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  1. Article ; Online: Side effects of treatment with tyrosine kinase inhibitors in patients with chronic myeloid leukemia and the occurrence of anxiety symptoms.

    Gibek, Katarzyna / Sacha, Tomasz / Cyranka, Katarzyna

    Psychiatria polska

    2022  , Page(s) 1–14

    Abstract: Objectives: The study aims to check whether individual side effects of treatment with TKIs in patients suffering from CML may contribute to the occurrence of anxiety symptoms. In addition, it was decided to check whether there were any relationships ... ...

    Title translation Skutki uboczne leczenia inhibitorami kinaz tyrozynowych u pacjentów chorych na przewlekłą białaczkę szpikową a występowanie objawów lękowych.
    Abstract Objectives: The study aims to check whether individual side effects of treatment with TKIs in patients suffering from CML may contribute to the occurrence of anxiety symptoms. In addition, it was decided to check whether there were any relationships between age, gender, duration of treatment, and the intensity of anxiety, divided by the occurrence of individual side effects.
    Methods: The study involved 91 patients and was conducted at the Hematology Clinic of the University Hospital in Krakow. The following questionnaires were used: created by the author, David Goldberg Questionnaire GHQ-28, and the four-dimensional 4DSQ Questionnaire.
    Results: The most frequently mentioned side effects of treatment were bone and joint pain, muscle cramps and pain, water retention, and fatigue. The mean duration of the disease was ten years. Our research showed that fatigue, nausea/indigestion, frequent infections, bone and joint pain, abdominal pain, and loss of appetite were the most common side effects of TKI treatment, which resulted in increased anxiety symptoms.
    Conclusions: The work of doctors, psychologists, and pharmaceutical companies on reducing/alleviating side effects may in the future affect a better quality of life for these patients. Early detection of severe anxiety and taking appropriate steps can prevent the emergence of more significant disorders. In addition, several years of attempts to discontinue treatment with some TKIs (imatinib and nilotinib) in patients who achieve a profound molecular response may improve their mental condition.
    Language Polish
    Publishing date 2022-10-17
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 415518-x
    ISSN 2391-5854 ; 0033-2674
    ISSN (online) 2391-5854
    ISSN 0033-2674
    DOI 10.12740/PP/OnlineFirst/152782
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  2. Article ; Online: A Polish adaptation of the Self-Assessed Wisdom Scale (SAWS) in older adults.

    Brudek, Paweł / Cyranka, Katarzyna / Webster, Jeffrey Dean

    Psychiatria polska

    2022  , Page(s) 1–19

    Abstract: Objectives: The paper presents the results of work on the Polish adaptation of the Self-Assessed Wisdom Scale (SAWS). It presents the psychometric properties of the Polish version of the tool.: Methods: The research was quantitative in nature and it ... ...

    Title translation Polska adaptacja Samoopisowej skali mądrości (SAWS). Wersja do badania osób starszych.
    Abstract Objectives: The paper presents the results of work on the Polish adaptation of the Self-Assessed Wisdom Scale (SAWS). It presents the psychometric properties of the Polish version of the tool.
    Methods: The research was quantitative in nature and it was carried out in a correlation scheme. The respondents completed a set of questionnaires. 880 subjects aged 60-80 years (M = 68.15; SD = 5.96) participated in the study. Apart from the SAWS six other psychological methods were used. The selection of measuring tools was purposeful.
    Results: The final Polish version of the SAWS consists of 40 items (including 36 diagnostic ones) that make up 5 dimensions of wisdom: (1) "Critical Life Experience", (2) "Emotional Regulation", (3) "Reminiscence and Reflectiveness",(4) "Openness" and (5) "Humor". The reliability index for the entire scale (36 items) was α = 0.92 (very high). Reliability values (Cronbach's α) for individual scales vary from α = 0.60 to α = 0.84. The validity of the scale was evaluated by means of confirmatory analysis.
    Conclusions: The results are consistent with the original version of the scale, thus it has been indicated that the Polish version of the SAWS fulfils the psychometric requirements for psychological tests. The scale can be applied in scientific research.
    Language Polish
    Publishing date 2022-06-28
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 415518-x
    ISSN 2391-5854 ; 0033-2674
    ISSN (online) 2391-5854
    ISSN 0033-2674
    DOI 10.12740/PP/OnlineFirst/148203
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  3. Article ; Online: Diabetes distress and diabetes burnout explored in various areas of life in patients with type 1 diabetes: effect of short-term psychological intervention.

    Cyranka, Katarzyna / Klupa, Tomasz / Pilecki, Maciej / Sarna-Palacz, Dominika / Juryk, Andrzej / Storman, Dawid / Dudek, Dominika / Malecki, Maciej T / Matejko, Bartłomiej

    Endocrine

    2024  

    Abstract: Introduction: Diabetes distress (DD) and diabetes burnout (DB) are recognized psychological phenomena in patients with T1DM (type 1 diabetes mellitus). Still, there is an urgent need to create professional psychological intervention procedures to ... ...

    Abstract Introduction: Diabetes distress (DD) and diabetes burnout (DB) are recognized psychological phenomena in patients with T1DM (type 1 diabetes mellitus). Still, there is an urgent need to create professional psychological intervention procedures to provide patients with adequate care.
    Aim: The aim of the study was to assess the level of DD and DB in T1DM patients at baseline and after 5 of sessions psychological intervention in the group of participants who applied for help.
    Methods: 34 T1DM patients who requested psychological support (22 females, 12 males) and 30 patients in a control group (14 females, 16 males) participated in the study. At baseline clinical test results between groups were compared. Next, in the studied group measurements were repeated after a set of five psychological face-to-face individual interventions which lasted 30-60 min each. They were support sessions with elements of cognitive-behavioral interventions done by clinical psychologists. Session 1: introduction, interview and collection of test results; session 2-4: work on the indicated by the patient and test results most problematic aspect of diabetes, session 5: a summary and plan for further treatment if needed. The control group results were obtained only at baseline. Research tools: DDS; PAID, Diabetes Burnout test by Polonsky.
    Results: At the baseline, significant differences were observed between the studied group and control group: in DB/DD levels: DB (3.9 ± 1.7 vs 2.4 ± 1.6; p < 0.001); DDS (3.2 ± 1.0 vs 2.7 ± 1.0; p = 0.064); PAID (62.3 ± 14.1vs 34.4 ± 21.0; p < 0.001). There were also group differences in HbA1c levels (8.7 ± 2.4 vs 7.3 ± 1.5; p = 0.028). After psychological interventions, there was a significant improvement in DB (3.9 ± 1.7vs 2.9 ± 1.2; p < 0.001; DDS (3.2 ± 1 vs 3.0 ± 0.7; p = 0.03); PAID (62.3 ± 14.1 vs 51.8 ± 12.5; p < 0.001).
    Conclusions: DD and DB constitute a significant problem in the group of T1DM patients, but providing appropriate specialist care may help them accept diabetes and improve life satisfaction, as well as regain control over their diabetes management.
    Language English
    Publishing date 2024-03-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1194484-5
    ISSN 1559-0100 ; 1355-008X ; 0969-711X
    ISSN (online) 1559-0100
    ISSN 1355-008X ; 0969-711X
    DOI 10.1007/s12020-024-03760-0
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  4. Article ; Online: Lack of major impact of implementation of the Advanced Hybrid Closed Loop System in technologically-naïve patients with Type 1 Diabetes mellitus on their food choices or weight - a one year follow-up.

    Krzyżowska, Sabina / Matejko, Bartłomiej / Cyranka, Katarzyna / Juza, Anna / Kieć-Wilk, Beata / Klupa, Tomasz

    Annals of agricultural and environmental medicine : AAEM

    2023  Volume 30, Issue 3, Page(s) 468–473

    Abstract: Introduction and objective: The purpose of this follow-up study on the implementation of advanced closed-loop hybrid insulin pumps in people with type 1 diabetes was to assess the impact of introducing this advanced technology on quantitative and ... ...

    Abstract Introduction and objective: The purpose of this follow-up study on the implementation of advanced closed-loop hybrid insulin pumps in people with type 1 diabetes was to assess the impact of introducing this advanced technology on quantitative and qualitative parameters of diet.
    Material and methods: 18 patients (8 women and 10 men, mean age 40.9 years) patients using the CE-marked MiniMed 780G AHCL system who completed 1 year of follow-up were included into the study. The research tool was the KomPAN questionnaire with several own questions added, asked in three study periods, concerning the number of meals consumed, general and night snacking, carbohydrate counting, frequency of consumption of various groups of products that affect postprandial glycaemia.
    Results: Although the mean body weight of the examined group did not increase significantly (from 75.1 kg at the beginning to 75,9 kg at the end), five various individual scenarios of weight change were observed. The eating habits has not changed, but patients began to consume less products containing simple sugars, e.g. fruit preserves, milk chocolate or fish in sauces (p<0.05). No statistically significant correlation was found between the change in body weight at the end of the study and the average amount of carbohydrates entered into the pump from the entire 12 months (p = 0.460).
    Conclusions: The implementation of AHCL system in technology naïve patients, despite offering more freedom of food choices due to better glycaemic control, did not have a significant impact on patients' dietary patterns, also did not result in weight gain. This is important since AHCL system offers more freedom of food choices due to better glycaemic control. However, the longer follow up and the study based on larger population is required to finally address the issue of the impact of AHCL on body mass.
    Language English
    Publishing date 2023-03-09
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 1215115-4
    ISSN 1898-2263 ; 1232-1966
    ISSN (online) 1898-2263
    ISSN 1232-1966
    DOI 10.26444/aaem/161289
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  5. Article ; Online: Reproductive problems and intensity of anxiety and depression in women treated for infertility.

    Wdowiak, Artur / Makara-Studzińska, Marta / Raczkiewicz, Dorota / Cyranka, Katarzyna

    Psychiatria polska

    2022  Volume 56, Issue 1, Page(s) 153–170

    Abstract: Objectives: The aim of the study was to assess the severity of anxiety and depression in women treated for infertility as compared to the severity of these clinical parameters in women without reproductive problems, and to assess the impact of emotional ...

    Title translation Problemy prokreacyjne a nasilenie lęku i depresji u kobiet leczonych z powodu niepłodności.
    Abstract Objectives: The aim of the study was to assess the severity of anxiety and depression in women treated for infertility as compared to the severity of these clinical parameters in women without reproductive problems, and to assess the impact of emotional disorders on the ovulation cycle.
    Methods: Ovulation was assessed by hormonal and ultrasound examinations. The emotional state was examined by the STAI Anxiety State and Trait Inventory and the HADS anxiety and depression scale.
    Results: The severity of anxiety as a trait and as a state according to STAI was significantly higher in women treated for infertility than in women with confirmed fertility, as well as higher in women treated for infertility who did not get pregnant than in those who got pregnant.The severity of anxiety and depression were significantly higher in women treated for infertility than in women with confirmed fertility. Women treated for infertility who did not become pregnant had higher severity of depressive symptoms compared to women who were pregnant. In the serum of women treated for infertility, cortisol levels, both during and after ovulation, positively correlated with the severity of anxiety and depression. The same correlations were found in the group of women with confirmed fertility.
    Conclusions: (1) Anxiety and depression are associated with human reproductive problems. The nature and direction of the association is to beexplored. (2) Emotionaldisorders adversely affect the secretion of sex cycle hormones and endometrial growth. (3) Couples with reproductive problems require psychological support to improve the effects of infertility treatment.
    MeSH term(s) Anxiety/psychology ; Anxiety Disorders ; Depression/psychology ; Emotions ; Female ; Humans ; Infertility/psychology ; Infertility/therapy ; Pregnancy
    Language Polish
    Publishing date 2022-02-27
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 415518-x
    ISSN 2391-5854 ; 0033-2674
    ISSN (online) 2391-5854
    ISSN 0033-2674
    DOI 10.12740/PP/125885
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  6. Article ; Online: Evaluation of Psychological Resources of Young Adults With Type 1 Diabetes Mellitus During the Transition From Pediatric to Adult Diabetes Clinics: Multicenter Cross-sectional Study.

    Cyranka, Katarzyna / Juza, Anna / Kwiendacz, Hanna / Nabrdalik, Katarzyna / Gumprecht, Janusz / Małecki, Maciej / Klupa, Tomasz / Matejko, Bartłomiej

    JMIR formative research

    2023  Volume 7, Page(s) e46513

    Abstract: Background: The transition period of patients with type 1 diabetes from pediatric to adult-oriented health care is associated with poorer glycemic control and less frequent clinic attendance. Fears and anxiety about the unknown, care approach ... ...

    Abstract Background: The transition period of patients with type 1 diabetes from pediatric to adult-oriented health care is associated with poorer glycemic control and less frequent clinic attendance. Fears and anxiety about the unknown, care approach differences in adult settings, and sadness about leaving the pediatric provider all contribute to a patient's reluctance to transition.
    Objective: This study aimed to evaluate the psychological parameters of young patients with type 1 diabetes transitioning to an adult outpatient clinic during the first visit.
    Methods: We examined 50 consecutive patients (n=28, 56% female) transitioning from March 2, 2021, to November 21, 2022, into adult care (3 diabetes centers from 3 regions in southern Poland: A, n=16; B, n=21; and C, n=13) and their basic demographic information. They completed the following psychological questionnaires: State-Trait Anxiety Inventory (STAI), Generalized Self-Efficacy Scale, Perceived Stress Scale, Satisfaction with Life Scale, Acceptance of Illness Scale, Multidimensional Health Locus of Control Scale Form C, Courtauld Emotional Control Scale, and Quality of Life Questionnaire Diabetes. We compared their data with those for the general healthy population and patients with diabetes from Polish Test Laboratory validation studies.
    Results: During the first adult outpatient visit, patients' mean age was 19.2 (SD 1.4) years, with a diabetes duration of 9.8 (SD 4.3) years and BMI of 23.5 (SD 3.1) kg/m
    Conclusions: This study indicated that young patients transitioning to adult outpatient clinics have good psychological resources and coping mechanisms, which might result in adequate adaptation and adult life satisfaction including future metabolic control. These result also disprove the stereotypes that young people with chronic disease have worse life perspectives when entering adulthood.
    Language English
    Publishing date 2023-05-29
    Publishing country Canada
    Document type Journal Article
    ISSN 2561-326X
    ISSN (online) 2561-326X
    DOI 10.2196/46513
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  7. Article ; Online: Improving support for university students with type 1 diabetes.

    Stoet, Gijsbert / Foster, Emily / Kerr, Catherine / Jiang, Lingqing / Thornhill, Megan-Ann / Cyranka, Katarzyna / Matejko, Bartłomiej / Sarna-Palacz, Dominika / Płonka-Stępień, Magdalena / Klupa, Tomasz

    The lancet. Diabetes & endocrinology

    2024  

    Language English
    Publishing date 2024-04-17
    Publishing country England
    Document type Letter
    ISSN 2213-8595
    ISSN (online) 2213-8595
    DOI 10.1016/S2213-8587(24)00107-4
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  8. Article: "Fighting spirit": specific personality traits as one of the key factors for sport championship in type 1 diabetes mellitus.

    Cyranka, Katarzyna / Dudek, Dominika / Małecki, Maciej T / Klupa, Tomasz

    Diabetology international

    2021  Volume 12, Issue 3, Page(s) 317–323

    Abstract: There is ample evidence that sport is a protective factor against a number of health risks, across all ages, in the general population. An in-depth understanding of energy metabolism has reasonably entailed exercise as a cornerstone in the lifestyle of ... ...

    Abstract There is ample evidence that sport is a protective factor against a number of health risks, across all ages, in the general population. An in-depth understanding of energy metabolism has reasonably entailed exercise as a cornerstone in the lifestyle of almost all subjects with type 1 diabetes mellitus (T1DM). Nevertheless, individuals with T1DM often fail in accomplishing exercise guidelines and they are often less active than their peer without diabetes. Two major obstacles are feared: management of blood glucose control and hypoglycemia. Nowadays, strategies, including glucose monitoring technology and insulin pump therapy, have significantly contributed to the participation in regular physical activity, and even in competitive sports, for T1DM people. The case report presents an analysis of specific personality traits and psychological parameters of 20 years old female Polish multiple champion in weightlifting with excellent T1DM control.
    Language English
    Publishing date 2021-01-13
    Publishing country Japan
    Document type Case Reports
    ZDB-ID 2574501-3
    ISSN 2190-1686 ; 2190-1678
    ISSN (online) 2190-1686
    ISSN 2190-1678
    DOI 10.1007/s13340-020-00488-w
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  9. Article ; Online: Dynamics of suicidal frequency changes within the Poland rail system - an attempt of epidemiological analyzes.

    Makara-Studzińska, Marta / Załuski, Maciej / Jagielski, Paweł / Czabański, Adam / Cyranka, Katarzyna

    Psychiatria polska

    2022  Volume 56, Issue 2, Page(s) 373–389

    Abstract: Objectives: The analysis presented in the article is the first study of suicide on railway tracks in Poland.: Methods: An epidemiological assessment was conducted, study type: case series, population-based with use of the data from the National ... ...

    Title translation Dynamika zmian częstotliwości samobójstw na kolei w Polsce – próba analizy epidemiologicznej.
    Abstract Objectives: The analysis presented in the article is the first study of suicide on railway tracks in Poland.
    Methods: An epidemiological assessment was conducted, study type: case series, population-based with use of the data from the National Police Headquarters. The rates of railway suicides in Poland in the years 2007-2018 were compared to the overall number of suicides in Poland and in the Europe.
    Results: In 2007-2018, the average share of deaths by railway suicide in the overall number of suicides committed in Poland amounted to 2.06%. Between the years: 1999 -2018 there is a growing number of railway suicide attempts and railway suicide attempts without deaths. Since 2012, an increase of suicide attempts on railway tracks, along with a constant number of suicide deaths, has been observed. In 2017 - 2018, throwing oneself under a train to end one's lifewas the third most commonly chosen method in Poland. Although it accounted for only a small percentage of all methods of suicide, it was chosen relatively more often than in other European countries.
    Conclusions: Poland belongs to a small group of European countries where the number of deaths by suicide has displayed an upward tendency in the course of 20 years. There is a growing number of unsuccessful railway suicide attempts. The index of deaths on railway tracks in Poland, was considerably higher than the average index for the EU.
    MeSH term(s) Europe ; Humans ; Poland/epidemiology ; Railroads ; Suicidal Ideation ; Suicide, Attempted
    Language Polish
    Publishing date 2022-04-30
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 415518-x
    ISSN 2391-5854 ; 0033-2674
    ISSN (online) 2391-5854
    ISSN 0033-2674
    DOI 10.12740/PP/OnlineFirst/125782
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  10. Article ; Online: Letter to Editor. Possession-unraveled.

    Mielimąka, Michał / Cyranka, Katarzyna

    Psychiatria polska

    2016  Volume 50, Issue 1, Page(s) 289–292

    Language Polish
    Publishing date 2016
    Publishing country Poland
    Document type Letter
    ZDB-ID 415518-x
    ISSN 2391-5854 ; 0033-2674
    ISSN (online) 2391-5854
    ISSN 0033-2674
    DOI 10.12740/PP/60834
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