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Sexuality and sexual behaviour in patients with bulimia neurosa
Kubešová, Jana ; Weiss, Petr (advisor) ; Hrachovinová, Tamara (referee)
The authors deal with Sexual Behavior in Eating Disorders, especially in patiens with Bulimia Nervosa. In patiens with Eating Disorders we observe distortion of body image and negative affeetive evaluation of one's own body and personality, like a eommon symptoms. We assumed, the symptoms may influenee bulimie patienť s sexuality and sexual behavior. On the other side, we assumed the speeifie psyehosexual development, sexual experienees in ehildhood and personality features in bulimie patients ean also be a reason of Eating Disorder. Our question is: What is the sexuality and sexual behavior in bulimie patiens? We present our researeh on women, who are nowadays treated for Bulimia Nervosa. We speeially foeus on Coital Debut, Masturbation, Sexual Aetivities with a Sexual Partner, Sexual Exeitement, Sexual Disorders, Number of Sexual Partners, Sexual Orientation and Sexual Satisfaetion. In eomparison to normal ezeeh population in age 18-29 years, we observe these differenees. Patients have had a first relationship at higher age, they also have had a higher number of relatonships and higher number of sexual partners. More bulimie patients have had experienees with masturbation and most of them are stili masturbating. Patients do not have orgasm during the sexual intereourse so often as normal population and...
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Comorbid occurrence of eating disorders with substance abuse in different medical centers and possibilities of psychotherapeutic influence
Růžičková, Nikola ; Hrachovinová, Tamara (referee)
This thesis is focused on the research of comorbidity of eating disorders with substance use. The theoretical part defines the various addictive substances and describes their harmful use, addiction and bio-psycho-socio-spiritual model of addiction. The work describes the types of eating disorders- anorexia nervosa, bulimia nervosa and psychogenic overeating. The aim of the research was to describe the prevalence of women with eating disorders who at the same time use some of the addictive substances including alcohol. Another goal was to describe whether there is a difference between the types of eating disorders and preferences for specific drugs, and as well, to describe which eating disorder uses alcohol the most. This work also describes the possibilities of psychotherapy for people with this comorbidity. It was used the method of triangulation to collect the data. The first source of the information was a test battery, consisting of the EAT-26 questionnaire, AUDIT questionnaire and the last one is questionnaire orientated to drug use. The second source of information was a focus group and the last source were four case studies. This study confirmed that the diagnosis of bulimia nervosa tends to drug use the most. Just behind them are the patients diagnosed with psychogenic overeating have a...
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Life satisfaction in somatic patients
Kolínová, Magdaléna ; Hrachovinová, Tamara (advisor) ; Niederlová, Markéta (referee)
The diploma thesis is focused on evaluating changes in quality of life in overweight and obese persons. The theoretical part discusses quality of life, various aspects of obesity and the most relevant psychological context. The empirical part includes two studies: 1. Study in overweight / obese persons undergoing physical activity intervention - walking, lasting up to 1 year, and covering 24 female participants. The intervention resulted in a significant effect on the quality of life, assessed using the following instruments: IWQOL-Lite, OWLQOL and WRSM. 2. Study in overweight / obese persons undergoing STOB basic intervention lasting 12 weeks, and covering 17 female participants. The intervention resulted in a significant effect on the quality of life, assessed using the following instruments: IWQOL-Lite, OWLQOL and WRSM. Changes in self-esteem and self-efficacy were also assessed in this population using the instruments: RSE and GSE, respectively. Statistical significance was not achieved in either of these cases, although a trend toward change could be seen according to RSE and GSE, respectively. Keywords: Life satisfaction; quality of life; obesity; physical activity intervention; STOB
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Mechanism of patients with anorexia nervosa
Ježková, Tereza ; Hrachovinová, Tamara (advisor) ; Šivicová, Gabriela (referee)
The Defence Style Questionnaire which assesses three factors of defence mechanisms ( mature, neurotic, immature) was completed by 44 anorexie women aged from 14 to 30 years, and 121 healthy women. The Thematic Apperception Test used to assess ego developpement and defence was completed by 15 patients. We found that the anorexie women differ from the healthy population in use of neurotic and immature defence mechanisms. In contrast, no difference was found between restrictive and purgative patients who do not differ in any factor of the Defence Style Questionnaire.
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The influence of depression on cognitive functions in the remission period. What changes can be observed in cognitive functions during the course of mood improvement until the remission period?
Dušánková, Erika ; Preiss, Marek (advisor) ; Hrachovinová, Tamara (referee)
The aim of this study is to summarize a research on cognitive functions and depressive disorder with focus on the remission period and to map, on this background, using a longitudinal design, changes in cognitive performance of the depressive patients during the course of mood improvement until the remission period. We set together a test battery consisting of two cognitive functions measures (AVLT, Letter-number sequencing), two mood rating instruments (BDI, MADRS) and two additional questionnaires (Unfavourable-events questionnaire and Social support Survey - MOS). We included an interview, as well. The research took place in Prague psychiatric centre. The sample consisted of 10 inpatients with unipolar depressive disorder according to ICD-10. 4 of the patients were excluded - 2 of them for deeper mood impairment and other 2 for early discharge from the clinic. Only 2 of the remaining 6 patients achieved remission. We present their case studies in this thesis. The conclusion of this study is that the image of cognitive performance in depressed patients can be various. All patients experienced subjective cognitive performance impairment and work ability impairment. We didn't observe, in some of the patients, cognitive performance impairment in the neuropsychological measures used. When cognitive impairment...
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Psychosocial aspects of chronic disease cystic fibrosis - coping
Hodková, Pavla ; Hrachovinová, Tamara (advisor) ; Kebza, Vladimír (referee)
The Diploma Thesis is dealing with the role of coping strategies in a chronic disease with a special interest in a cystic fibrosis (CF) disorder. In the Introduction section the biology nature of the CF, its psychology impact, as well as, techniques of coping in the respect to chronic disease, mainly to CF, are presented. Moreover, the possibility of a psychology intervention is discussed. Experimental section is devoted to the research performed with the group of 104 individuals of which 63 were parents of CF patients and 41 were adult CF patients. In order to examine coping strategies used in the selected CF groups Cystic Fibrosis Coping Scale Questionary was applied. Obtained data were statistically interpreted using a SPSS software. Results of paired Student's t-test show partial significant differences in coping strategies between groups of adults CF patients and parents of CF patients, groups of men and women, and in group of parents of CF patients classified according to their age. However, in the group of parents no statistically significant differences in relation to the age of their sick children were found.
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The quality of life
Faťunová, Zuzana ; Hrachovinová, Tamara (advisor) ; Kebza, Vladimír (referee)
The quality of life have been a subejct of many studies and thesis for about last fifteen years. This work presents the concept of quality of life, especially from the view of the psychology and the medicine. There are discussed some methodological problems of the measuring and the evaluation of the health-related quality of life and there are also described basic and inportant instruments used in clinical studies. The aim of the second practical part is to illustrate a use of an instrument in a concrete situation - in the evaluation of the health-related quality of life of patients with coronary disease.
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Psychological aspects of obesity in adolescence
Pešková, Barbora ; Hrachovinová, Tamara (advisor) ; Morávková Krejčová, Lenka (referee)
The thesis deals with obesity in adolescent population and with its psychological aspects. At first it focuses on obesity from the medical point of view. It presents diagnostics, epidemiology and etiology of obesity. Subsequent chapters describe complications and treatment options of obesity considering the period of adolescence. The larger part of the thesis analyses the psychosocial aspects of obesity. It focuses on the personality of obese adolescents, on family lifestyle and relationships with peers. Furthermore it analyses the issue of incidence of pathology with a focus on eating disorders. The empirical part proposes a research design which focuses on relationships between obese adolescents and their peers. Keywords: Obesity in adolescence, personality, body image, eating disorders, peer relationships
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Stigmatization towards persons with higher body-weight
Beníčková, Tereza ; Hrachovinová, Tamara (advisor) ; Rodriguez Manchola, Mabel Virginia (referee)
Over the last few decades, the prevalence of overweight and obesity has increased dramatically, with increased interest in the issue of stigmatization of overweight and obese people. The theoretical part of this thesis summarizes the existing knowledge in this area and describes the form of weight stigma in various areas of life - in the work area, in medical care and in the media. Foreign studies claim that weight stigma is not only present in these and other areas of life, but that it has various negative effects on the psyche and health of a stigmatized individual. Although research in this area is at an early stage, there is already evidence of a relationship of weight stigma and pathological eating behavior, affective disorders or negative body image. However, psychological intervention and therapy offer satisfactory tools to work with the stigmatization theme. The weight stigma is not a topic in the Czech Republic, despite its expanding abroad. The research carried out within the empirical part of the thesis is an initial attempt to map out the phenomenon of stigmatization of overweight and obese people in the Czech environment. For the purpose of the thesis, a questionnaire was drawn up and subsequently used in experimental design. The questionnaire investigated whether the assessment of...
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