Barbara Bętkowska-Korpała

Jagiellonian University

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Anna Starowicz–Filip

Jagiellonian University

Katarzyna Olszewska-Turek

Jagiellonian University

Anna Pastuszak-Draxler

Jagiellonian University

Józef Krzysztof Gierowski

Uniwersytet SWPS

Justyna Kotowska

Institute of Psychiatry and Neurology

Robert Modrzyński

Maria Curie-Skłodowska University

Katarzyna Olszewska

University School of Physical Education in Wroclaw

Roksana Epa

Jagiellonian University

Anna Rajtar-Zembaty

Jagiellonian University

Jolanta Celebucka

Cooperative Institutions

Jagiellonian University

Krakow Cardiovascular Research Institute

Institute of Cardiology

Szpital Uniwersytecki w Krakowie

Cracow University of Technology

University School of Physical Education in Kraków

Collegium Medicum in Bydgoszcz

Uniwersytet SWPS

Gdańsk Medical University

Medical University of Silesia

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Jak uchronić dziecko przed biernym i czynnym paleniem tytoniu

Barbara Bętkowska-Korpała Bogusława Piasecka Jolanta Ryniak

Poradnik antynikotynowy. Stanowi źrodlo, przykladowych scenariuszy zajec, ktore mogą byc wykorzystane w ramach prowadzonych spotkan poświeconych problemom związanym z paleniem tytoniu.

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Is Addenbrooke’s Cognitive Examination III Sensitive Enough to Detect Cognitive Dysfunctions in Patients with Focal Cerebellar Lesions?

Archives of Clinical Neuropsychology (2021)

Anna Starowicz–Filip Katarzyna Prochwicz Joanna Kłosowska Adrian Andrzej Chrobak Roger M. Krzyżewski

The main aim of the study was to evaluate whether the available brief test of mental functions Addenbrooke's cognitive examination III (ACE III) detects cognitive impairment in patients with cerebellar damage. The second goal was to show the ACE III cognitive impairment profile of patients with focal cerebellar lesions.The study sample consisted of 31 patients with focal cerebellar lesions, 78 patients with supratentorial brain damage, and 31 subjects after spine surgery or with spine degeneration considered as control group, free of organic brain damage. The ACE III was used.Patients with cerebellar damage obtained significantly lower results in the ACE III total score and in several subscales: attention, fluency, language, and visuospatial domains than healthy controls without brain damage. With the cut-off level of 89 points, the ACE III was characterized by the sensitivity of 71%, specificity of 72%, and accuracy of 72%. The cerebellar cognitive impairment profile was found to be "frontal-like" and similar to that observed in patients with anterior supratentorial brain damage, with decreased ability to retrieve previously learned material and its preserved recognition, impaired word fluency, and executive dysfunction. The results are consistent with cerebellar cognitive affective syndrome.The ACE III can be used as a sensitive screening tool to detect cognitive impairments in patients with cerebellar damage.

Brain damage

Verbal fluency test

Executive dysfunction

10.1093/arclin/acab045

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Internalization of athletic body ideal as a mediating variable between family influence and body image of young women. A cross-cultural study of polish, Italian, and Ukrainian women

Frontiers in Psychiatry (2023)

Bernadetta Izydorczyk Kaja Głomb Barbara Bętkowska-Korpała Tеtiana Yablonska Nataliya Bulatevych

Our aim was to analyze the strength of the family's influence on the internalization of the ideal of an athletic figure and, consequently, on the multifactorial image of the body, from the perspective of intercultural differences.A total of 488 healthy women aged 19-26; of Polish (154), Ukrainian (228), and Italian (106) took part in the study. The Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4) and the Multidimensional Body-Self Relations Questionnaire (MBSRQ 69) were used to measure athletic ideal internalization and family pressure. The body image of Ukrainian, Polish, and Italian women depends both on the degree of internalization the ideal of an athletic figure and influence of the family.The research also suggests significant differences between the three populations, which may suggest cultural differences between young women living in Eastern, Central, and South European countries.

Ukrainian

Internalization

10.3389/fpsyt.2023.1136079

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Comparison of cognitive functioning of elders with late-life depression and patients with and without a history of depressive episodes: a cross-sectional study

Psychology Health & Medicine (2020)

Anna Rajtar-Zembaty Jakub Rajtar-Zembaty Katarzyna Olszewska Roksana Epa Adrian Andrzej Chrobak

Nowadays there are numerous studies on the occurrence of cognitive dysfunction in late-life depression (LLD). The role of executive dysfunctions in the psychopathology of depression is particularly emphasized and needs further examination. The aim was to assess cognitive functions and their relation to depressive symptoms in elders with LLD, previously depressed, and patients without the history of depressive episodes. The study consisted of 824 older adults who underwent a neuropsychological evaluation (97 currently depressed, 114 previously depressed and 613 patients without the history of depressive episodes). LLD patients performed poorer in ACE-III and AVLT and poorer in TMT-B than those previously depressed and never depressed. The LLD group also performed significantly poorer than the previously depressed on Digit Span Forward. Results of a multiple regression analysis indicated that performance on measures of executive functioning was associated with depression severity in LLD (β =.227, P =.024). The results of this study suggest that executive functions are the most impaired in the elderly with LLD. Furthermore, there is a relationship between executive dysfunction and the severity of depression in LLD. Executive dysfunction appears to be the core neurocognitive deficit in LLD.

Late life depression

Executive dysfunction

Depression

Neurocognitive

Memory span

10.1080/13548506.2020.1859563

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Resilience as a protective factor in the development of post-traumatic stress disorder in patients hospitalised for COVID-19

Psychiatria i Psychologia Kliniczna (2024)

Katarzyna Olszewska-Turek Anna Laskowska-Wronarowicz Anna Pastuszak-Draxler Anna Starowicz‐Filip Jolanta Walczewska

Introduction and objective: Both the illness itself and hospitalisation due to COVID-19 are potentially traumatic experiences, especially when the course of the disease is severe. Resilience has been identified as a crucial factor in the process of successfully coping with traumatic events and may protect against the development of symptoms of post-traumatic stress disorder. The aim of this study was to determine the role of resilience in the prevention of post-traumatic stress disorder symptoms in patients requiring hospitalisation due to COVID-19. Materials and methods: A total of 138 patients (59 women, 79 men; mean age: 52.34 years; standard deviation, SD = 12.46) hospitalised at the University Hospital in Krakow were included in the study, which was conducted 7–8 months after their COVID-19 diagnosis. The PTSD Checklist for DSM-5 (PCL-5) and the Resilience Measurement Scale (SPP-25) were administered, and stepwise multiple regression analysis was used in the predictive models. Results: A total of 31 participants (22.5%) met the criteria for probable post-traumatic stress disorder symptoms. The study participants were characterised by a moderate level of resilience (5th sten), with women exhibiting lower levels than men. Higher levels of resilience were associated with lower severity of PTSD symptoms. A significant predictor of post-traumatic stress disorder symptoms was “Tolerance for failure and treating life as a challenge”. Conclusions: Resilience has an impact on the severity of symptoms of post-traumatic stress disorder. Specifically, the dimension of “Tolerance” within resilience appears to be an important protective factor against post-traumatic stress disorder symptoms after hospitalisation for COVID-19. Patients hospitalised with severe course of COVID-19 exhibit a moderate level of resilience, with men demonstrating higher resilience levels than women.

Resilience

Traumatic stress

Protective factor

2019-20 coronavirus outbreak

10.15557/pipk.2024.0014

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Quality of Life and Depressive Symptoms in Transcatheter Aortic Valve Implementation Patients—A Cross-Sectional Study

Healthcare (2022)

Katarzyna Olszewska-Turek Barbara Bętkowska-Korpała

Quality of life is an important factor influencing mood. In any group of elderly people undergoing valve implementation or surgical aortic valve replacement, one in three will have depressive symptoms. The aims of this study were as follows: 1. to evaluate the impact of health-related quality of life on depressive symptoms in elderly patients undergoing TAVI, and 2. to analyze beliefs about TAVI. Methods: A total of 131 elderly people (mean age: 82.1 ± 6.1 years) scheduled to receive TAVI completed the Geriatric Depression Scale, EQ-5D-3L, and Mini Mental State Examination. A total of 43 patients completed the questionnaires after the treatment. The narrative interview analyses were performed based on 20 randomly selected patients after TAVI. Results: The mean level of general depression before TAVI was 4.19 ± 2.83, and after it was 3.12 ± 2.52 (p = 0.02), and the frequency decreased from 20% to 3%. An increase in the level of activity and number of interests and a decrease in life satisfaction were identified. The higher the general quality of life was, the lower the levels of depressiveness before and after TAVI were (r = 0.26 vs. r = 0.48; p < 0.05). Conclusions: Patients differed in their depressive symptoms, as well as their intensity and frequency, before and after TAVI. These results underscore the importance of screening for depression at baseline and reassessing changes in depressiveness during follow-up.

Depression

Cross-sectional study

Geriatric Depression Scale

10.3390/healthcare10112211

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“Cerebellar cognitive affective syndrome CCAS – a case report”

Archives of Psychiatry and Psychotherapy (2013)

Anna Starowicz–Filip Olga Milczarek Stanisław Kwiatkowski Barbara Bętkowska-Korpała Katarzyna Prochwicz

Aim:The aim of the study was to describe a case of the patient with cerebellar cognitive affective syndrome CCAS,characterize the role of cerebellum in the regulation of cognitive functions and present the procedure of neuropsychological diagnosis useful in indicating the specific cognitive and emotional problems in patients with cerebellar damage. Case report:A 41- year old man with an ischemic cerebellar stroke of its right hemisphere manifested the neuropsychological symptoms typical for the frontal damage: euphoric mood, disorganized behavior, lack of criticism and mental plasticity, tendency to shorten the personal distance, problems with mistake correction. In neuropsychological diagnosis we used following methods: Raven Progressive Matrices Test, Mini Mental Stage Examination (MMSE), Trail Making Test, Wisconsin Card Sorting Test, Stroop Interference Test, Word Fluency Test, Auditory Verbal Learning Test by Łuria, Benton Visual Retention Test, Digit Span. Results:Analyzing the obtained results we observed the significant decrease of all executive functions: planning, abstract thinking, cognitive flexibility, adaptation to new situations as well as memory impairments and changes in emotional and behavioral state similar to frontal syndrome.The whole of impairments including the typical cerebellar symptoms (ataxia, dysarthria, dysmetria,hypotonia) create the cerebellar cognitive affective syndrome CCAS with leading role of dysexecutive syndrome. Conclusions:The cerebellum takes part in the regulation of cognitive functions. The cerebellar damages can imitate the emotional- cognitive problems of patients after frontal damages what additionally stress the functional link between these two brain structures. Patient’s with cerebellar damages should have neuropsychological and neuropsychiatric diagnosis and care.

Dysexecutive syndrome

Dysmetria

Trail Making Test

Cognitive flexibility

Neuropsychological Assessment

10.12740/app/18666

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Blood pressure and left verticle function in alcoholics

Arterial Hypertension (1997)

Marek Rajzer Danuta Czarnecka Jacek Dragan Barbara Bętkowska-Korpała Kalina Kawecka‐Jaszcz

Wstep: Celem badania byla ocena wplywu ostrej fazy odstawienia alkoholu etylowego na zachowanie sie ciśnienia tetniczego krwi, badanego metodą calodobowej nieinwazyjnej rejestracji (24-godz. ABPM), w zestawieniu z danymi po calomiesiecznej abstynencji, a takze ocena zmian w wydzielaniu insuliny i czynności lewej komory. Metoda: Po raz pierwszy miedzy 2. a 7. dniem od odstawienia alkoholu, a po raz drugi po 4 tygodniach abstynencji wykonano nastepujące badania: 24-godzinne ABPM, badania laboratoryjne (standardowy test doustnego obciązenia glukozą - SOGTT z oznaczeniem insulinemii w czasie trwania testu), badanie echokardiograficzne (2-D, M-Mode i badanie przeplywu transmitralnego (PW-Doppler). Istotnośc roznic wynikow pomiedzy obserwacjami zbadano testem t-Studenta, uznając je za wazne przy p Wyniki: W ostrym okresie odstawienia znamiennie wyzsze byly wartości średnie ciśnienia skurczowego - 121,6 ± 7,7 vs 115,8 ± 8,7 mm Hg, rozkurczowego - 74,5 ± 6,3 vs 72,0 ± 7,9 mm Hg, jak i ladunku ciśnienia. Wartości spadku nocnego i zmiennośc ciśnienia rozkurczowego byly nizsze. Ostra faza odstawienia alkoholu cechowala sie rowniez hiperinsulinemią (ln sumy wydzielonej w SOGTT insuliny) - 8,957 mU/l/min vs 8,558 mU/l/min (p Wnioski: Zaprzestanie picia alkoholu powoduje obnizenie ciśnienia tetniczego i poprawe jego dobowego profilu oraz poprawe czynności rozkurczowej lewej komory. Hiperinsulinemia obserwowana w ostrym okresie odstawienia wydaje sie byc odpowiedzialna za hiperdynamike krązenia.

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[Comprehensive treatment of nicotine dependence in patients with cardiovascular diseases--personal experience].

PubMed (2004)

Barbara Bętkowska-Korpała Piotr Jankowski Kalina Kawecka‐Jaszcz

To evaluate psychological factors influencing the effectiveness of smoking cessation using bupropion and psychological intervention in patients with cardiovascular diseases.A group of 59 patients (26 M, 33 F; mean age 44.2 +/- 10.2 years) identified among smokers admitted to the 1st Cardiac Department between 2000 and 2001 with hypertension (n = 46) and coronary artery disease (n = 13). Entry criteria to participate in a 7-week programme included nicotine dependence and no contraindications to bupropion. Pharmacotherapy was used in parallel with psychological interventions based upon cognitive and behavioural methods. The type and degree of nicotine dependence was measured using Fragerstrom tolerance questionnaire whereas motivation was scored according to the Schneider questionnaire. The severity of depression symptoms was measured by the Beck Depression Inventory.At 2 months and at one year after discontinuation of treatment 74.6% and 40% of the patients respectively maintained abstinence from smoking. Among patients with good therapeutic effects the level of motivation to quit smoking was higher (p < 0.001 vs. p < 0.007). The level of motivation was correlated with the severity of depression symptoms (p < 0.005) but not with nicotine dependence, age and sex. Motivation to stop smoking is related to the depression symptoms (beta = -0.32; p = -.01).Patients with initially higher motivation benefit more from treatment of nicotine dependence. The level of motivation is adversely affected by the depressive mode of functioning (negative cognitive patterns, learned helplessness). It appears necessary to take into account the assessment of depressive disorders when planning treatment of nicotine dependence in patients with cardiovascular diseases.

Bupropion

Discontinuation

Depression

Learned helplessness

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Evaluation of the usefulness of the E-POP application as a therapeutic program for reducing alcohol consumption in the time of the SARS-CoV-2 pandemic

Psychoterapia (2022)

Katarzyna Olszewska-Turek Robert Modrzyński Justyna Kotowska Barbara Bętkowska-Korpała

Cel pracy Celem badania była ocena aplikacji E-POP dokonana przez użytkowników terapeutycznego programu wpierającego ograniczanie picia alkoholu w dobie pandemii SARS-CoV-2. Metoda Badaniem objętych zostało 1854 użytkowników aplikacji E-POP. Wśród użytkowników było 1058 mężczyzn oraz 796 kobiet. Średnia wieku uczestników wyniosła 39,78 roku. Użytkownicy zainteresowani udziałem w programie logowali się anonimowo do aplikacji oraz akceptowali regulamin i wymagane zgody związane z przetwarzaniem danych. Do pracy terapeutycznej zarejestrowały się 503 osoby. Końcowej ewaluacji całego programu E-POP trwającego kilka miesięcy dokonało 37 osób. Na podstawie danych z aplikacji sporządzono charakterystykę demograficzną grupy użytkowników (płeć, wiek, liczebność na różnych etapach aplikacji) oraz przedstawiono ocenę aplikacji dokonanej przez użytkowników, którzy ukończyli 11-tygodniowy program terapeutyczny E-POP w okresie od marca 2020 do marca 2021w pięciu kategoriach. Wyniki Z całościowej liczby uczestników, którzy skorzystali z etapu „diagnostyczno-informacyjnego” w E-POP, do pracy terapeutycznej na etapie „czas na zmianę” zarejestrowało się ponad 27% osób. Uczestnicy, którzy w dniu zebrania danych z systemu ukończyli kilkumiesięczny program terapeutyczny E-POP (n = 38), oceniali go w pięciu wymiarach. Wyniki oceny aplikacji w całej grupie wskazują na najwyższą ocenę w zakresie poszerzania wiedzy i umiejętności w ograniczaniu picia (4,3/5), a także gotowości do polecenia innym tej aplikacji (4,27/5). Pozostałe oceny oscylują w granicach 4/5. Kobiety i mężczyźni nie różnili się istotnie w ocenie przydatności aplikacji w ograniczaniu picia. Wnioski Blisko 30 % użytkowników, z grupy osób korzystających z etapu „diagnostyczno-informacyjnego”, loguje się, korzystając z etapu terapeutycznego „czas na zmianę”. Aplikacja jest dobrze oceniana przez użytkowników, wskazują oni na duże zadowolenie i korzyść z używania programu. Aplikacja E-POP stanowi użyteczne narzędzie wspierające pracę nad ograniczeniem spożywania alkoholu, zwłaszcza w warunkach ograniczonej dostępności pomocy terapeutycznej w czasie pandemii SARS-CoV-2.

10.12740/pt/147018

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