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Łukasz Mokros, Jacek Koprowicz, Katarzyna Nowakowska-Domagała, Juliusz Rodak and Tadeusz Pietras

Abstract

Introduction.

A sense of burnout may seriously impair one’s functioning and well-being. It may also hamper the quality of care over a patient. The present study therefore assesses sleep quality and chronotype as predictors of a sense of burnout in physicians and nurses of a district hospital.

Material and methods.

The study group comprised 16 physicians and 31 nurses of a district hospital in Central Poland. The participants completed the Link Burnout Questionnaire (LBQ), Chronotype Questionnaire, and Pittsburgh Sleep Quality Inventory. A linear regression model was constructed for each LBQ dimension by means of stepwise elimination. Each model was adjusted to empirical data (p<0.05).

Results.

A rise in Psychophysical exhaustion was predicted by greater scores for Morningness-Eveningness (ME) and Distinctness (DI) of the rhythm. A higher ME score was associated with higher scores in Relationship deterioration and Sense of professional ineffectiveness, with the latter also associated with presence in the nurses group. The nurses group also demonstrated higher Disillusionment and Psychophysical exhaustion scores than the physicians group.

Conclusions.

Eveningness predicted greater burnout in the studied sample. Thus, chronotype should be considered an important burnout risk factor and it can act as a starting point for devising behavioural interventions.

Open access

Aneta Gerhant, Ewa Krzewicka-Romaniuk, Dagna Siedlecka, Magdalena Derewianka-Polak and Marcin Olajossy

Summary

Objective: The aim of the study was to determine differences in the range of socio-demographic variables, selected clinical variables, temperament and character traits, coping with stress strategies and the level of aggression in alcohol addicts with or without a history of suicide attempt(s).

Methods: The study involved 90 people addicted to alcohol, treated in inpatient alcohol dependence treatment program. In order to collect data on socio - demographic variables and selected clinical variables, a self-made questionnaire was used. The severity of alcohol dependence was verified using the MAST and SADD scales. Characteristics of temperament and character were examined with the TCI questionnaire. The BPAQ and COPE questionnaires were used to examine the level of aggression and styles of coping with stress.

Results:Out of 90 subjects with alcohol dependence syndrom, 20% had attempted suicide in the past. The respondents with a history of suicide attempts were statistically significantly younger, were characterized by a younger age of alcohol drinking initiation and the initiation of regular alcohol drinking, and a greater severity of alcohol dependence in the MAST and SADD scales. A significantly larger percentage of respondents who had attempted suicide inflicted self-injury in the past, used other psychoactive substances as well as hypnotics and sedatives. The subjects with a suicide attempt in the interview obtained statistically significantly higher scores in terms of the level of aggression, harm avoidance and self-directedness, and more often used the style of coping with stress based on avoidance and accepting the situation.

Conclusions: The obtained results correspond with data available in the literature and may provide a foundation for theoretical models explaining the phenomenon of suicidal behavior in alcohol addicts as well as for suicide prevention programs in this group of patients.

Open access

Magdalena Razmus, Beata Daniluk and Piotr Markiewicz

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Open access

Aneta Gerhant, Marcin Olajossy, Agata Kalińska and Agata Miernicka

Disord.2007;101(1):169-174. 36. Lee A. M., Lam S. K., Lau S. M. S. M., Chong C. S. Y., Chui H. W., Fong D. Y. T. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol. 2007;110(5):1102-1112. 37. Huizink A. C., Mulder E. J., de Medina, P. G. R., Visser G. H., Buitelaar J. K. Is pregnancy anxiety a distinctive syndrome?. Early Human Dev.2004; 79(2):81-91. 38. Smith-Nielsen J., Steele H., Mehlhase H., Cordes K., Steele M., Harder S., Væver M. S. Links Among High EPDS Scores, State of Mind Regarding Attachment, and