Addiction is a complex psychosocial problem that has significant psychosocial effects on family members. The aim of this study is to gain insight into the burden and psychological distress suffered by caregivers of drug abusers. Ninety-nine caregivers of hard drug addicts participated in this study. The test group consisted of 50 participants and the control group had 49 participants. The participants filled out the General Demographic Questionnaire; Caregiving and the Experience of Subjective and Objective Burden; SCL-90-R; and WHOQOL-BREF. Caregivers of addicts who were preparing to join the community exhibited a significantly higher objective burden, subjective burden, subjective stress burden and greater psychological distress in comparison to caregivers of addicts in the community, and their quality of life was poorer (p < 0.001). The following showed to be risk factors for psychological distress: families with a greater number of children, marital, employment and economic status and duration of addiction. The protective factors were better quality of life, long-term marriage and higher education level of caregivers. Caring for addicts who are living with their families is a significant responsibility and burden for caregivers.
Background: It is well-known that rotating shift work disrupts the circadian rhythm and sleep quality in nurses. With this study, we aimed to compare subjectively and objectively measured sleep quality in nurses, specifically focusing on any differences that arose in relation to shift work. Methods: This prospective, observational, cross-sectional study was conducted in 2025 in Croatia; a total of 140 nurses participated. Sleep was assessed using the Pittsburgh Sleep Quality Index (PSQI) and FitBit Charge 3 smartwatch, which monitored sleep over an eight-day period. Results: Most nurses rated their sleep as good or very good, but according to the PSQI questionnaire, all participants were classified as poor sleepers (PSQI > 5). Objective smartwatch measurements showed that nurses working only day shifts had higher sleep scores (median 77, IQR 75–80 vs. 73, IQR 68–76; p < 0.001), significantly longer total sleep duration (median 6.4, IQR 6.3–7.1 vs. 5.5, IQR 5.2–6.2 h; p < 0.001), and longer durations of all sleep stages compared with those working rotating shifts. Conclusions: Most nurses subjectively rated their sleep as good or very good; however, according to the PSQI questionnaire results, all were classified as poor sleepers, with no significant difference related to shift work. Objective measurements using the smartwatch indicated that rotating shift work is associated with significantly poorer sleep quality.
Background: Conflicts are an inevitable part of interpersonal relationships, and personality traits influence how they are resolved. In the nursing work environment, conflicts often arise from poor communication and stress, negatively impacting nurses’ well-being and quality of care. The “Big Five” personality model highlights how traits such as extraversion, agreeableness, and emotional stability shape conflict approaches. Understanding these traits aids in developing effective conflict management strategies. This study investigates intragroup conflicts among nurses by identifying their types and examining how sociodemographic factors and personality traits predict their occurrence. The aim is to provide insights that support targeted interventions and improve team dynamics in nursing practice. Methods: The study was conducted as a cross-sectional analysis within the University Hospital Centre Osijek from March to August 2024, involving nurses and technicians. Data was collected using structured questionnaires with clearly defined inclusion and exclusion criteria. The questionnaire included the Process Conflict Scale, the Big Five Inventory, and a Demographic questionnaire. Appropriate statistical analyses were conducted, including descriptive statistics, normality testing with the Kolmogorov–Smirnov test, non-parametric Spearman and Point-Biserial correlations, and linear regression to examine predictors of intragroup conflicts. All assumptions for regression were met, with significance set at p < 0.05, and analyses were performed using JASP software version 0.17.2.1. Results: The research reveals significant differences among various types of team conflicts, where personality traits such as neuroticism increase, while conscientiousness decreases conflicts. The professional competence of respondents also positively correlates with logistical conflicts, and personality explains the variance in conflicts among nurses. Conclusions: Intragroup conflicts among nurses, particularly task-related, stem from communication issues and high care standards. Neuroticism negatively affects team dynamics, while conscientiousness can reduce conflicts but may also lead to disagreements if expectations are unmet. Education on conflict management and clearly defined roles can improve teamwork and quality of care.
Background: Hallucinations involve sensing things such as visions, sounds, or smells that seem real but are not. These things are created by the mind. However, little is known about the distribution of incident hallucinations in the community. This paper aims to examine manifestation and frequency of the hallucinatory experiences within the general Croatian population. Methods: The instrument of the survey is Chicago Hallucination Assessment Tool (CHAT). The study included 521 examinees; 284 females (54.5%) and males 237 (45.5%). Results: There was a manifestation of all types of hallucinatory experiences determined. Out of all of the participants 17% listed that they experienced acoustic hallucinations during their lifetime, 15% said that they have experienced visual hallucinations, 12% olfactory hallucinations, 10% gustatory and 12% tactile/cenesthetic hallucinations. Conclusion: The results of this research have indicated that simple hallucinations were mostly represented among the general Croatian population and those more complex were represented less which is a positive thing because of its prominent clinical significance. The contribution of this study is the possibility of comparisons with studies from different regions of Europe and the world. This is another component in a better understanding of the incidence of hallucinations in the general population. The data we have obtained puts us on the map of countries trying to raise awareness of a topic that needs to acquire more attention.
Patients undergoing hemodialysis often experience reduced quality of life, with psychological symptoms and nutritional risk representing important determinants of patient functioning. This study aimed to examine the relationships between depression, anxiety, stress, nutritional risk, mental health, and physical functioning in patients undergoing hemodialysis, with particular emphasis on the mediating role of mental health. A cross-sectional study was conducted among 199 patients receiving hemodialysis in five Croatian hospitals. Depression, anxiety, and stress were assessed using the DASS-42, quality of life using the SF-36, and nutritional risk using the NRS-2002. Associations between variables were examined using Spearman’s correlation coefficient, while structural equation modeling was used to analyze direct and indirect relationships among psychological symptoms, nutritional risk, mental health, and physical functioning. Depression and stress showed significant negative effects on mental health, while mental health showed a significant positive effect on physical functioning. Nutritional risk had a significant direct negative effect on physical functioning. Mental health significantly mediated the relationship between depression and stress and physical functioning. These findings indicate that psychological symptoms and nutritional risk are important determinants of functioning and quality of life in hemodialysis patients and support the need for an integrated care approach that includes regular psychological and nutritional screening.