|
|
Substance-use related psychiatric comorbidity among clients of aftercare programme
Horová, Eva ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Mental illness is a risk factor for the development of addiction, e.g. as a result of self-medication, and vice versa, addictive behavior can contribute to the development of mental illness. Disorders from the use of addictive substances concurrently with another mental disorder, the so-called "dual diagnosis", has a high prevalence among users of addictive substances. Clients with psychiatric comorbidity have a higher incidence of risky behavior or suicide and a higher need for services and care. Objective: The objective of this work was to determine the prevalence of psychiatric comorbidity associated with the use of addictive substances in clients using the services of a aftercare center and to describe the factors that accompany its occurrence. Methods: A secondary analysis of data was performed from the provided anonymized database of clients actively using the services of the aftercare center as of March 1, 2023. In addition to the sociodemographic data of the clients, data on the use of addictive substances, the nature of the addiction disorder, the presence of disorders in the field of mental health and factors, were analyzed which could influence their occurrence and clinical severity in the client. Results: The research group consisted of 79 clients of the outpatient and...
|
|
|
Prevalence of symptoms of HPPD among psychedelic substance users
Psárska, Simona ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Hallucinogen persisting perception disorder (HPPD) is a rare and understudied disorder affecting users of hallucinogenic substances. There is limited information on its pathogenesis, prevalence, course, and treatment options. With the increasing interest of both the professional and general public in the topic of psychedelics, it is appropriate to pay more attention to the issue of adverse effects of psychedelics, including HPPD. Aims: The aim of this thesis was to describe the prevalence of HPPD symptoms in psychedelic substance users, specifically their prevalence, course, and possible association with specific substances and psychedelic experiences. The aim was also to determine users' awareness of the risk of developing HPPD. Methods: Data were collected using an online cross-sectional survey posted on social media in groups of psychoactive substance users in February and March 2023. The study sample consisted of 158 adults with experience of using one or more psychedelic substances. Selection was non-random, with respondents entering the study on the basis of self-nomination. Results: 41,8% of respondents experienced abnormal visual phenomena. Of these, 4.5% reported limitations in daily functioning and 6.1% said they had considered seeking professional help. The proportion of...
|
|
|
The influence of education on nurses' attitudes towards alcohol-dependent patients
Dospivová, Hana ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Attitudes of professionals towards patients with alcohol use disorder play an important role in the process of treatment and recovery, both in of addiction as such and of the comorbid diseases. Attitudes are shaped by a number of factors and formed by awareness raising and educational interventions. This thesis describes the attitudes of nurses towards people with substance use disorders in the Czech Republic and evaluates the effect of educational intervention on these attitudes. Methodology: A longitudinal intervention study was conducted, which measured the attitudes before and after the educational intervention on a group of 40 nurses from different clinical units of the university hospital. The intervention consisted of the course that lasted 4 hours. The evaluation measurement was done 14 days before and 30 days after the intervention. The research was performed in September and October 2022. Results: The attitudes of nurses were found ambivalent. They considered alcohol use disorder to be a disease with multifactorial etiology, but at the same time their attitudes were stigmatizing and moralizing. Negative attitudes towards patients with alcohol use disorder were result of previous non-contextualized experience. The intervention changed these attitudes. There was found an...
|
|
|
Co-use of opioid analgesics with alcohol and/or benzodiazepines in patients with chronic non-cancer pain
Nováková, Daniela ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: The problem of the simultaneous use (co-use) of benzodiazepines (BZD) and/or alcohol in patients with a diagnosis of chronic non-cancer pain (CHNCP) using strong opioid analgesics (OA) is still poorly mapped in the Czech Republic. Aims: To map the prevalence of co-use of BZDs and alcohol among patients with CHNNB taking long-term prescription OA. To determine differences between co-using groups and not-co-using patients and to determine predictors of co-use. Design and setting: The research is based on a secondary analysis of data collected in the period from March 2019 to December 2019 in the form of an anonymous questionnaire survey among patients of nine pain treatment centers in the Czech Republic. For research purposes, clinical and sociodemographic data related to co-use obtained from a semi-structured (anamnestic) questionnaire and data from the standardized questionnaires Screener and Opioid Assessment for Patients with Pain (SOAPP-R), Opioid Risk Tool (ORT) and Emotional Thermometers (ET) were analyzed. Particpants: The sample consisted of 305 respondents older than 18 years with diagnosed chronic pain and treated with strong OA for at least three moths. Measurements: Descriptive analysis was performed using descriptive statistics methods. Mann- Whitney test, chi-square test,...
|
|
| |
|
|
Mapping of availability and structural characteristics of various types of addiction treatment and harm reduction services in Slovakia
Míčková, Gabriela ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Availability of services is an important parameter of the addiction care system. In Slovakia, the network of addiction services of various types is probably not as developed as in the Czech Republic, but the availability of specialized addiction care in Slovakia has not yet been sufficiently mapped. Aims: The aim of this bachelor thesis was to map all available addiction treatment services in Slovakia and also to map the structural characteristics of various types of addiction treatment and harm reduction services in Slovakia. Methods: The research part of this theses first consisted of mapping all available addiction treatment services in Slovakia in cooperation with key informants. Subsequently, a research file was created, used in the second part of the research - in a questionnaire survey devoted to the characteristics of individual services. The obtained data were exported to the Microsoft Excel and processed into tables and charts. Results: The results of the first part of the research showed that the network of addiction treatment services in Slovakia has significant shortcomings - mainly in terms of geographical accessibility for clients and the overall coverage of the various types of these services. On the other hand, the advantages of the addiction treatment services provided...
|
|
|
Clients' experience with seeking in-patient addiction treatment
Červenková, Nikola ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Accessibility is a crucial factor in entering addiction treatment. Barriers and facilitating factors of starting treatment are well known from the perspective of clients, professionals, and the system. However, the experience of clients with starting treatment and related factors are not described and characterized enough in the Czech Republic. Aims: The aim of this bachelor thesis was to describe how clients choose facilities and how does the process of starting in-patient addiction treatment looks like from clients' perspective, and what are the factors that influence this process. Methods: Quality research was conducted using semi-structured interviews with clients addicted to alcohol, in in-patient treatment. The sample consisted of 22 clients. The data was analysed using interpretive phenomenological analysis, respectively the method of creating themes. Results: Results showed that most of the respondents chose the organization based on the waiting period or because it was recommended by someone. Another theme was, that they picked it because of some specific characteristics (geographical accessibility, the length of treatment, strict regime). 4 factors which helped clients with starting treatment were analysed: enough information about treatment, previous experience with the...
|
|
|
Low THC cannabis products: market research
Vajdlová, Denisa ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Products with low content of the psychoactive tetrahydrocannabinol (THC) are a novelty on the market that has been growing in popularity in the Czech Republic and globally in recent years. This may be due to the high availability not only on the internet but also due to the promise of many positive medicinal effects. Aims: This thesis aims to describe the range of low THC products available on the Internet and to map the information available about these products when buying them on websites. The focus is on information on the composition of the products, their purpose, risks, or positive effects. Methods: The research sample was websites offering low THC cannabis products. To select relevant websites, a search string was used in the interface of the most popular internet search engine in the Czech Republic (Google). Once the target number of 30 websites was reached, a content analysis was carried out, focusing on predefined characteristics of the offered products. Results: The analysis showed that oils were the most offered by sellers, followed by edibles and dried flowers. The most common information provided by vendors was the composition and total quantity of the product. 20 e-shops indicated the nature (purpose) of at least some of the items, mostly offered as food supplements,...
|
|
| |
|
|
Visual conception of a film adaptation of script Marek Epstein "Vlci a psi"
Dubenský, David ; KOUTSKÁ, Kateřina (advisor) ; IBLOVÁ, Radmila (referee)
The practical part of thesis follows up the art processing of Mark Epsteins' screenplay Vlci a psi. The script is set in times after WW2, describing historical situation of the evacuation of Sudetenland Germans from previous Czechoslovakia in 1945.
The practical part itself shows visual concept and structure which is presented by drafts of decorations and scenes. The decorations are visualized by coloured perspective views, drafts of each building and schematic designs.
The teoretical part of the thesis is about analysis and parametres of stated films works that are very closely related to this issue and shows historical situation in film language. The visual part and its structure are shown in individual analysis.
Results of the teoretical part were one of the basis for definition and visualisation of the practical part of thesis. Last but not the least the study of historical links, documents and internet portals containing given topic were another important teoretical source.
These results of my thesis can be used as a source of interesting informations for a public, as an inpiration for film productions or as a study material for film
students.
|
guest ::
RSS feed.