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Evaluation Studies 2007; 28(2): 191-198 PubMed PMID: 17435681 Citation  Keywords:  Adolescent, Adult, Aged, Depression:diagnosis, Dissociative Disorders:diagnosis, Epilepsy:diagnosis, Female, Humans, Male, Middle Aged, Models, Theoretical, Psychiatric Status Rating Scales, Psychological Tests, Reproducibility of Results, Surveys and Que.   

OBJECTIVE: Dissociation is often defined as partial or total disconnection between memories of the past, awareness of identity and of immediate sensations, and control of bodily movements, often resulting from traumatic experiences, intolerable problems, or disturbed relationships. This type of reaction to a psychological and/or physical trauma has often various neurobiological consequences and its clinical assessment has received enormous interest in recent psychological and neuroscience research.

METHODS: Psychometric parameters of the Czech version of the Dissociative Experiences Scale were tested from the viewpoints of internal consistency, validity and factor structure, using data from a sample of n=783 adults, divided into three groups (epilepsy n=243, depression n=357, norm n=183), average age 39 years, SD=13.5.

RESULTS: Findings of this study demonstrated that reliability, validity and factor structure of the Czech version of the Dissociative Experiences Scale correspond to those of the original English version.

CONCLUSIONS: The Czech version of the questionnaire may be considered a suitable tool for estimating subjectively experienced dissociative symptoms....

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Clinical Trial 2007; 28(2): 106-109 PubMed PMID: 17435679 Citation  Keywords:  Adult, Cognition:physiology, Depressive Disorder:blood, Electrocardiography, Female, Gyrus Cinguli:physiopathology, Heart Rate, Humans, Hydrocortisone:blood, Male, Middle Aged, Neuropsychological Tests, Task Performance and Analysis,.   

OBJECTIVE: According to recent findings detecting a cognitive conflict is related to activation of anterior cingulate cortex (ACC) and central autonomic network. Several recent findings also suggest the hypothesis that the cognitive conflict is related to specific nonlinear chaotic changes of the neural signal. This conflict related activation elicits autonomic responses which can be assessed by psychophysiological measures such as heart rate variability calculated as beat to beat R-R intervals (RRI).

METHOD: The present study used Stroop word-colour test as an experimental approach to psychophysiological study of cognitive conflict in connection with RRI measurement, assessment of serum cortisol and calculation of largest Lyapunov exponents in nonlinear data analysis of RRI time series in 30 patients with unipolar depression.

RESULTS: Significant correlation -0.45 (p<0.01) between largest Lyapunov exponents during conflicting Stroop task and serum cortisol levels has been found.

CONCLUSIONS: The study indicates that a defect of neural inhibition during conflicting Stroop task is closely related to decreased serum cortisol levels which probably reflect defense psychological mechanisms....

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Journal Article 2006; 27(6): 711-718 PubMed PMID: 17187017 Citation  Keywords:  Biological Evolution, Choice Behavior, Dominance-Subordination, Female, Homosexuality:psychology, Humans, Internet, Male, Masochism:psychology, Power (Psychology), Psychological Theory, Sadism:psychology, Statistics, Nonparametric,.   

OBJECTIVES: Dominance and submissiveness represent strong sexual arousal stimuli for a considerable part of population. In contrast to men's sexual dominance and women's sexual submissiveness, the opposite preferences represent an evolutionary enigma. Here, we studied prevalence and strength of particular preferences in general population by Internet-trap-method.

DESIGN: The subjects who clicked the banner displayed in the web interface of e-mail boxes were allowed to choose icons with homosexual or heterosexual partner of different hierarchical position.

RESULTS: Dominant partner was chosen by 13.8% men and 20.5% women, and submissive partner by 36.6% men and 19.8% women. Homosexual partners were chosen by 7.3% men and 12.2% women. The response times for the submissive and dominant stimuli did not differ while for the equal-status stimuli were significantly longer, suggesting that part of subjects with equal-status preferences probably intentionally mask their natural interests.

CONCLUSIONS: Large number of people who chose unequal sexual partner suggests that hierarchical status plays important role in human mating system....

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Comparative Study 2006; 27(5): 669-674 PubMed PMID: 17186998 Citation  Keywords:  Adolescent, Adult, Educational Measurement:methods, Exploratory Behavior, Female, Humans, Hydrocortisone:analysis, Male, Saliva:chemistry, Stress, Psychological, Students:psychology,.   

OBJECTIVE: In the present study we evaluated whether intensity and novelty of oral academic examinations are reflected in saliva cortisol titre.

DESIGN AND SETTING: 91 pupils completed questionnaires on sensation seeking according to Zuckerman as well as on stress coping strategies and rated their individual stress intensity upon minor oral examinations. 26 of these students donated saliva samples before as well as ten and 30 minutes after the examination to quantify cortisol using an immuno assay. Oral examinations during the school year, where students may re-adjust their grade on subsequent examinations, were regarded as minor oral examinations, whereas school exit examinations, where students do not have the chance to correct their grade anymore and may even risk a delay of several months in their academic career when they fail, were regarded as major examinations.

RESULTS: Minor oral examinations revealed either a moderate, but significant, increase in saliva cortisol titre by 1.1 fold or did not have a significant impact on cortisol titre. In contrast, school exit exams elevated cortisol titre 5.2 fold. In minor oral examinations, moderate correlations between cortisol titre and subsets in sensation seeking and coping strategies, respectively, were identified.

CONCLUSION: Intensity and novelty of an academic examination is significantly correlated to cortisol titre. Minor oral examinations, with little consequences on academic career, only have a minor impact on cortisol titre, whereas school exit examinations, which are novel to students and may have major consequences on the academic career, elicit a major increase in cortisol titre....

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Comparative Study 2006; 27(5): 651-657 PubMed PMID: 17159815 Citation  Keywords:  Adult, Aged, Aged, 80 and over, Alcoholic Beverages:statistics & numerical data, Alcoholism:epidemiology, Biomarkers:analysis, Comorbidity, Female, Health Status, Humans, Male, Mental Disorders:epidemiology, Middle Aged, Psychological Tests, Social Class,.   

OBJECTIVES: To test the hypothesis that early-onset alcoholism can be differentiated from alcoholism in the elderly by more severe substance related problems, more frequent family history, higher mortality rate, and antisocial behaviour.

METHODS: 73 elderly (E) alcoholics (mean age 70.2 yrs) were compared with 90 young (Y) alcoholics (mean age 43.9 yrs) and 70 elderly non alcoholics (mean age 76 yrs). We focused on, family history (FH), co morbidity, mortality, biological markers (AST, GGT, MCV), and demographics. Geriatric Scale of Depression, Standardized Mini-Mental State Examination and Munich Alkoholism Test were also used. All results analysed by the SPSS.

RESULTS: FH was significantly (p<0.001) more often positive in Y (52%) than in E (15%) and C (10%). Significantly (p<0.001) more E (57.5%) are married than Y (37.8%) and C (21.4%), significantly (p<0.001) more E (72. 6%) has elementary education compared with Y (44.4%). E alcoholics abstain significantly (p<0.001) more (>27 months) than Y ones (approximately 11 months). Significantly (p<0.001) more Y (43%) had forensic history than E (8.2%). Significantly (p<0.01) more death rate was found in E (19.2%) than in Y (5.6%) and C (1.4%). Significantly (p<0.01) more E (61%) prefer spirits than Y (21%), but significantly more Y (>63%) combine spirits with beer and wine than E (>32%). Significantly (p<0.001) more alcoholics (E and Y) had elated levels of MCV (>70%), AST and GGT (>60%) than C. We have found significantly (p<0.001) higher rate of comorbidity of CNS diseases, GIT, injuries, haematological and infectious diseases in the groups of elderly and young alcoholics than in C subjects. On the other hand, prevalence of cardiovascular, ORL, ophtalmological, endocrine and orthopedic diseases were significantly (p<0.01) higher in C. To compare elderly patients with young ones, we found significantly (p<0.01) higher rate of respiratory, endocrine, cardiovascular and CNS diseases, and dementia in E alcoholics (p<0.001). Depression and abuse of prescribed medication was significantly (p<0.01) more often in the C, but suicide attempts, neurotic spectrum disorders and personality disorders were significantly (p<0.01) often in group of Y.

CONCLUSION: Young alcoholics have significantly more often positive FH, drink significantly bigger amounts of alcohol, have more forensic history, and personality disorders in comparison to elderly ones. On the other hand elderly alcoholics tend to have more somatic complication due to alcohol abuse, but drink less alcohol, tend to abstain longer, and have less psychopathic traits. In contrast to literature, the majority of elderly alcoholics are married, have low education and do not belong to high social classes....

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Journal Article 2006; 27(3): 327-332 PubMed PMID: 16816829 Citation  Keywords:  Adult, Antidepressive Agents, Second-Generation:therapeutic use, Combined Modality Therapy, Double-Blind Method, Drug Resistance, Electric Stimulation Therapy:methods, Female, Humans, Male, Neuropsychological Tests, Obsessive-Compulsive Disorder:therapy, .   

BACKGROUND: The goal of our study is to assess whether transcranial magnetic stimulation (rTMS) would facilitate the effect of antidepressant in OCD patients.

METHOD: The aim of the randomized, double-blind, sham controlled study was to compare the 2 and 4 week efficacy of the 10 sessions rTMS with sham rTMS in serotonin reuptake inhibitor resistant OCD patient. Thirty three right-handed patients were randomly assigned to either active rTMS or to sham rTMS. Active rTMS with the frequency of 1 Hz at 110% of motor threshold (MT) was administered over the left dorso-lateral prefrontal cortex. The same time schedule was used for sham administration. Thirty patients finished the study, three patients' dropped out at the beginning. Psychopathology was assessed by CGI, HAMA, Y-BOCS and BAI before the treatment, immediately after the experimental treatment, and 2 weeks after the experimental treatment by an independent reviewer.

RESULTS: Both groups improved during the study period but the treatment effect did not differ between them in any of the instruments.

CONCLUSION: Low frequency rTMS administered over the left dorso-lateral prefrontal cortex during 10 daily sessions did not differ from sham rTMS in facilitating the effect of serotonin reuptake inhibitors in OCD patients....

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Journal Article 2006; 27(3): 321-326 PubMed PMID: 16807521 Citation  Keywords:  Adult, Dissociative Disorders:complications, Epilepsy:complications, Female, Humans, Kindling, Neurologic:physiology, Male, Schizophrenia:complications, Schizophrenic Psychology, Stress Disorders, Post-Traumatic:complications, Stress, Psychological:compli.   

OBJECTIVES: According to recent evidence, trauma and stress are important etiological factors in pathogenesis of schizophrenia. However, the hypothetical influence of traumatic stress on epileptic-like (or kindling) phenomena in schizophrenia is at this time unclear.

METHODS: In order to discover the influence of trauma, 82 patients with a diagnosis of paranoid schizophrenia and 50 healthy controls were assessed for symptoms of dissociation, traumatic stress and psycho-sensory symptoms of epileptic origin.

RESULTS: We have found significant traumatization and dissociation in patients who met the cut-off score for psychosensory epileptic-like symptoms and also significant correlations among these measures have been found.

CONCLUSIONS: These data suggest a certain role of epileptic-like phenomena in dissociative states in schizophrenia and are in accordance with rare intracranial EEG findings which suggest a certain role of epileptiform events in schizophrenia....

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Journal Article 2006; 27(1-2): 157-161 PubMed PMID: 16648812 Citation  Keywords:  Animals, Cattle, Craniocerebral Trauma:metabolism, Female, Hemorrhage:metabolism, Hypothalamus:metabolism, Immunohistochemistry, Male, Radioimmunoassay, Rest:physiology, Sex Characteristics, Stress, Psychological:metabolism, Vasopressins:blood,.   

OBJECTIVES: This study investigates antidiuretic hormone (ADH) plasma concentration in bulls and heifers at rest, after transportation stress, trauma and massive hyper-acute hemorrhage at slaughter, with special attention to differences between sexes. We also quantified ADH concentration in the ADH-producing hypothalamic area.

SETTING AND DESIGN: The study was carried out on animals at the abattoir, exploiting the routinely procedure of slaughtering to obtain the experimental stressful conditions. The control group was represented by a group of animals matched for breed, age and gender.

RESULTS: ADH plasma values suggest that transportation stress has little or no effect in heifers in contrast to bulls. In both sexes ADH release increases after open head trauma due to stunning prior to slaughter. Hemorrhagic hyper-acute stress caused by bleeding induces a rapid hundredfold rise of ADH plasma concentration that becomes diergic (physiologically different between sexes), with males showing far higher values. Females show a higher ADH concentration in the hypothalamus.

MAIN FINDING: This study points out a difference in ADH output between bulls and heifers under conditions of severe hemorrhagic stress, as produced by severing of the neck vessels at slaughtering.

CONCLUSION: Extreme stress unmasks endocrine differences in bovine ADH release that may be relevant only during specific circumstances, such as fighting....

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