... pa litij, lamotrigin in olanzapin (39, 44). Raziska-ve nakazujejo možnost, da vzdrževalno zdr... more ... pa litij, lamotrigin in olanzapin (39, 44). Raziska-ve nakazujejo možnost, da vzdrževalno zdravljenje z enim zdravilom v razvojnem obdobju ne bo zadosto-valo (1). Zdravljenje komorbidnih motenj Bipolarni motnji v razvojnem ...
ObjectiveMost guidelines for the management of aggressive behavior in acute psychiatric patients ... more ObjectiveMost guidelines for the management of aggressive behavior in acute psychiatric patients describe the use of de-escalation as the first-choice method, but the evidence for its effectiveness is inconsistent. The aim of the study was to assess the effect of verbal and non-verbal de-escalation on the incidence and severity of aggression and the use of physical restraints in acute psychiatric wards.MethodsA multi-center cluster randomized study was conducted in the acute wards of all psychiatric hospitals in Slovenia. The research was carried out in two phases, a baseline period of five consecutive months and an intervention period of the same five consecutive months in the following year. The intervention was implemented after the baseline period and included training in verbal and non-verbal de-escalation techniques for the staff teams on experimental wards.ResultsIn the baseline study period, there were no significant differences in the incidence of aggressive behavior and ph...
Background: People with mental disorders are among the most stigmatized and vulnerable members of... more Background: People with mental disorders are among the most stigmatized and vulnerable members of society. Our research study intended to determine the medical students’ attitude toward mental disorders, the presence of stigma, and whether either changed throughout their six-year medical education. Methods: The sample included 200 medical students of the University of Maribor. Empirical data were collected using the CAMI scale (Community Attitudes Towards the Mentally Ill), the Comparison of Attitudes of Patients and Students in Slovenia questionnaire, and additional questions regarding specific mental disorders. The results were processed using the SPSS 25 program. Descriptive statistics methods were applied, including the ANOVA test. Statistically, significant correlations and differences were checked at a 5% risk level. Results: The students strongly agreed with the positive statements and disagreed with the negative statements on the CAMI scale (MV=3.93; SD=0.34; p=0.046). No si...
The present study is the first to examine both the implicit and explicit self-concept of identity... more The present study is the first to examine both the implicit and explicit self-concept of identity diffusion in a sample of adolescent patients with borderline personality disorder (BPD). A clinical sample of adolescent girls with diagnosed BPD (N = 30; M age = 15.9 years) and a sample of girls with a healthy personality development (N = 33; M age = 16.6 years) completed an implicit association test (IAT) that was adjusted to identity diffusion, the core of BPD. Common domains of child and adolescent psychopathology and core components of BPD were assessed using self-reports on the Strengths and Difficulties Questionnaire (SDQ), the Borderline Personality Features Scale for Children—11 (BPFSC-11) and the Assessment of Identity Development in Adolescence (AIDA). BPD patients scored significantly higher on explicit measures of borderline pathology than girls with a healthy personality development. A crucial finding for this study was that girls with BPD had a significantly lower implic...
Zdravniski Vestnik-slovenian Medical Journal, 2014
Causes of aggressive behaviour in children and adolescents are manifold with exogenous and endoge... more Causes of aggressive behaviour in children and adolescents are manifold with exogenous and endogenous factors such as personality traits, temperament, family, socio-cultural, economic and financial factors closely intertwined. Aggressive behaviour, however, can also be associated with mental disorders and this is the topic discussed by the present article. Isolated and occasional outbursts of anger, aggressiveness and rage in children and adolescents can often be confused with conduct disorder. However, conduct disorder is characterised by a stable aggressive behavioural pattern, recurrently violating either the basic rights of the others or of the generally accepted social norms. Aggressive behaviour can also be present in Oppositional Defiant Disorder (ODD), Attention Deficit Hyperkinetic Disorder (ADHD), affective and psychotic disorders, autistic spectrum disorders and in some other developmental neurological disorders including intellectual disability ‒ but only as a possible a...
Slovenija, žal, zaseda prva mesta po samomorilnem kolicniku v Evropi in tudi vsvetu. Med mladostn... more Slovenija, žal, zaseda prva mesta po samomorilnem kolicniku v Evropi in tudi vsvetu. Med mladostniki beležimo 15-20 samomorov na leto. Samomori so izjemno redki med otroki. Med mladostniki gre vecinoma za impulzivno odlocitev za samomor, lahko pa najdemo v ozadju samomora tudi resno psihopatologijo ali dusevno motnjo. Ce gre v ozadju samomora za dusevno motnjo, so to najpogosteje depresija, vedenjska motnja, skodljivo uživanje ali zloraba psihoaktivnih snovi, vkljucno z alkoholom, in osebnostne motnje. Drugace je pri samomorilnem vedenju, ki vecinoma ni posledica izolirane dusevne motnje, akutne travmatske izkusnje ali subjektivno pomembne izgube, ampak sestevek neugodnega razvojnega procesa, pri katerem je prislo do kopicenja neugodnih dejavnikov na razlicnih podrocjih. Pri ocenjevanju stopnje tveganja nekega samomorilnega vedenja je treba poznati vse posebnosti razvojnega obdobja. Pri mladostniku obcasna samomorilna razmisljanja sama po sebi se ne pomenijo visokega samomorilnega t...
... pa litij, lamotrigin in olanzapin (39, 44). Raziska-ve nakazujejo možnost, da vzdrževalno zdr... more ... pa litij, lamotrigin in olanzapin (39, 44). Raziska-ve nakazujejo možnost, da vzdrževalno zdravljenje z enim zdravilom v razvojnem obdobju ne bo zadosto-valo (1). Zdravljenje komorbidnih motenj Bipolarni motnji v razvojnem ...
ObjectiveMost guidelines for the management of aggressive behavior in acute psychiatric patients ... more ObjectiveMost guidelines for the management of aggressive behavior in acute psychiatric patients describe the use of de-escalation as the first-choice method, but the evidence for its effectiveness is inconsistent. The aim of the study was to assess the effect of verbal and non-verbal de-escalation on the incidence and severity of aggression and the use of physical restraints in acute psychiatric wards.MethodsA multi-center cluster randomized study was conducted in the acute wards of all psychiatric hospitals in Slovenia. The research was carried out in two phases, a baseline period of five consecutive months and an intervention period of the same five consecutive months in the following year. The intervention was implemented after the baseline period and included training in verbal and non-verbal de-escalation techniques for the staff teams on experimental wards.ResultsIn the baseline study period, there were no significant differences in the incidence of aggressive behavior and ph...
Background: People with mental disorders are among the most stigmatized and vulnerable members of... more Background: People with mental disorders are among the most stigmatized and vulnerable members of society. Our research study intended to determine the medical students’ attitude toward mental disorders, the presence of stigma, and whether either changed throughout their six-year medical education. Methods: The sample included 200 medical students of the University of Maribor. Empirical data were collected using the CAMI scale (Community Attitudes Towards the Mentally Ill), the Comparison of Attitudes of Patients and Students in Slovenia questionnaire, and additional questions regarding specific mental disorders. The results were processed using the SPSS 25 program. Descriptive statistics methods were applied, including the ANOVA test. Statistically, significant correlations and differences were checked at a 5% risk level. Results: The students strongly agreed with the positive statements and disagreed with the negative statements on the CAMI scale (MV=3.93; SD=0.34; p=0.046). No si...
The present study is the first to examine both the implicit and explicit self-concept of identity... more The present study is the first to examine both the implicit and explicit self-concept of identity diffusion in a sample of adolescent patients with borderline personality disorder (BPD). A clinical sample of adolescent girls with diagnosed BPD (N = 30; M age = 15.9 years) and a sample of girls with a healthy personality development (N = 33; M age = 16.6 years) completed an implicit association test (IAT) that was adjusted to identity diffusion, the core of BPD. Common domains of child and adolescent psychopathology and core components of BPD were assessed using self-reports on the Strengths and Difficulties Questionnaire (SDQ), the Borderline Personality Features Scale for Children—11 (BPFSC-11) and the Assessment of Identity Development in Adolescence (AIDA). BPD patients scored significantly higher on explicit measures of borderline pathology than girls with a healthy personality development. A crucial finding for this study was that girls with BPD had a significantly lower implic...
Zdravniski Vestnik-slovenian Medical Journal, 2014
Causes of aggressive behaviour in children and adolescents are manifold with exogenous and endoge... more Causes of aggressive behaviour in children and adolescents are manifold with exogenous and endogenous factors such as personality traits, temperament, family, socio-cultural, economic and financial factors closely intertwined. Aggressive behaviour, however, can also be associated with mental disorders and this is the topic discussed by the present article. Isolated and occasional outbursts of anger, aggressiveness and rage in children and adolescents can often be confused with conduct disorder. However, conduct disorder is characterised by a stable aggressive behavioural pattern, recurrently violating either the basic rights of the others or of the generally accepted social norms. Aggressive behaviour can also be present in Oppositional Defiant Disorder (ODD), Attention Deficit Hyperkinetic Disorder (ADHD), affective and psychotic disorders, autistic spectrum disorders and in some other developmental neurological disorders including intellectual disability ‒ but only as a possible a...
Slovenija, žal, zaseda prva mesta po samomorilnem kolicniku v Evropi in tudi vsvetu. Med mladostn... more Slovenija, žal, zaseda prva mesta po samomorilnem kolicniku v Evropi in tudi vsvetu. Med mladostniki beležimo 15-20 samomorov na leto. Samomori so izjemno redki med otroki. Med mladostniki gre vecinoma za impulzivno odlocitev za samomor, lahko pa najdemo v ozadju samomora tudi resno psihopatologijo ali dusevno motnjo. Ce gre v ozadju samomora za dusevno motnjo, so to najpogosteje depresija, vedenjska motnja, skodljivo uživanje ali zloraba psihoaktivnih snovi, vkljucno z alkoholom, in osebnostne motnje. Drugace je pri samomorilnem vedenju, ki vecinoma ni posledica izolirane dusevne motnje, akutne travmatske izkusnje ali subjektivno pomembne izgube, ampak sestevek neugodnega razvojnega procesa, pri katerem je prislo do kopicenja neugodnih dejavnikov na razlicnih podrocjih. Pri ocenjevanju stopnje tveganja nekega samomorilnega vedenja je treba poznati vse posebnosti razvojnega obdobja. Pri mladostniku obcasna samomorilna razmisljanja sama po sebi se ne pomenijo visokega samomorilnega t...
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