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Aggression in patiens with psychosis
Nichtová, Andrea ; Vevera, Jan (advisor) ; Papežová, Hana (referee) ; Končelíková, Dana (referee)
Most psychiatric patients do not behave aggressively, but they very often become victims of aggressive behaviour. However, in the practical part of this work, we focused on the phenomenon of aggressive behaviour in psychotic patients, and we address victimization of psychotic patients in the theoretical part because it is one of the most important predictors of aggressive behaviour not only in psychiatric patients but also in the general population. In the literature, we encounter three basic immediate causes of aggressive behaviour - psychotic, impulsive, and predatory (planned) - which we observed in hospital conditions. Specifically, we focused on impulsive behaviour in aggressive patients, given that it is assumed that psychotic patients have difficulties in this area. The aim of this study was to examine the immediate causes of aggressive behaviour and provide data from the Czech Republic on their prevalence. Another goal was to determine whether the factor structure in our work is consistent with the three hypothesized factors described by Nolan et al. Another goal was to explore impulsive behaviour in psychotic patients in light of the reported reduced impulse control and emotional dysregulation associated with the emergence of aggressive behaviour in psychotic patients. The study aimed to...
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Experiencing of schizophrenia and staying atdepartment of psychiatry
Podstavková, Cecílie ; Goldmann, Petr (advisor) ; Soukupová, Tereza (referee)
A theme of this bachelor thesis is a subjective experience of psychosis and stay at department of psychiatry. The aim of this thesis is to provide a view into psychosis from patients' prism as well as an effort to map their experiences in a certain way by searching for common features. A theoretical part of the thesis outlines a concept of psychosis or more precisely mainly a concept of schizophrenia from several points of view - psychiatric, psychological theories of S. Freud and C. G. Jung, socially developmental, cognitive, constructivist and also alternative point of view. It also briefly deals with issues concerning experience with regard to pathology of psychosis and options of its treatment. An empirical part of the thesis which is based on the author's personal research created using a grounded theory describes experiences of five respondents from psychiatric ward and also experiencing of psychosis focusing on a psychotic episode. The questions in the research are also focused on reasons of hospitalization, individuals' understanding of a situation, influence of psychosis on other people, contribution or disfavour of hospitalization or treatment. Keywords: Psychosis, schizophrenia, experiencing, experience, subjectivity, department of psychiatry, hospitalization, treatment.
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Religious Interpretation of Psychotic Illness. How do Christian orientated patients understand their illness?
Němeček, Filip ; Motl, Jiří (advisor) ; Říčan, Pavel (referee)
This thesis deals with religious interpretations of psychotic illness. In the theoretical part, the psychotic disorder is first briefly defined and several stimulating psychological interpretations are outlined. An overview of the history of the relationship of psychology and religion follows. The next chapter summarizes some religious interpretations of psychosis. The focus of the work is on the research part. It is a psychological qualitative research, which shows how three Christian-oriented mentally ill women with psychotic symptoms interpret their own illness. The case studies are then compared in a separate chapter, entailing a slight generalization of the results. At the end there is a reflection on the limitations of the research.
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Mental health problems during pregnancy and in the postpartum period
Bezdíčková, Kristýna ; Nejmanová, Iveta (advisor) ; Hronek, Miloslav (referee)
Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Biological and Medical Sciences Author of bachelor thesis: Kristýna Bezdíčková Supervisor of bachelor thesis: PharmDr. Iveta Nejmanova, Ph.D. Title of bachelor thesis: Mental health problems during pregnancy and in the postpartum period Background: The aim of this work is to unify the knowledge about the difficulty of pregnancy and the puerperium. I would like to point out how pregnancy can affect the woman's psyche. In my work I will deal with individual mental problems, their etiology, diagnosis, treatment and prevention. Main findings: This work deals with the issue of pregnancy and puerperium. In the introductory part I focus on the woman's psyche in the early stage of pregnancy, her possible fears that may lead to mental health problems later. I would also like to draw attention to the effect of steroid hormones in this period. This is followed by a general section of etiology, treatment and prevention. In the second half of the work are discussed more or less serious changes in the psyche. Conclusions: Mental disorders can have a serious impact on a mother's life and child's development. Their early diagnosis and possible treatment are important. Key words: puerperium, baby blues, anxiety, insomnia, depression,...
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Association of education with mental illness in Czech population
Kuklová, Marie
Association of education with mental illness in Czech population Abstract This master thesis aimed to study the association of education with mental disorders in the Czech population. Data were used from a nationally representative cross-sectional study - the CZEch Mental health Study (CZEMS). Mental disorders were assessed with Mini-International Neuropsychiatric Interview and divided into four groups - affective, anxiety, substance use and alcohol use. Information about the highest completed education was self-reported by participants during an interview. Binary logistic regresion examined the association of education with mental disorders, group-wise adjusting for sociodemographic, social and health-related characteristics. The analysis was conducted on 3 175 participants (54 % women, median age 49 years). Lower education (primary and vocational) was associated with higher occurrence of mental disorders, this association remained after adjustment for all characteristics. The association was strongest for alcohol use disorders and weakest for anxiety disorders and did not differ by sex. The relationship between education and alcohol use as well as substance use disorders was apparent in particular in younger individuals. The observed educational differences in the occurrence of mental disorders should be...
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Association of education with mental illness in Czech population
Kuklová, Marie
Association of education with mental illness in Czech population Abstract This master thesis aimed to study the association of education with mental disorders in the Czech population. Data were used from a nationally representative cross-sectional study - the CZEch Mental health Study (CZEMS). Mental disorders were assessed with Mini-International Neuropsychiatric Interview and divided into four groups - affective, anxiety, substance use and alcohol use. Information about the highest completed education was self-reported by participants during an interview. Binary logistic regresion examined the association of education with mental disorders, group-wise adjusting for sociodemographic, social and health-related characteristics. The analysis was conducted on 3 175 participants (54 % women, median age 49 years). Lower education (primary and vocational) was associated with higher occurrence of mental disorders, this association remained after adjustment for all characteristics. The association was strongest for alcohol use disorders and weakest for anxiety disorders and did not differ by sex. The relationship between education and alcohol use as well as substance use disorders was apparent in particular in younger individuals. The observed educational differences in the occurrence of mental disorders should be...
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Association of education with mental illness in Czech population
Kuklová, Marie ; Čermáková, Pavla (advisor) ; Bankovská Motlová, Lucie (referee)
Association of education with mental illness in Czech population Abstract This master thesis aimed to study the association of education with mental disorders in the Czech population. Data were used from a nationally representative cross-sectional study - the CZEch Mental health Study (CZEMS). Mental disorders were assessed with Mini-International Neuropsychiatric Interview and divided into four groups - affective, anxiety, substance use and alcohol use. Information about the highest completed education was self-reported by participants during an interview. Binary logistic regresion examined the association of education with mental disorders, group-wise adjusting for sociodemographic, social and health-related characteristics. The analysis was conducted on 3 175 participants (54 % women, median age 49 years). Lower education (primary and vocational) was associated with higher occurrence of mental disorders, this association remained after adjustment for all characteristics. The association was strongest for alcohol use disorders and weakest for anxiety disorders and did not differ by sex. The relationship between education and alcohol use as well as substance use disorders was apparent in particular in younger individuals. The observed educational differences in the occurrence of mental disorders should be...
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The Diagnosis of Paranoid Schizophrenia from the Perspective of Parents of the Diagnosed Individuals
Mašková, Kateřina ; Šivicová, Gabriela (advisor) ; Onder, Jakub (referee)
In this bachelor's thesis, I deal with the experiences of parents whose descendants were diagnosed with paranoid schizophrenia. At the beginning of the theoretical part, I first describe several points of view which can be used when referring to psychotic states: a diagnostic perspective, non-diagnostic perspectives, and an anti-diagnostic perspective. Subsequently, I cover the diagnosis of paranoid schizophrenia both from the medical point of view, through its diagnostic manifestations, progressive forms and possibilities of treatment, and as a factor significantly affecting the quality of life. Furthermore, I focus on attitudes, emotions, behavioral patterns and needs of the parents of the diagnosed descendants. The theoretical part of the thesis is concluded with a chapter concerning with various options of psychosocial support for a family system one of whose members has got an experience with a psychotic episode. The empirical part is focused on the experiences of parents whose descendants were given the diagnosis in the age of fifteen or later. I conducted eight in-depth semi-structured interviews and for analyzing the obtained data I used the open coding method. As instances of the topics that the parents from my research sample reflected repeatedly, I would mention the disrespectful...
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Victimization of persons with serious mental illness.
Černý, Martin ; Vevera, Jan (advisor) ; Harsa, Pavel (referee) ; Látalová, Klára (referee)
Purpose: To estimate a) the state of the research of violent behavior and victimization of patients suffering with schizophrenia; b) to identify the prevalence of violent behavior and victimization in patients with schizophrenia and to study predictors of violent behavior. Method: a) detailed analysis of relevant studies in the PubMed database; b) data on violent behavior and victimization in the last six months, physical and sexual abuse in childhood and adolescence, substance abuse and post traumatic stress disorder were gathered in 158 patients with psychotic illness and matched comparison group. Additional information was collected from collateral informants. Several regression analysis was used to identify factors independently associated with recent violent behavior. Results: a) From relevant studies of patients suffering with schizophrenia 72% (n=176) exemined aggressive behavior, 23% (n=55) victimization, and 5% (n=13) both. b) In the sample, the presence of a psychotic disorder was associated with an increased risk of assaults (OR=3.80; 95% CI 2.060-7.014). Additional risk factors in persons with and without psychosis included recent physical victimization (OR=7.09; 95% CI 3.922-12.819), childhood maltreatment (OR=3.15; 95% CI 1.877-5.271), the level of drug use (OR=1.13; 95% CI 1.063-...
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