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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...
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Signs of the temporolimbic dysfunction in persons with headaches
Bartošová, Tereza ; Herink, Josef (advisor) ; Kudláčková, Zděnka (referee)
The aim of this research is the occurrence of symptoms of the limbic dysfunction in patients suffering from headaches. By means of the questionnaire survey method was tested group of people with this diagnosis. The basic premise is the assumption that certain symptoms, specifically abnormalities in brain activity, occur more frequently in patients with this diagnosis. The theoretical part of this thesis concentrates on the function of the temporal lobe and the limbic system, a brief outline of the characteristics of temporo-limbic dysfunction and a summary overview of headaches. The research part is addressed to the evaluation questionnaire study and answers to the questions asked. Keywords Temporal lobe, limbic system, temporolimbic dysfunction, headaches, migraine, comorbidity,questionnaire
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Pathological personality structure i the stories of clients treated for addictive substance abuse in a chosen Highlands facility.
Kárníková, Tereza ; Reichelová, Lenka (advisor) ; Čablová, Lenka (referee)
Pathological personality structure in the stories of clients treated for addictive substance abuse in a chosen Highlands facility Abstract This thesis deals with the issue of personality disorders, termed in the title as pathological structures of personality, of people treated for addictive substance abuse. Numerous Czech and foreign studies pointing out high prevalence of personality disorders with substance abusers served as a base. I also proceeded from the finding that little was written in theory or dealt with in practice concerning comorbidity of abovementioned issues. The theoretical part is divided into three parts. The first part develops the topic of personality disorders, chosen types of addiction and the unifying topic of psychiatric comorbidity. The aim of the thesis is, by analyzing two case studies, to describe the possible manifestations and treats of specific personality disorders, to observe the way they affect their life or the development of the illness connected to substance abuse and the part they took in their relapses or in their cooperation with the services for substance abusers. I reached the goals of this thesis by the methods of qualitative research, using a semi-structured interview that was later on transformed into a case history. The research file consisted of two clients...
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Comorbidity of psychical and autoimmune diseases
Kaňková, Zuzana ; Šolc, Roman (advisor) ; Mravec Bencúrová, Dominika (referee)
Mental and autoimmune disorders represent a wide range of different diseases and are currently one of the most common health problems. In recent years, a significant association between these two types of disorders has been observed, supported by both their frequent coexistence and other important findings such as shared genetic risk factors, the discovery of neuronal surface antibodies or immune system changes related to some mental disorders. This work attempts to map the autoimmune diseases that occur more often or rarely in patients with various mental disorders (and vice versa) and also describes possible mechanisms that may play a significant role in the development of this phenomenon. Key words mental disorders, autoimmune diseases, comorbidity, etiology, epidemiology, shared risk factors
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Qualitative analysis of the experience and evaluation of the recovery process of users of addictive substances with schizophrenic disorders
Blažíčková, Eliška ; Kalina, Kamil (advisor) ; Minařík, Jakub (referee)
This work deals with the issue of dual diagnosis, namely patients with schizophrenic disease who are addicted to drugs and their view of the anxiety process. Theoretical background research is devoted to schizophrenic disease, addictive disorders and specifics in the treatment of patients with dual diagnosis. The aim of this research was to find out how users of addictive substances with a schizophrenic circuit disorder evaluate and experience the process of their anxiety. To create the above goal, I set the main research question, concretized by three sub- questions: (1) How do drug users with schizophrenic disorders assess and experience the process of their anxiety? (1.1.) "How do drug users with schizophrenic disorders have insight into their difficulties in treatment?" (1.2.) "How the level of these difficulties changed before the end of treatment"? (1.3.) "What aspects of recovery do these patients consider important?" The research set was selected by methods of improbable purpose. The research group finally consisted of four patients, i.e. hospitalized in the Psychiatric Hospital X. Sources of data for the case study in this case are medical documentation of patients (anamnestic data, records of group and individual therapies) and semi-structured interviews. The obtained data fixed by audio...
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The current epidemiological situation of tuberculosis in Central Bohemian Region
Jedličková, Kateřina ; Lustigová, Michala (advisor) ; Jágrová, Zdeňka (referee)
Tuberculosis (TBC) is an infectious disease with long history, that goes to the beginnings of humanity. Nowadays, TBC is mainly creating socioeconomic issues connected with overpopulation. In 21st century, TBC remains major concern for public health in terms of infectious diseases in European region. Even though the joint efforts of political, economical and health institution are being successful, there is still need for better health care coordination, diagnosis improvement, and help to the endangered groups of people in lower income countries. The aim of this thesis is to assess the epidemiological situation of TBC incidence in the Central Bohemia region in the years from 2008 to 2017 with a special focus on impact of health and socioeconomic risk factor for developing TBC. Research questions concern population structure characteristics of TBC patients, differences between sexes and factors that affect TBC death. Methods of contingence tables, χ2 -test of independence and logistic regression were applied to analyse of the effect of age, comorbidities, and risk behaviour on the development of TBC. It was found that there are differences in age structure of patients with TBC between men and women. The most affected by TBC are men in middle and older age, while women are affected in the oldest age...
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Occurrence and symptoms of adulf ADHD in patients with eating disorders.
Štěpánková, Tereza ; Papežová, Hana (advisor) ; Stárková, Libuše (referee) ; Kocourková, Jana (referee)
Introduction: Recently published reviews and meta-analytic studies have shown increased interest in research of the ADHD and ED comorbidity. We conducted a case-control study (133 ED female patients/93 healthy control), screening for ED among ADHD patients (N=64) and a pilot study of a support group program for adults with ADHD and psychiatric comorbidities. Methods: Adult and childhood ADHD symptoms were assessed by self-report and other- report versions of a Barkley Adult ADHD questionnaire (BAARS-IV). Patients with ED and ADHD comorbidity underwent a structured interview (DIVA 2) and Integrated Visual and Auditory Performance Tests (IVA Plus) to confirm the ADHD diagnosis. Participants of the pilot program were assessed prior to and after the therapy by the Schwartz Outcome Scale (SOS) and Quality of life (SQUALA) questionnaires. Results: Using self-report questionnaire of current symptoms 61 (46 %) of ED patients were detected as likely having ADHD compared to 22 (24 %) from a healthy control group, 37 (28 % ) of ED patients were identified with the high probability of ADHD diagnose compared to 12 (13 %) from a healthy control group with significant differences. Screening for disordered eating behaviors indicated previously documented higher prevalence of overweight among men with ADHD...
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Personality disorders in comorbidity with substance use
Váhalová, Martina ; Reichelová, Lenka (advisor) ; Kalina, Kamil (referee)
Comorbidity of pathological personality structure and using of addictive substanses. This thesis deals with the borderline personal disorders and relation this personal disorders and using addictive substances of people from self-help group for people with personal disorders. Start pointing are informations about borderline personal disorders and their relationship for using of addictive substanses and many Czech and foreign studies witch is pointing out high prevalence of personality disorders with substance abusers. The theoretical part is divided to desciption of borderline personal disorders and diagnostic od personal disorders. Little part is apply to summary of surveys, witch was perform. The practical part was directed to description of analyzing three case studies and interpretation. The partial goal was inderstanding life stories, discovery important trait and clarify possible connection with using abusus substanses. I reached the goals of this thesis by the methods of qualitative research, using a semistructured interview that was later on transformed into a case history. Case history was interpretated. The results offer also an exemplification of possible specific personality disorders. The research file consisted of three clients from self-help group for person with personal disorders....
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Comorbidity of Alcohol Abuse and Eating Disorders: Prevalence of Eating Disorders among Women Hospitalized for Alcohol Abuse
Rolová, Gabriela ; Šťastná, Lenka (advisor) ; Doležalová, Pavla (referee)
Introduction: Results of previous studies have shown a significant association be- tween alcohol abuse and eating disorders which often co-occur as a comorbidity. The co-occurrence of these diseases brings significant medical, social, and psychological complications and predicts a worse course of both disease and outcomes. Objectives: The aim of this thesis is to verify the association between the alcohol abuse and eating disorders by detecting the prevalence of anorexia nervosa, bulimia nervosa and binge eating disorder in women who are receiving the treatment for alcohol abuse. Methods: The survey includes 51 women hospitalized for alcohol abuse in PN Bohnice. The data were obtained during the questionnaire survey using the Munich Eating Disorder Questionnaire (Munich ED-Quest) and the Alcohol Use Disorders Identifi- cation Test (AUDIT), supplemented by socio-demographic questions. The data were analyzed using descriptive statistics in SPSS. Results: In total, 25.5% of respondents suffer from eating disorders at some point. Currently, 9.8% of women with an average age of 38.6 years with a median of 40 years suffer from eating disorder. In the past, 23,5% of respondents were affected by eating disorders. For the current period, 1.96% of women have met the diagnostic criteria for anorexia nervosa and...
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