Total hip replacement is one of the most successful orthopaedic interventions in improving considerably the patients' performance, nevertheless some patients demonstrate declined functional ability following an operation. Such condition is not a consequence of medical illness or the surgery itself but might rather be associated with mental status. The authors conduct an investigation concerning the relation between some psychological and psychiatric factors and their influence on health-related quality of life in patients after total hip replacement.Methods: Into the study group we included 102 subjects undergoing total hip replacement (59 female, 43 male). In all subjects we measured depression (Beck Depression Inventory – BDI), anxiety (State and Trait Anxiety Inventory – STAI), sense of coherence (SOC-29), personality traits (Eysenck Personality Inventory – EPI) and health related quality of life (SF-36).Results: The postoperative values of the PCS and the MCS for the whole group of patients correlated negatively with the SOC values (p= 0.04 andp= 0.03 respectively). Neuroticism (EPI) and anxiety as a trait (STAI) were also associated with postoperative performance, both in mental (p= 0.03 andp= 0.008 respectively) and physical (p= 0.005 andp= 0.04 respectively terms).Conclusion: Total hip replacement improves significantly the patient’s health-related quality of life at 6 months after surgery, what is influenced by sense of coherence, neuroticism and anxiety as a trait. Above mentioned factors should be taken into account when rehabilitation and social readaptation processes are planned.

Objective: Dehydroepiandrosterone sulfate (DHEA-S) decline in chronic urticaria (CU) may be involved in etiopathogenesis of the disease or is a secondary phenomenon resulting e.g. from psychological distress. The relation between mental stress and skin diseases is well documented, however not focused on urticaria. We sought to explore the association of mood disturbances and the sense of coherence (SOC), as psychological distress parameters, and DHEA-S decline in patients suffering from CU. Methods: The patient sample included 54 subjects with active CU. Fifty-nine healthy subjects were enrolled in the control group. In all subjects DHEA-S serum concentration was measured and mental status analyzed using the State and Trait Anxiety Inventory, SOC Questionnaire and Beck Depression Inventory. Results: Urticaria patients showed lower serum concentration of DHEA-S (p = .01) and lower level of the SOC (p = .009), as well as higher level of anxiety as a state (p < .001) and as a trait (p = .001), and higher level of depression (p = .003). DHEA-S concentration correlated negatively with the level of anxiety as a trait (p = .02) and the level of depression (p = .046), and positively with the SOC level (p = .03). Conclusions: The results of the present study show that CU patients suffer from the psychological distress. We demonstrated for the first time that DHEA-S decline observed in CU patients might be a phenomenon secondary to psychological disturbances. ASST = autologous serum skin test; BDI = Beck Depression Inventory; CU = chronic urticaria; D = level of depression; DHEA = dehydroepiandrosterone; DHEA-S = dehydroepiandrosterone sulfate; SOC = sense of coherence; SOC-29 = Sense of Coherence Questionnaire; STAI = State-Trait Anxiety Inventory; X1 = level of anxiety as a state; X2 = level of anxiety as a trait.

Aim: The aim of this study was to evaluate health-promoting behaviors as a factor supporting life satisfaction and a protective factor against stress in a group of Polish medical students during the third wave of the SARS-CoV-2 pandemic. Material: The study was conducted in October–December 2021. There were 306 people, including 203 students in the 1st year of medicine, aged 20.42 ± 1.92 years, and 103 students in the 5th year of medicine, aged 24.88 ± 1.7 years. Methods: The following were used: the Satisfaction with Life Scale (SWLS), the Health Behavior Inventory (IZZ), and the Perceived Stress Scale (PSS-10). The survey was conducted online. Results: In the study group, the average result of 23.66 ± 5.97 was obtained in the life satisfaction questionnaire. In the overall assessment of health behaviors (IZZ), an average score of 80.06 ± 13.81 points was obtained. In the PSS-10 questionnaire, the respondents obtained an average of 21.10 ± 5.89 points. There were significant, negative correlations between the results obtained in the health behavior inventory with the results obtained in the stress scale and positive correlations with the results obtained in the life satisfaction scale. Moreover, in the assessment of the influence of prohealth behavior parameters on perceived stress and life satisfaction, a positive effect of PMA on life satisfaction was demonstrated, as well as a protective effect of Positive Mental Attitude (PMA) and Prohealth Activities (PhA) in relation to stress. Conclusions: Life in the period of the third wave of the pandemic was assessed by medical students as moderately satisfactory. Significant intensity of stress negatively correlated with life satisfaction. Health-promoting behaviors, and especially positive mental attitudes, seem to play a protective role in stressful situations and improve life satisfaction.

Aim: To evaluate the incidence and severity of the impairment of selected cognitive functions in patients after sudden cardiac arrest (SCA) in comparison to patients after myocardial infarction without SCA and healthy subjects and to analyze the influence of sociodemographic and clinical...

Cel: Celem pracy była ocena częstości występowania objawów depresji i lęku u pacjentów po nagłym zatrzymaniu krążenia (NZK) w odniesieniu do osób po przebytym zawale mięśnia sercowego bez NZK i osób zdrowych. Dokonano także analizy wpływu wybranych parametrów socjodemograficznych i klinicznych oraz czasu trwania NZK na obecność i nasilenie objawów depresyjnych i lękowych w poszczególnych grupach.Metoda: W badaniu wzięło udział 30 osób po NZK i 31 osób po zawale serca bez NZK. Grupę kontrolną utworzyło 30 osób zdrowych. Do oceny stanu psychicznego użyto oryginalnie opracowanego kwestionariusza, a obecność i nasilenie badanych objawów oceniano Skalą Depresji Hamiltona (HDRS) i Skalą Lęku Hamiltona (HAMA-A).Wyniki: Wykazano istotnie statystycznie wyższy średni poziom depresji i częstsze występowanie lęku u osób po nagłym zatrzymaniu krążenia (grupa badana) i po zawale serca (grupa odniesienia) w porównaniu z grupą kontrolną. Nie zanotowano istotnych statystycznie różnic pomiędzy występowaniem lęku w grupie badanej i odniesienia. Nie wykazano wpływu czasu zatrzymania krążenia na występowanie objawów depresji i lęku w badanej grupie.Wnioski: W grupie osób po przebytym NZK najczęstszym zaburzeniem psychicznym jest depresja. Zaburzenia depresyjne i lękowe występują w grupie pacjentów po przebytym NZK istotnie częściej niż u osób zdrowych. Nie odnotowano różnic w częstości występowania i nasilenia objawów depresji u osób po NZK w porównaniu do chorych po zawale serca, którzy nie doświadczyli NZK. Opisywane wybrane parametry socjodemograficzne i kliniczne nie miały wpływu na występowanie objawów depresji i lęku w badanych grupach.