PubMed Health⌕ Search

Biomedical subjects

Irena Namysłowska

Publications and source records attributed to Irena Namysłowska.

10 recordsLinked to original sources
PubMed2002

[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↗
PubMed2002

[Family assessment measures by Manfred Cierpka].

In the first part of the paper, authors describe some research tools for the assessment of family functioning, concentrating mainly on self-report questionnaires of the family members. Advantages and methodological limitations of such methods are discussed. Several questionnaires of self-report type are described such as e.g. the Family APGAR, Family Environment Scale, Mc Master Family Assessment Device, as well as Family Assessment Measure (FAM) of Skinner and Steinhauer. Manfred Cierpka Family Assessment Measures are a modification of this last questionnaire. In the second part of the paper authors present in details Cierpka Family Assessment Measures. They describe seven dimensions of the family functioning such as task accomplishment, role performance, communication, emotionality, affective involvement, control and values and norms. Family Assessment Measures consist of three questionnaires such as General Scale, Dyadic Scale and of Self-Rating Scale. General Scale focuses on how individual member views the family as a whole, The Dyadic Scale assesses specific relationship dyads within the family and Self-Rating Scale addresses how an individual member views his or her functioning within the family. At the end, psychometric properties of these questionnaires are presented, as well as the general description, how they should be used in the process of the assessment of the family for research and in clinical practice of family therapy.

Family↗
PubMed2002

[Some psychometric attributes of the Family Assessment Questionnaires].

In this article we present some of the more important findings from research aimed at the validation and normalisation of the Family Assessment Questionnaire (Dyadic Questionnaire, Family Questionnaire, Self-Estimation Questionnaire), which is the Polish adaptation of Manfred Cierpka's and Gabriele Frevert's "Familienboegen". In the presented study 1511 individuals from 557 families took part. Of these 658 individuals (including 162 children) came from 248 families which had no clinical health or adjustment problems, while 853 individuals (including 305 children) came from 309 families with problems due to schizophrenia, anorexia nervosa, coronary heart disease or family crisis. A new method of analysing raw results from the questionnaire scales was formulated and verified. This method was based on the criterium of sufficient satisfaction regarding the aspect of family life measured by the scale. The original scales of all the questionnaires (Task Completion, Role Performance, Communication, Emotionality, Affective Involvement, Control, and Values and norms) were characterised by average or low reliability; the general scales were characterised by high reliability (the Dyadic Questionnaire with very high reliability). As a result of factor analysis new scales were created with acceptable or high reliability. These were the scale of Positive statements, the scale of Negative statements in the dyadic and family questionnaires, and the scales of kindness, care and resentment in the Self-Estimation Questionnaire. The general scales and the factor scales generally significantly differentiated between the sub-samples selected due to the type of family problems present and relationship. On the other hand the 7 original scales did so only sporadically or weakly. Better results were obtained by families without health or adjustment problems while the worst results were obtained by families in crisis.

Evaluation Studies as Topic↗
PubMed2002

[Assessment of family relations by parents of patients suffering from anorexia nervosa--part I].

The paper presents results of research concerning the parents' perception of family relationships in "anorectic" families (where a daughter meets criteria of ICD 10) and in non-treated group. As a basic tool the Polish Version of Family Assessment Measure standardised on a Polish sample was used. The clinical group consists of 31 mothers and 32 fathers, the control group consist of 42 mothers and 41 fathers. The article present how parents from both groups perceived their marital relationship, their relationship with children, family functioning as a whole system and their individual functioning within the family system. The study revealed some interesting differences between samples. The basic conclusion is that perception of family relationships in the anorectic group is negative and incoherent in comparison with positive, congruent perception of family relationships in the control group. Significant differences are presented and discussed according to the literature.

Adult↗
PubMed2002

[Assessment of family relations by the patients suffering from anorexia nervosa--part II].

A lot of research indicates the importance of the family context in the occurrence of Eating Disorders. Authors present results of research in families with an adolescent suffering from Anorexia Nervosa according to ICD-10. The aim of this study was to examine relationships among family members. Anorectic girls (n = 37), their sisters (n = 16) and control girls (n = 41) completed the Polish version of The Family Assessment Measure standardised on a Polish sample. The questionnaire was constructed to measure some aspects of the family life such as task accomplishment, role performance, communication including affective expression, affective involvement, control, values and norms. The study revealed some interesting differences between samples. For example, anorectic girls and their sisters generally express dissatisfaction with the relationship with their parents, particularly with fathers, contrary to the control group of girls. Anorectic girls and their sisters more critically assess functioning of the family as a whole than control group girls. Anorectic girls and their sisters express dissatisfaction with their mutual relationship, contrary to the control group.

Adolescent↗
PubMedDate not supplied

[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↗
PubMedDate not supplied

[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↗
PubMedDate not supplied

[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↗
PubMedDate not supplied

[Altered visual information processing in anorectic girls--the study on potentials related to the test of attention].

AIM: Combined biological and psychological basis of anorexia nervosa, related to increased self-control, low self-esteem and peculiar motivation, makes a synthetic approach still hard to achieve. The presented study assessed cognitive functions in anorectic patients with respect to both neuropsychological (test of attention) and biological (electrophysiology of information processing) approaches, and their reciprocal interrelations as well. METHODS: Eleven adolescent anorectic females and 10 control subjects performed the Continuous Attention Test CAT. Parameters of potentials elicited by the visual CAT items were referred to the CAT results. RESULTS: The anorectic girls were more accurate during CAT performance, revealing a lower index of errors, especially of commissions. On the other hand, they revealed a lower amplitude of the P2 component (correlated with index of commissions) and shortened latency of the frontal N2 component (correlated with a lower index of errors). The groups differed in relations between psychometric and biological parameters referring to the earlier stages of information processing. In the control group, high index of detections was correlated to right-sided P1 and P2 components. In the patient group, correlations linked a lowered index of commissions with right-sided N1 and bilateral P2 amplitudes. CONCLUSIONS: Increased self-control in anorexia nervosa, reflected by lower frequency of needless reactions, is related to alterations in biological visual information processing yet on its early, preconscious stage.

Adolescent↗