives rise to problems related to the effectiveness and efficiency of medical rescue teams. A literature review did not find any sources addressing the issue of the verification of the effectiveness of paramedic teams depending on the personnel composition of units. The aim of the study was to analyze the effectiveness of resuscitation depending on the size of the medical rescue team, comparing the work of two- and three-person teams. In total, 100 two-person teams and an analogous number of three-person units were studied. Statistical analyses were performed using the IBM SPSS Statistics 24 package. The results showed that the assessment of the condition of the victim as well as the ability to assess the heart rhythm and monitor the condition during advanced measures were more effective in three-person teams; three-person teams also used oxygen more frequently during advanced life support (ALS). Most of the elements influenced the quality of resuscitation and it can be unequivocally stated that the work of three rescuers is more efficient and definitely more effective.

A child's illness and hospitalization are particularly difficult and most often an unpredictable situation in a family's life cycle. The level of stress of a parent of a hospitalized child depends on many factors, such as the psychological characteristics of the child and the parent, the child's health condition, and support from the family and medical staff. Our research aimed to search for interactions between the stress experienced by the parent and the temperamental variables of both the child and the parent, and the support received from the family and hospital staff. Using three pencil-paper questionnaires-PSS, EAS-D, EAS-C-and interview questionnaire, we tested 203 parent-child dyads at the time of children hospitalization. It was revealed that the most notable moderator of the relationship between temperamental traits and the characteristics of the hospital-related situation is the child's age. When analyzing the situation of a family with a hospitalized child, particular attention should be paid to parental emotional distress, which, regardless of the child's age, predicts a high level of parental stress.

Immediate resuscitation is required for any sudden cardiac arrest. To improve the survival of the patient, a device to be operated by witnesses of the event-automated external defibrillator (AED)-has been produced. The aim of this study is to analyze the way and correctness of use of automated external defibrillators placed in public spaces in Polish cities. The data analyzed (using Excel 2019 and R 3.5.3 software) are 120 cases of use of automated external defibrillators, placed in public spaces in the territory of Poland in 2008-2018. The predominant location of AED use is in public transportation facilities, and the injured party is the traveler. AED use in non-hospital settings is more common in male victims aged 50-60 years. Owners of AEDs inadequately provide information about their use. The documentation that forms the basis of the emergency medical services intervention needs to be refined. There is no mention of resuscitation performed by a witness of an event or of the use of an AED. In addition, Poland lacks the legal basis for maintaining a register of automated external defibrillators. There is a need to develop appropriate documents to determine the process of reporting by the owners of the use of AEDs in out-of-hospital conditions (OHCA).

Family Assessment Resilience Scale (FRAS) by Sixbey (2005) is based on the model proposed by Walsh (1996), allows to evaluate the processes of family resilience. The main goal of this study was to adapt the English version of FRAS to the Polish population (FRAS-PL) as there is no questionnaire in Poland to assess family resilience. After the process of translation into Polish and then back to English to check the correctness, the final version was accepted and participants (N = 502, 65% female, M = 24.60, SD = 6.86) filled out the questionnaire. To obtain the best-fitting model of the tool, confirmatory factor analysis (CFA) was used. Confirmatory Factor Analysis showed that the six-factor model fits the obtained data (χ 2 /df = 2.95, RMSEA = 0.06, CFI = 0.92, TLI = 0.91, WRMR = 1.87). The alpha coefficients are satisfactory for all subscales (from α = 0.63 to α = 0.95). The adaptation of FRAS-PL was compared to final versions accepted in different countries and explained in the cultural context. The Polish version of the scale, named FRAS-PL, can be used for both researchers and clinicians to assess family resilience.

Identity fusion theory suggests that merging groups into one's personal identity should result in heightened levels of group agency. Research on the self-expansion model complementarily indicates that including others into the self is linked to a greater feeling of self-efficacy. Across three correlational studies, we examined whether personal and group identity fusion is associated with stronger feelings of personal agency, and we propose that relatively stable feelings of clarity of self-concept would mediate this association. Individuals strongly fused with a country (Studies 1-3) and family (Study 2) exhibited greater feelings of agency and goal-adherence, and self-concept clarity emerged as a significant mediator of this association when controlling for group identification measures.

Depression is a leading mental disorder from which suffer Europeans and especially women. In clinical groups with elevated risk of suicidal tendencies, both the negative factors and psychological variables that can protect a person should be analyzed. The aims of the current study were analysis of purpose in life function in perceived quality of life-self-efficacy and life satisfaction among people suffering from depression in comparison with control group and analysis of escape from self (EfS)-function as an indicator of suicidal thoughts occurrence, for suicide attempt and perceived quality of life (life satisfaction). Two studies were conducted on two clinical groups. The first study consists of females, 20 of them with depression and 40 without depression disorder as a control group. Measures used in this study are Purpose in Life Scale, General Self-Efficacy Scale, and Satisfaction with Life Scale (SWLS). The second study consists of 60 participants, including 20 who attempted suicide. Measures used in this study are SWLS Scale and an EfS measure. There is a significant meaning of the sense of purpose of life for well-being and self-efficacy. The ability to maintain the feeling of sense of one's existence seems to be a significant factor that protects from a decrease in life quality and keeps the feeling of being able to deal in difficult situations, as well as helps to accept depression symptoms.

The present study concerns the relationship between self-concept clarity, religiosity, and well-being, as well as the mediating influence of religiosity on the relationship between self-concept clarity and sense of meaning in life and self-esteem. Self-concept clarity was found to be a significant predictor of sense of meaning in life and self-esteem; intrinsic religious orientation was found to be a predictor of sense of meaning in life, while the quest religious orientation was a predictor for self-esteem. The cross-products of self-concept clarity and intrinsic religious orientation were found to be related to the sense of purpose in life, which would point to religiosity being a mediator of the relationship between self-concept clarity and sense of purpose in life. The cross-products of self-concept clarity and quest religious orientation were found to be a predictor of self-esteem, which indicates a mediating effect of this religious orientation in the relationship of self-concept clarity and self-esteem.

Background: Psychopathy is a notion that has been difficult to define. The operational definition of psychopathy by Hare is one of the most commonly used in psychology and it is usually identified with the scale used to measure this type of personality, which is the Psychopathy Checklist - Revision (PCL-R). PCL-R is composed of two factors: Factor 1 describes a constellation of psychopathic traits considered by many clinicians to be basic for this type of personality, and Factor 2 describes types of behaviour indicating impulsiveness, lack of stability and antisocial lifestyle. The aim of the research was to verify a hypothesis that people with psychopathic personality disorders are characterised by high self-esteem, unconstructive strategies of planning actions and non-adaptive styles of coping with stress., Material/methods: The group of participants included 30 people at the age of 22-36 convicted with a legally binding sentence. Methods were: 1. The Psychopathy Checklist-Revision (PCL-R); 2. Antisocial Personality Questionnaire (APQ); 3. Coping Inventory for Stressful Situations (CISS); 4. Generalised Self-Efficacy Scale (GSES)., Results: The participants were diagnosed as psychopaths (PCL-R), and more specifically - as primary psychopaths (APQ). They revealed a grandiose sense of self-worth, increased self-control, impulsive style of functioning, perceived high self-efficacy (which might be considered as a defence mechanism). Psychopaths prefer a coping style focused on emotions and avoidance., Conclusions: The hypothesis was confirmed, that people with psychopathic personality disorders are characterised by high self-esteem, unconstructive strategies of planning actions and non-adaptive styles of coping with stress.