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PSYCHOLOGICAL, MEDICAL AND BIO-BEHAVIORAL FACTORS IN CORONARY HEART DISEASE

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Skorodensky M., Skodova Z., Takac P., Mechirova V., Palova E., Tajtakova M., Gibalova M.

Studia Psychologica

2007

vol. 49

issue 4

321-331

The aim of this study is to emphasize the importance of an integrative bio-behavioral approach to coronary heart disease. We explored relationships between psychological characteristics and traditional biomedical risk factors of coronary heart disease, by using specific methods not commonly used in Slovakia (VCE interview, RIA serotonin levels assessment). A structured interview was conducted with 89 patients, who were divided into 4 diagnostic groups: 1) cardiac patients after myocardial infarction (MI), 2) patients suffering from metabolic syndrome, 3) patients with depression, and 4) participants with growth hormone insufficiency. The VCE interview (Friedman, Ghandour, 1993) was used to assess the levels of free-floating hostility and time urgency. Beck's questionnaires (BDI, BAI) and Zung's inventory were employed in order to explore depression and anxiety. The B.P.A.I. questionnaire was used as the measure of anger and hostility. The medical and biochemical examinations were also performed (e.g., BMI, blood pressure, Doppler, EKG, cholesterol, serotonin). ANOVA, Pearson's coefficients and factor analysis were used as the statistical methods. Cardiac patients after MI scored significantly higher in free-floating hostility, time urgency and total score of the VCE interview compared to all other groups. It has been shown that results of the VCE structured interview are efficient in distinguishing patients with coronary heart disease from patients without this disorder. The cardiac patients also had higher levels of anxiety and depression, which were significantly associated with the lowest serotonin levels in this group. The group of patients with metabolic syndrome had higher levels of the above-mentioned variables compared to the group with depression and growth hormone insufficiency, which illustrates on the psychological level that metabolic syndrome might be perceived as an antecedent of future coronary heart disease. The trend of higher cardiac risk in patients suffering from depression was also partially confirmed. The results of the present study showed that psychosocial factors, especially free-floating hostility and time urgency, are strongly connected to the somatic risk factors which play an important role in the origin and development of coronary heart disease. More attention should be paid to psychosocial factors when considering the treatment and prevention of coronary heart disease.

Stwarzanie obcego – o istocie wrogości. Próba analizy filozoficznej

84%

Pawliszyn M.

Studia Migracyjne - Przegląd Polonijny

2018

vol. 44

issue 2 (168)

31–42

W prezentowanym artykule autor zastanawia się, czym jest wrogość jako taka, przyjmując, iż ludzie z natury są wobec siebie raczej przychylni, pozbawieni negatywnych odczuć. Nie chodzi o dokładne opisanie kategorii „obcego”, ale ważniejszy jest sam proces, który sprawia, że ktoś zostaje w ten sposób określony. Wrogość jest czymś wtórnym, pochodnym, zatem tym, co przeinacza, przekłamuje prawdę o człowieku. Nie sposób jednak powiedzieć, co tak naprawdę skłania człowieka do tego, by wyzwoliła się w nim postawa wrogości. Jak rozgrywa się ten skomplikowany, jak można mniemać, akt przejścia od traktowania kogoś jako „innego” do myślenia o nim w kategorii „obcego”? Autor próbuje wskazać kilka istotnych wątków, by dojść do konkluzji, iż proces „tworzenia obcego”, choć sam w sobie nienaturalny, stanowi nieodłączny element świata, w jakim żyjemy. Konkluzja ta ma zawsze tragiczny wymiar.

This paper contemplates the concept of hostility working on the assumption that people are by nature friendly and deprived of negative feelings. What it takes to fit the category of ‘stranger’ is secondary to how one becomes one in the in the eyes of other people. It is the process that matters. Hostility is a derivative and a by-product, it twists and distorts the truth about man. It is difficult to pin down what produces or provokes a hostile attitude in people. How does this complex transition from being seen as ‘different’ in the eyes of the beholders to being categorised as the ‘stranger’ play out? The author seeks to draw the reader’s attention to several apparently important themes, only to conclude that the „making of the stranger”, unnatural as it might seem, is inherent to our world. This conclusion is always tragic.

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1 Studia Migracyjne - Przegląd Polonijny

1 Studia Psychologica

1 Gibalova M.

1 Mechirova V.

1 Palova E.

1 Pawliszyn M.

1 Skodova Z.

1 Skorodensky M.

1 Tajtakova M.

1 Takac P.

1 2018

1 2007

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PSYCHOLOGICAL, MEDICAL AND BIO-BEHAVIORAL FACTORS IN CORONARY HEART DISEASE

Stwarzanie obcego – o istocie wrogości. Próba analizy filozoficznej