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Cezary Zechowski

Publications and source records attributed to Cezary Zechowski.

6 recordsLinked to original sources

[Sense of coherence in patients of a psychiatric adolescent unit].

The sense of coherence of 72 hospitalized adolescent patients assessed by SOC 29 was significantly lower then SOC of their siblings, mothers and fathers. SOC did not differentiate sensitivity subscale, which was significantly lower in a group of neurotic, then psychotic and eating disorders patients. SOC did not correlate with the number of hospitalizations. The sense of coherence of mothers of adolescent patients was not significantly different from SOC of mothers of healthy children, but SOC of patients' fathers was higher (approaching statistical, significance) then SOC of fathers of healthy children.

Adaptation, Psychological↗

[Eating disorder prevention program--pilot study].

AIM: Recent research has suggested that school-based programmes of prevention of eating disorders obtained ambiguous results. The aim of our work was to establish the efficacy of the eating disorders prevention programme for schoolgirls of secondary schools. METHOD: Subjects in the experimental groups received 8 sessions of practice with various tasks, while the control group did not participate in sessions of psychoeducation. Overall, we examined 109 adolescents participating in sessions and 117 adolescents in the control group. Participants were examined at the beginning of the programme, after the operation and 6 months later. Assessment was made with EDI, EAT-26. RESULTS: Assessment before and after the study phase showed that participants in the experimental groups had not made significantly more improvement than the control group. It was also shown that in the two subgroups (girls form technical college and girls form college) there were significant differences in the pre-test, post-test and follow-up results. CONCLUSIONS: Similarities that were obtained through the research suggest the necessity of examining other possible relationships between chosen variables. Analysis of participants' feedback information emphasises that the changes the programme brought appeared feasible in the social functioning area (with peers, parents relations). It is not excluded that it is too late for eating disorder prophylaxis in the phase of personal development, as some researchers argue. Differences in results between schoolgirls from college and from technical college suggest some differences in risk and protective factors. It seems important to verify this.

Adolescent↗

[Prevention of eating disorders in children and adolescents. Part II. The effectiveness of prevention programs].

This paper presents various models of child and adolescent prevention programmes of eating disorders with the emphasis on the efficiency of these models. On the ground of the available literature, the authors present the results of these methods. It seems that in every prevention programme risk and protective factors, which are connected with the given intervention should be precisely defined. Therefore it is absolutely necessary that the programmes should be clear with better inner coherence which will consequently result in better efficiency.

Adolescent↗

[Parental and peer attachment of hospitalized adolescent patients--pilot study].

AIM: In the context of Bowlby's theory of attachment authors made an attempt to assess parental and peer attachment in different clinical subgroups of hospitalised adolescents. METHOD: 142 patients--58 with the diagnosis of neurotic disorders, 49 eating disorders and 35 patients with schizophrenic disorders, as well 34 untreated, healthy adolescents were assessed by The Inventory of Parent and Peer Attachment by Armsden and Greenberg. RESULTS: The group of schizophrenic patients was characterised by disturbed attachment with peers and normal attachment with parents.Two other diagnostic subgroups, neurotic and eating disorders were similar as far as nature of attachment was concerned. The attachment was disturbed both with parents and peers, but the level of alienation in relations with peers in the group of eating disorder patients was similar to the level in the group of schizophrenic patients. This conclusion allows us to put the group of eating disorders closer to the group of schizophrenic, than neurotic patients, as far as attachment is concerned. CONCLUSIONS: The Inventory of Parent and Peer Attachment, used for the first time in Poland, can be seen as a promising instrument in assessing three dimensions of attachment: communication, trust and alienation in relations with parents and peers.

Adolescent↗

[Some aspects of pharmacotherapy in the context of transference-countertransference].

The article deals with the psychological background of administration of medication in psychiatry, the meaning of administration of drugs in relation to the doctor-patient relationship. The place of pharmacotherapy among other medical procedures was discussed. The differences in the approach to pharmacotherapy in different therapists was noticed, with the pointing out to two kinds of approaches (symptom oriented and problem oriented). Other than rational motivations for the use of pharmacotherapy was discussed.

Countertransference↗