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Article ; Online: Impact of COVID-19 pandemic on mental health.

Heitzman, Janusz

2020 Volume 54, Issue 2, Page(s) 187–198

Abstract: Human confrontation with such a stressor as the COVID-19 pandemic outbreak, caused by SARS-CoV-2 virus, manifested in severe acute respiratory distress, results also in the decrease of fitness and mental resistance on an unprecedented scale and with ... ...

Title translation	Wpływ pandemii COVID-19 na zdrowie psychiczne.
Abstract	Human confrontation with such a stressor as the COVID-19 pandemic outbreak, caused by SARS-CoV-2 virus, manifested in severe acute respiratory distress, results also in the decrease of fitness and mental resistance on an unprecedented scale and with difficult to estimate consequences [1]. More important than the intensity of the disorder is its prevalence. When we compare our current knowledge of the impact of the pandemic on the development of mental disorders with the findings of research on acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) over the last 40 years, it may turn out that they are different from each other, the symptomatic spectrum of mental disorders varies and the possibilities of an effective treatment are very limited. We cannot rule out that a new diagnostic category for specific mental disorders resulting from the COVID-19 pandemic may emerge in the near future. This paper presents the extent of the impact of the pandemic on the development of mental instability and current diagnostic possibilities. Subpopulations necessary for planning short-term intervention in the organisational, informative and medical areas were identified. A psychiatric guide for immediate support and assistance was proposed.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Health Status ; Humans ; Mental Health/statistics & numerical data ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Risk Factors ; SARS-CoV-2 ; Stress Disorders, Post-Traumatic/etiology ; Stress Disorders, Post-Traumatic/prevention & control ; Stress, Psychological/etiology
Keywords	covid19
Language	Polish
Publishing date	2020-04-30
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	415518-x
ISSN	2391-5854 ; 0033-2674
ISSN (online)	2391-5854
ISSN	0033-2674
DOI	10.12740/PP/120373
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Article: Wplyw pandemii COVID-19 na zdrowie psychiczne./ Wplyw pandemii COVID-19 na zdrowie psychiczne./ Impact of COVID-19 pandemic on mental health

Heitzman, Janusz

Psychiatr Pol

Abstract	Human confrontation with such a stressor as the COVID-19 pandemic outbreak, caused by SARS-CoV-2 virus, manifested in severe acute respiratory distress, results also in the decrease of fitness and mental resistance on an unprecedented scale and with difficult to estimate consequences [1]. More important than the intensity of the disorder is its prevalence. When we compare our current knowledge of the impact of the pandemic on the development of mental disorders with the findings of research on acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) over the last 40 years, it may turn out that they are different from each other, the symptomatic spectrum of mental disorders varies and the possibilities of an effective treatment are very limited. We cannot rule out that a new diagnostic category for specific mental disorders resulting from the COVID-19 pandemic may emerge in the near future. This paper presents the extent of the impact of the pandemic on the development of mental instability and current diagnostic possibilities. Subpopulations necessary for planning short-term intervention in the organisational, informative and medical areas were identified. A psychiatric guide for immediate support and assistance was proposed.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #709501
Database	COVID19

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Article: Polish Experiences of Safety Measures Involving Forensic Psychiatric Inpatients Implemented During the SARS-CoV-2 Pandemic.

Heitzman, Janusz / Gosek, Paweł

Frontiers in psychiatry

2021 Volume 11, Page(s) 576703

Abstract: The SARS-CoV-2 pandemic has made it necessary for us to adapt our healthcare systems to a very different sort of reality. This clearly also applies to psychiatric services. The restrictions and safeguards associated with the pandemic particularly concern ...

Abstract	The SARS-CoV-2 pandemic has made it necessary for us to adapt our healthcare systems to a very different sort of reality. This clearly also applies to psychiatric services. The restrictions and safeguards associated with the pandemic particularly concern adherence to social distancing and medical treatment safety procedures. The implementation of these procedures is generally complicated by conditions of forensic psychiatry where, in line with demands made by courts, the treatment and isolation of mentally unwell offenders must be carefully managed. In most countries, forensic psychiatric treatment is an inpatient service where patients are kept in restricted and cramped spaces, making social distancing difficult to implement as patients participate in compulsory group therapeutic activities. As a result, it is necessary to introduce unique recommendations relating to patient safety and treatment adapted to the realities of forensic psychiatry. All this requires the implementation of additional restrictions, over and above those arising from the essential aspects of forensic psychiatry. In this paper, we present and discuss the Polish guidelines for forensic psychiatric care during the SARS-CoV-2 pandemic, developed as a result of discussions on essential measures introduced to reduce the spread of the virus and the unique needs of the forensic patient population.
Language	English
Publishing date	2021-01-15
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2020.576703
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Article ; Online: Metabolic syndrome in patients who have been subjected to isolation security measures and treated with atypical antipsychotics.

Cynkier, Przemysław / Markiewicz, Inga / Kudlak, Grzegorz / Antoniak, Dorota / Heitzman, Janusz

Psychiatria polska

2023 , Page(s) 1–19

Abstract: Objectives: The main aim of the study was to assess the incidence of metabolic syndrome and its individual components in patients subject to a confinement measure, treated with antipsychotics in mono - or polytherapy. Additional objectives included the ... ...

Title translation	Zespół metaboliczny u pacjentów realizujących izolacyjny środek zabezpieczający, leczonych atypowymi lekami przeciwpsychotycznymi.
Abstract	Objectives: The main aim of the study was to assess the incidence of metabolic syndrome and its individual components in patients subject to a confinement measure, treated with antipsychotics in mono - or polytherapy. Additional objectives included the analysis of associations between the occurrence of metabolic syndrome and patients' age, psychiatric diagnosis, overweight or obesity, and the presence of addictions to psychoactive substances. Methods: The study involved 61 patients of the Department of Forensic Psychiatry, including 9 women and 52 men, subject to a confinement measure from September 2019 to August 2021. All parameters of metabolic syndrome and BMI were measured twice, at the beginning of the stay at the Department and after six months of treatment with atypical antipsychotics. Appropriate statistical comparative analyses were then performed. Results: There was no relationship between the occurrence of metabolic syndrome and the age of the subjects, medical diagnosis, addiction to psychoactive substances, including smoking. It has not been confirmed that the chronic use of atypical antipsychotics with parallel prophylactic and health-promoting effects in conditions of confinement leads to the development of metabolic syndrome and worsens its symptoms, apart from a marked increase in waist circumference and an increase in BMI. Conclusions: Systematic measurements of BMI and waist circumference during treatment with atypical antipsychotics may be accurate tools in assessing the risk of metabolic syndrome. Long-term confinement hospitalizations should include psychoeducational nterventions aimed at minimizing metabolic complications of pharmacotherapy.
Language	Polish
Publishing date	2023-07-07
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/163553
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Article ; Online: Subjective mental deterioration of healthcare workers during the first wave of the COVID-19 pandemic in Poland.

Sokół-Szawłowska, Marlena / Mierzejewski, Paweł / Heitzman, Janusz

Psychiatria polska

2022 Volume 56, Issue 6, Page(s) 1269–1287

Abstract: Objectives: The presented study is aimed at determining the subjective psychological reaction to the outbreak of pandemic in healthcare workers and is part of a wider research project covering successive waves of increasing number of SARS-CoV-2 ... ...

Title translation	Subiektywne pogorszenie stanu psychicznego pracowników sektora opieki medycznej w czasie pierwszej fali pandemii COVID-19 w Polsce.
Abstract	Objectives: The presented study is aimed at determining the subjective psychological reaction to the outbreak of pandemic in healthcare workers and is part of a wider research project covering successive waves of increasing number of SARS-CoV-2 infections during the COVID-19 pandemic in Poland. Methods: 664 respondents completed the anonymous online questionnaire in the period from March 12, 2020 to May 3, 2020. This is the period of the first lockdown in Poland. Data were collected using the snowball method (employees passed the questionnaire over the Internet to subsequent groups of employees in subsequent healthcare units). Results: The outbreak of pandemic had varying impact on the well-being of 96.7% of respondents. Subjectively perceived stress of varying intensity was reported by 97.3% of them, low mood was reported in 19.0%, and anxiety in 14.1% of the respondents. These results and other features of the psychological reaction (including sleep problems) to overload in healthcare workers may indicate mental deterioration in the first weeks of pandemic. Conclusions: The results obtained in the study group may encourage further analyzes of healthcare workers' mental state and contribute to discussion on the COVID-19 pandemic.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Pandemics ; SARS-CoV-2 ; Poland/epidemiology ; Communicable Disease Control ; Health Personnel/psychology ; Anxiety/epidemiology ; Depression/epidemiology
Language	Polish
Publishing date	2022-12-31
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/144111
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Article ; Online: New regulations regarding e-prescriptions may increase the risk of acute withdrawal syndromes in patients dependent on benzodiazepines or non-benzodiazepine hypnotics.

Silczuk, Andrzej / Heitzman, Janusz Piotr

Psychiatria polska

2020 Volume 54, Issue 2, Page(s) 351–358

Abstract: The implementation of solutions in the area of e-health and use of electronically issued prescription obligations meets the modern requirements of the healthcare system. Adigital record of theissued prescriptions aims atpreventing prescriptions from ... ...

Title translation	Nowe regulacje prawne dotyczące elektronicznego wystawiania i ewidencjonowania recept mogą zwiększyć ryzyko wystąpienia ostrych zespołów odstawiennych u pacjentów uzależnionych od benzodiazepin lub niebenzodiazepinowych leków nasennych.
Abstract	The implementation of solutions in the area of e-health and use of electronically issued prescription obligations meets the modern requirements of the healthcare system. Adigital record of theissued prescriptions aims atpreventing prescriptions from being traded without a physician's name in patient medical records. Access to the system may in turn reveal doctors' bad practices, and fear of the professional and legal consequences may force achange in the prescription of benzodiazepines or non-benzodiazepine hypnotics. The effect of these activities may be the disclosure of many cases of 'hidden' dependence and adverse phenomena and increase in the number of effects of cases of sudden dose reduction or discontinuation of benzodiazepines or non-benzodiazepine hypnotics. It is recommended to develop integrated, central information and train Emergency Department staff. Awareness of the phenomenon and appropriate diagnostic and therapeutic procedures can significantly increase the chance of improving the quality and safety of services provided in the acute intervention mode (Emergency Department). Arational solution may be to urgently develop standards of conduct in cases of acute withdrawal syndromes from benzodiazepines or non-benzodiazepine hypnotics. Itseems reasonable to introduce preventative programs enabling early recognition and treatment of cases where large and very large doses of drugs have been taken (high dose tolerance). Under no circumstances should medication be stopped abruptly. An information campaign, raising awareness also among the personnel of psychiatric wards, may increase the chances of systemic preparation for admission of the currently unknown population of patients at risk.
MeSH term(s)	Benzodiazepines/adverse effects ; Benzodiazepines/therapeutic use ; Female ; Humans ; Hypnotics and Sedatives/adverse effects ; Hypnotics and Sedatives/therapeutic use ; Male ; Practice Guidelines as Topic/standards ; Severity of Illness Index ; Substance Withdrawal Syndrome/drug therapy ; Substance Withdrawal Syndrome/etiology
Chemical Substances	Hypnotics and Sedatives ; Benzodiazepines (12794-10-4)
Language	Polish
Publishing date	2020-04-30
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	415518-x
ISSN	2391-5854 ; 0033-2674
ISSN (online)	2391-5854
ISSN	0033-2674
DOI	10.12740/PP/115555
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Article ; Online: An open letter to the Readers of "Polish Psychiatry".

Gierowski, Józef K / Heitzman, Janusz

Psychiatria polska

2019 Volume 53, Issue 1, Page(s) 203–207

Abstract: no summary. ...

Title translation	List otwarty do Czytelników „Psychiatrii Polskiej”.
Abstract	no summary.
MeSH term(s)	Criminal Psychology ; Forensic Medicine ; Homicide ; Humans ; Poland ; Risk Factors ; Social Environment
Language	Polish
Publishing date	2019-02-28
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/104715
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Article: Od prezesa Polskiego Towarzystwa Psychiatrycznego.

Heitzman, Janusz

Psychiatria polska

2011 Volume 45, Issue 1, Page(s) 5–8

Title translation	From the president of the Polish Psychiatric Association.
MeSH term(s)	Health Services Accessibility/organization & administration ; Humans ; Mental Disorders/epidemiology ; Mental Disorders/therapy ; Mental Health/statistics & numerical data ; Mental Health Services/organization & administration ; Poland ; Societies, Medical/standards
Language	Polish
Publishing date	2011-01
Publishing country	Poland
Document type	Addresses
ZDB-ID	415518-x
ISSN	0033-2674
ISSN	0033-2674
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Article ; Online: Exposure to violence in childhood and risk of violence in adult schizophrenia: Results from a multinational study.

Panariello, Fabio / Zamparini, Manuel / Picchioni, Marco / Nielssen, Olav B / Heitzman, Janusz / Iozzino, Laura / Markewitz, Inga / Wancata, Johannes / de Girolamo, Giovanni

Psychiatry research

2023 Volume 326, Page(s) 115299

Abstract: This study investigated the connection between childhood violence exposure and violent behavior in adults with schizophrenia spectrum disorders (SSDs). The case-control study included 398 SSD patients: 221 cases with a history of severe interpersonal ... ...

Abstract	This study investigated the connection between childhood violence exposure and violent behavior in adults with schizophrenia spectrum disorders (SSDs). The case-control study included 398 SSD patients: 221 cases with a history of severe interpersonal violence in the past and 177 controls with no history of violence. The findings indicated that cases were significantly more likely to report childhood exposure to all forms of witnessed or personally sustained violence both within and outside the family, with those who had witnessed intra-familial violence being more likely to assault a family member in adulthood. Cases reported exposure to violence before the age of 12 years significantly more frequently than controls, and those with early-life violence exposure were significantly more likely to report that they were in a state of intense anger when they behaved violently. A dose-response relationship was observed, with evidence of an increased risk of later violence when the exposure occurred before the age of 12 and an increased likelihood of intrafamilial violence. The evidence suggests that childhood violence exposure was associated with an increased risk of violent behavior in adult SSD patients, and early exposure was linked to an increased likelihood of physical violence occurring in states of intense anger.
MeSH term(s)	Adult ; Humans ; Child ; Schizophrenia/epidemiology ; Exposure to Violence ; Case-Control Studies ; Crime Victims ; Domestic Violence
Language	English
Publishing date	2023-06-10
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	445361-x
ISSN	1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7123 ; 1872-7506
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.psychres.2023.115299
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Article ; Online: Long-term forensic psychiatric inpatient treatment - review of the selected literature and the analysis of data from the medium secured forensic psychiatry unit.

Gosek, Paweł / Kotowska, Justyna / Rowińska-Garbień, Elżbieta / Bartczak, Dariusz / Plewka, Aleksandra / Heitzman, Janusz

Psychiatria polska

2022 Volume 56, Issue 6, Page(s) 1391–1404

Abstract: Objectives: The aim of this study was to perform an analysis of the risk factors of long-term psychiatric detention, defined as a stay in forensic institution exceeding respectively 60 and 84 months, based on data obtained from 150 patients from medium ... ...

Title translation	Wieloletnie detencje psychiatryczne – przegląd wybranego piśmiennictwa i analiza danych z oddziału psychiatrii sądowej o wzmocnionym stopniu zabezpieczenia.
Abstract	Objectives: The aim of this study was to perform an analysis of the risk factors of long-term psychiatric detention, defined as a stay in forensic institution exceeding respectively 60 and 84 months, based on data obtained from 150 patients from medium secure forensic psychiatry unit. The discussion was preceded by an analysis of the available literature in this field. The sociodemographic factors, the course of the mental disorder, the characteristic of committed criminal acts, aggressive or self-destructive behavior and the clinical characteristic of the illness in the last 6 months of psychiatric detention were analyzed. Methods: A pilot study was based on a retrospective analysis of data from medical records and psychiatric experts' opinions of a cross-sectional nature. Due to the variables' characteristic, the Student's t-tests, Spearman's correlation and the Kruskal-Wallis rank ANOVA were used. Results: Risk of long-term hospitalization significantly correlated with factors related to the course of the last 6 months of inpatient treatment, including the mental state of patients, the occurrence of aggressive behaviors and the response to pharmacological treatment. There was no significant effect of demographic factors or coexisting addiction to alcohol and psychoactive substances. The risk of long-term psychiatric detention increased with the duration of the illness. There were no correlations with the age of the patients at the time of admission nor number of detentions. The nature of the diagnosis was also not found to be a risk factor. Conclusions: Our study is the first systematic attempt to assess the risk factors of long-term psychiatric detention in a group of patients of forensic psychiatry centers in Poland. We hope that the presented results will rise a discussion on the shape of psychiatric care in Poland and encourage further research in this area, as well as they will contribute to the optimization of the treatment process.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Forensic Psychiatry ; Inpatients/psychology ; Mental Disorders/diagnosis ; Pilot Projects ; Retrospective Studies
Language	Polish
Publishing date	2022-12-31
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	415518-x
ISSN	2391-5854 ; 0033-2674
ISSN (online)	2391-5854
ISSN	0033-2674
DOI	10.12740/PP/OnlineFirst/136472
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