scholarly journals The influence of drinkers on the affective status of representatives of their microsocial environment

Author(s):  
Igor Linskiy ◽  
Valerii Kuzminov ◽  
Oleksandr Minko ◽  
Hanna Kozhyna ◽  
Yevheniia Grynevych ◽  
...  

The purpose of the work is to study the adverse influence of drinkers on the affective status of representatives of their microsocial environment. In four regions of Ukraine (Kharkiv, Lugansk and Zaporizhzhia regions, as well as the city of Kyiv), during 2018—2021, 1742 people were examined, who belonged to three qualitatively different comparison groups: patients with alcohol dependence (AD) (393 people); healthy relatives of alcohol-dependent patients (274 people) and representatives of the general population (1075 people). Of these surveyed, respondents were identified who had drinkers in the environment: 288 persons among healthy people and 121 persons among patients with AD. Further research focused on this particular contingent. The main research tool was the questionnaire of the international research consortium GENAHTO (Gender, Alcohol, and Harms to Others) and Hamilton Depression Rating Scale (HDRS). The obtained data were processed by methods of mathematical statistics (variance and cluster analysis) on a computer using Excel 2016 computational tables (with the Data Analysis package) and also the software package SPSS-15. It was shown that the presence of drinkers in environment of the women significantly increases the proportion of people with depressive disorders among them, while among the male respondents, this effect was not found. It was revealed that the presence of drinkers in environment of the women significantly increases the severity of such manifestations of depression as: insomnia, weight loss, sexual dysfunctions; suicidal tendencies and guilt. Using cluster analysis, the following typical symptom complexes (important for choosing the optimal therapeutic tactics) were established: insomnia-somatoform, hypochondriacal and anxiety-agitational (the latter — with a sense of guilt and an increased risk of suicidal activity).

Author(s):  
Igor Linskiy ◽  
Valerii Kuzminov ◽  
Oleksandr Minko ◽  
Hanna Kozhyna ◽  
Yevheniia Grynevych ◽  
...  

The purpose of the work is to study individual manifestations of adverse effects of drinking people on adults in their microsocial environment. In four regions of Ukraine (Kharkiv, Luhansk and Zaporizhzhia regions, as well as the city of Kyiv), during 2018—2020, 1742 people were examined, who belonged to three qualitatively different comparison groups: patients with alcohol dependence (393 people); healthy relatives of alcohol-dependent patients (274 people) and representatives of the general population (1075 people). Of these surveyed, respondents were identified who had drinkers in the environment: 481 people among healthy people and 69 people among patients with alcohol dependence. Further research focused on this particular contingent. The main research tool was the questionnaire of the international research consortium GENAHTO (Gender, Alcohol, and Harms to Others). The obtained data were processed by methods of mathematical statistics (variance and correlation analysis) on a computer using Excel 2016 computational tables (with the Data Analysis package). The dependences of the frequency of manifestations of the adverse effects of drinkers on adults in their microsocial environment on the age, gender and attitude to alcohol of the respondents were described, and it was found that the most vulnerable contingent in terms of the adverse effects of drinkers are elderly (> 59 years old) women. The conjugation between the mentioned manifestations was analyzed and the corresponding quantitative measure is proposed — the conjugation index (CI). It has been shown that CI can play the role of a marker of the severity of the situation around respondent, which is in microsocial environment of the drinking person.


Author(s):  
Igor Linskiy ◽  
Valerii Kuzminov ◽  
Oleksandr Minko ◽  
Hanna Kozhyna ◽  
Yevheniia Grynevych ◽  
...  

The purpose of the work is to determine in the Ukrainian society the scale of harm inflicted by drinkers to other persons, as well as the gender and age characteristics of this harm. In four regions of Ukraine (Kharkiv, Lugansk and Zaporizhzhia regions, Kyiv), during 2018-2020, 1,742 people were examined from three qualitatively different comparison groups: patients with alcohol dependence (393 people); their healthy relatives (274 people) and representatives of the general population (1075 people). The main research tool was the questionnaire of the international research consortium GENAHTO (Gender, Alcohol, and Harms to Others). It was shown that, in general, drinkers are present in the microsocial environment of 27.62 % of the surveyed healthy respondents. Extrapolation of this indicator to the entire population of Ukraine suggests that the total number of people who suffer in one way or another due to the drinkers in their environment is about 11.6 million people. In addition, the drinkers frequency in the environment of respondents can be used to determine the real number of people with alcohol problems in our country. Preliminary calculations indicate that this number is from 1.5 to 2.2 million people. The drinkers frequency in the environment of the respondents significantly depends on the age of the latter. The highest values of this indicator are characteristic of the respondents in the age category 40—59 years old” (31.43 % for men and 41.27 % for women). The subjective perception of harm from drinkers in the environment grows steadily with increasing age of the respondents, while this growth is most pronounced in women.


Author(s):  
Mallikarjuna Rao I. ◽  
Usha Kiran Prayaga ◽  
Dharma Rao Uppada ◽  
Ramachandra Rao E. ◽  
B. L. Kudagi

Background: The SSRIs being used as 1st line therapy in treatment of depression have delayed therapeutic effect which makes the patient vulnerable to an increased risk of suicide and decreased adherence to the treatment and will prematurely discontinue the therapy. The present study was conducted to evaluate if low dose mirtazapine-escitalopram combination therapy has any add on benefit over monotherapy with escitalopram.Methods: In a single-centered, comparative study involving patients with depression attending the out-patient after screening and exclusion, 60 eligible patients were randomly assigned to receive tablet mirtazapine 7.5 mg plus tablet escitalopram 10 mg intervention or tablet escitalopram 10 mg plus placebo intervention in a double-blind 6-week treatment phase. The primary outcome measure was the change in the 17-item Hamilton Depression Rating Scale (HDRS) and Montgomery-Asberg Depression Rating Scale (MADRS) score from baseline. Participants were evaluated at baseline, 1st, 2nd,4th and 6th week. Results were analyzed using Chi-Square test for adverse effects and independent t-test analysis for efficacy parameter.Results: In the analysis of results at 6th week the numbers of patients achieved remission in mirtazapine group are more with a p-value of 0.018 which is significant and the numbers of responders in mirtazapine group are also more which is statistically significant on chi-square test. There is no significant difference was observed between the two groups with reference to occurrence of adverse effect.Conclusions: Adding low dose mirtazapine has an added benefit in terms of efficacy and getting remission early with more number of responders in the treatment of major depression.


2017 ◽  
Vol 141 (3-4) ◽  
pp. 151-162
Author(s):  
Ljiljana Keča ◽  
Špela Pezdevšek-Malovrh ◽  
Sreten Jelić ◽  
Stjepan Posavec ◽  
Milica Marčeta

The share of small and medium-sized enterprises (SMEs) is largely present in forestry, especially in the segment related to non-wood forest products (NWFPs) in Europe. They are also a dominant category in entrepreneurship in Serbia. Therefore, the subjects of this research were the companies operating in the sector of NWFPs, within specific statistical regions of Serbia. The database of SMEs was obtained from 119 SMEs and the share of surveyed SMEs was 81.5%. The main research method was two-step cluster analysis. Questionnaire was used for the purpose of the research. The aim of the research was to identify clusters in order to establish similarities within the defined clusters and the differences among them. Spatial distribution of specific categories of NWFPs in nature (mushrooms, medicinal and aromatic plants, honey and wild berries), contributed to the portfolio of the companies. This largely influenced clusters that are created by categories of products that are typical for certain statistical regions in Serbia.


2020 ◽  
Vol 11 (4) ◽  
pp. 7151-7159
Author(s):  
Imran Mansur M D ◽  
Shreeharsha G ◽  
Akshay C ◽  
Ravi Chandra C V ◽  
Binai K Sankar ◽  
...  

Depression is estimated to be the third leading cause of disability and about 350 million people suffer from depression worldwide. Various biological, social, economic, cultural factors and environmental factors contribute for depression. A total of 102 patients were enrolled in the study. Majority of the patients (64, 62.74%) included in the study were female. The mean age of the study subjects was found to be 20.4±11.88 years. The severity of symptoms in depressed patients evaluated using Hamilton Depression Rating Scale (HDRS) shows that 33.33% of the subjects were very severely depressed, followed by 29.41% of the subjects with moderate depression, 23.52 % with severe depression and 11.76% with mild depression. Quality of life was evaluated using WHOQOL BREF Scale in the study population. 51.96 % of subjects were having low quality of life (QoL) followed by 48% of subjects with medium QoL and 0.98% subjects with high QoL. Modified Scale for Suicidal Ideation (MSSI) was used to evaluate severity of suicidal ideation in study population. Interpretation of results shows that 74.50% were having low suicidal ideation and few subjects (8.82%) were found to have severe suicidal ideation. Depression negatively impacts individual’s functioning, work satisfaction, relationships, leisure, physical and mental health, sexual functioning, sleep patterns and overall sense of fulfilment and contentment with life. Severe form of depression can lead to suicidal risk, increased risk of morbidity, mortality, substantial imbalance on individual’s occupational potential,  significant physical and psychosocial impairment.


2019 ◽  
Author(s):  
Birgitta Wennberg ◽  
Anette Kjellberg ◽  
Per Anders Gustafsson ◽  
Lena Almqvist ◽  
Gunnel Janeslätt

Abstract Background Children with ADHD and those with intellectual disability (ID) often have problems in daily time management (DTM) and the underlying time-processing ability (TPA). It is, however, less well-known how DTM and TPA may impact children’s everyday autonomy. The purpose of this study was to investigate DTM, TPA and self-rated autonomy in the activities of everyday life among children aged 9-15 years with ADHD (n = 47), with ID (n = 47) and typically developing (TD) children (n = 47). Method A descriptive, comparative and cross-sectional design was used. Group comparisons and cluster analysis with one-way analysis of variance (ANOVA) with Turkey post-hoc tests and bootstrapping were used to analyse the data. Results Children with ADHD and those with ID had significantly lower TPA and DTM than TD children. However, there was a considerable heterogeneity not explained by age, ranging from skilled to having significant problems in TPA among children with ADHD and ID, as shown by cluster analysis. Children with ADHD had lower DTM than those with ID. For all children the levels of self-rated autonomy seemed to follow the level of TPA. Conclusions Children with ADHD and those with ID have an increased risk of delayed TPA, affecting their DTM and autonomy. The results indicate a need to measure TPA and tailor interventions for each child. Keywords: ADHD, autonomy, child , cluster analysis, intellectual disability, participation, time management


2016 ◽  
Vol 34 (5) ◽  
pp. 356-363 ◽  
Author(s):  
Tianwei Guo ◽  
Zhuo Guo ◽  
Wenyue Zhang ◽  
Wenhao Ma ◽  
Xinjing Yang ◽  
...  

Background Individuals with sub-syndromal depression (SSD) are at increased risk of incident depressive disorders; however, the ideal therapeutic approach to SSD remains unknown. Objective To evaluate the effects of electroacupuncture (EA) and cognitive behavioural therapy (CBT), alone or in combination, on depressive symptoms. Methods Undergraduate students with SSD were recruited and allocated to one of four groups based on their preferences: EA (n=6), CBT (n=10), EA+CBT (n=6), and untreated control (n=11) groups. Six weeks of treatment were provided in the first three groups. Clinical outcomes were measured using the 17-item Hamilton Depression (HAMD-17) rating scale, Center for Epidemiologic Depression (CES-D) scale, WHO Quality of Life-Brief version (WHOQOL-BREF) questionnaire, and clinical remission rate. Results All 33 subjects were included in an intent-to-treat analysis. Statistically significant improvements in HAMD-17, CES-D, and WHOQOL-BREF scores and a higher remission rate were found in the EA, CBT, and EA+CBT intervention groups compared with the control group (all p<0.05). No significant differences were found between the three intervention groups. HAMD-17 factor score analysis revealed that EA reduced sleep disturbance scores more than CBT or EA+CBT (p<0.05), and CBT reduced retardation scores more than EA (p<0.01). EA+CBT reduced anxiety/somatisation scores more than EA or CBT (p<0.05) and retardation scores more than EA (p<0.05). Conclusions Early intervention may alleviate depressive symptoms in SSD. EA and CBT may have differential effects on certain symptoms. Combination therapy targeting both physical and psychological symptoms may represent an ideal strategy for SSD intervention. However, randomised trials with larger sample sizes are needed. Trial Registration Number ChiCTR-TRC-10000889; Results.


2020 ◽  
Vol 31 (5) ◽  
pp. 565-574
Author(s):  
Alicja Ewa Gudanowska ◽  
Anna Kononiuk ◽  
Katarzyna Dębkowska

Trends and megatrends affecting the labour market are changing rapidly. Inevitable changes force a permanent need to redefine employees' competences in order to meet employers' expectations The scientific problem raised by the authors of the article is defining a methodology of identifying competences of future-oriented entrepreneurs. The aim of the article is to present the potential of cluster analysis for the selection of key competences of future-oriented entrepreneurs in the context of foresight research. The main research methods applied for this study were literature review and cluster analysis. Literature review covered global literature review, domestic literature review, higher education offer review, commercial foresight courses review as well as case studies. Both extensive literature review and the analysis of business practices allowed to identify more than one thousand six hundred competences of a future-oriented entrepreneur. The huge amount of competences were then the subject to preliminary assessment which resulted in the list of 39 items. The application of cluster analysis enabled to further reduce the number of competences. Finally, seven competences to be mastered by future-oriented entrepreneurs could be recommended such as, but not limited to: the ability to find and interpret weak signals of change and disruptions (wild cards and abnormal phenomena); the ability to act proactively; the ability to manage change and uncertainty; the ability to run strategic foresight within organization,  the ability to create organizational vision (both collective and individual); and seeing the big picture.


2016 ◽  
Vol 10 (4) ◽  
pp. 315-319 ◽  
Author(s):  
Carolina Pinto Souza ◽  
Guiomar Nascimento Oliveira ◽  
Maria Paula Foss ◽  
Vitor Tumas

ABSTRACT Background: Cognitive impairment is a common feature of Parkinson's disease (PD). The diagnoses of mild cognitive impairment (MCI) in patients with PD implies an increased risk for later development of dementia, however, it is unclear whether a specific type of cognitive loss confers increased risk for faster cognitive decline. Objective: Determine whether it was possible to identify distinct cognitive phenotypes in a sample of patients with PD. Methods: A cross-sectional evaluation of 100 patients with PD recruited from a movement disorders clinic was conducted. The patients were evaluated using the simplified motor score of the UPDRS, the Hoehn and Yahr, Schwab and England, Geriatric Depression Scale, Pfeffer Functional Activities Questionnaire, Clinical Dementia Rating Scale, Mini-Mental State Examination, clock drawing test, digit span, word list battery of CERAD, Frontal Assessment Battery and verbal fluency test. We classified the patients as having normal cognition (PDNC), MCI (PDMCI) or dementia (PDD). Data were analyzed using the chi-square test, non-parametric statistics and cluster analysis. Results: There were 40 patients with PDD, 39 with PDMCI and 21 with PDNC. Patients with PDD were older, had longer disease duration, lower education and lower MMSE scores. Cluster analysis showed 3 general distinct cognitive profiles that represented a continuum from mild to severe impairment of cognition, without distinguishing specific cognitive profiles. Conclusion: Cognitive impairment in PD occurs progressively and heterogeneously in most patients. It is unclear whether the definition of the initial phenotype of cognitive loss can be used to establish the cognitive prognosis of patients.


Sign in / Sign up

Export Citation Format

Share Document