Biomedical subjects

Milan Novaković

Publications and source records attributed to Milan Novaković.

3 recordsLinked to original sources

PubMed2006

[Thanatophobia in the patients on dialysis].

BACKGROUND/AIM: Thanatophobia is an exaggerated, specific, structured fear of death. It appears in childhood and continues to grow over the years, and in the old age it is accompanied with nosophobia and other mental disorders. The aim of this study was to analyze thanatophobia in dialysed patients which was in the direct connection with a basic disorder, and the influence of this disorder on functioning and the quality of life of the patients on dialysis. METHODS: In the study we examined 753 patients from the chronic program of haemodialysis in a period from 1999 to 2004. The patiens were classified in two groups: 348 randomized patients with Balkan Endemic Nephropathy (BEN), and the control group (N18) of patients with terminal renal insufficiency, and other diagnoses (n = 405). Since the study was a comparative, cross-sectional one, the patients were tested by the appropriate questionnaires for anxiety, depression and general mental functioning. Statistical analysis was done by the standard descriptive and analytic statistic methods. RESULTS: Based on socio-demographics data we revealed a highly significant difference regarding the place of living between the groups BEN and N18 (chi2 = 23.970; p < 0.01), the frequency of occurrence of renal comorbidity (chi2 = 23.970; p < 0.01), the frequency of familly renal comorbidity in siblings (chi2 = 23.970; p < 0.01), and the frequency of migrationes (chi2 = 4.874; p < 0.01). According to psychiatry scales, the patiens from the BEN group were significantly more anxious and depressive than those from the control group. CONCLUSION: The signs of thanatophobia were revealed in both examined groups, but significantly more in the patients with BEN than in those with other nephrologic diseases. Thanatophobia starts before dialysis, and dialysis structures it into fear of death which is in a direct connection with the basic disorder. This intensive fear may be connected with dementia and depression, but also with other mental disorders.

Anxiety↗

PubMed2006

[Suicidal and parasuicidal behaviour].

UNLABELLED: Subject of the study is suicidal and parasuicidal behaviour in B&H in the period 1992-2004 in relation to transition, anomie and structures of suicidal personalities. METHOD: Two self-destructive groups (in 2001 and in 2005) were tested in B&H. The test group consists of n = 125 subjects who had suicide, and control group consists of n = 125 persons with parasuicidal behaviour. WE USED: GDL, EPQ, HAMD and Pluchic's test in a longitudinal study stratified by the seriousness of suicide and quality of parasuicide. RESULTS: Self-destructivity has been increasing in B&H. Socio-demographic data of the suicide are: gender = 73.3 +/- 2.5 (m) 26.7 +/- 2.7 (f), broken family = 34.4 +/- 4.8, migration = 52.2 +/- 3.2, heredity = 46.7 +/- 2.0 and parasuicide: gender = 47.8% +/- 5.2(m), 26.7 +/- 2.7(f), broken family = 41.1% +/- 5.2, migration = 54.4% +/- 4.6, heredity = 41.3 +/- 2.8. EPQ in suicide is: M +/- SD--neuroticism = 16,73 +/- 7.03, psychosis = 18,21 +/- 6.64, and in parasuicide extroversion = 15,37 +/- 4.21 and Lay-scale = 13,95 +/- 3.37, and significance p<0.01. HAMD is increased in suicide: H +/- SD: depression: 2.99 +/- 1.21, emotion of guilt = 2.19 +/- 1.14, suicide = 3.91 +/- 1.19, early insomnia = 2.11 +/- 1.21, anxiety = 1.93 +/- 1.21 with p<0.01, and in parasuicide: hypochondria = 1.77 +/- 0.95, depersonalization = 1.71 +/- 0.65, and O-K-signs = 1.59 +/- 0.79 with p<0.01. Pluchic's test separates basic emotions, and all is gathered by matrix of discriminative function. CONCLUSION: High level of self-destruction in suicidal and parasuicidal behaviour is proven in the study. Suicide shows faster self-destruction and a way of suicidal end, and parasuicide slower destruction with postponing the suicidal crash. Sign of suicide and parasuicide can be found in both groups of respondents and the ways of expression are different, but definite in suicide.

Adolescent↗

PubMed2006

Forms of parasuicide in young people in Bosnia.

OBJECTIVE: This study is an investigation of parasuicidal presentations in young people in Bosnia during the period from 1992 to 2004. The other aims were: an analysis of the stress as well as the personal and emotional traits of suicidal subjects. METHODS: Two groups of young people were investigated: 90 with parasuicidal caracteristics and 90 controls who had experienced emotional and behavioral crises during adolescence. The study is longitudinal and stratified according to the qualities of the parasuicidal behaviour. The tests used in this study (LOP, Ci, CMI, EPQ-98 and P.I.E.) are statistically elaborated by standard descriptive and analytical methods. RESULTS: The results show the following factors to be highly significant: destruction and violence inside the families (p < 0.001) as well as migration and heredity (p < 0.05). Discriminative analysis (rc) confirmed group difference in neuroticism = 0.95541, F=38.321 with significance factor of p < 0.001. EPQ test in parasuicidal subjects shows high level of neuroticism and psychoticism while controls show extroversion and conformism. Canonical Fcn = 0.6634, rc = 0.771, df = 4 chi(2) = 85.73, p < 0.001. P.I.E. clearly differentiated parasuicidal group from adolescent, control group: Hi quadrant test chi(2) = 101.361 and statistical significance p < 0.001. Results show: 1. suicide: n = 7 (7.7%), parasuicide: n = 84 (43.6%) and maturation: n = 89 (48.9%). CONCLUSION: Representation of parasuicidal behaviour was found in both groups of examinees, but the forms are more represented in parasuicide. Sociodemographic difference between the examined groups was proved, and stress, personal and emotional structures of parasuicide were confirmed by discrimination analysis. Auto-destructivity shows even quicker forms of destruction and longer forms of self-destruction.

Adolescent↗