Negative Association of Lignan and Phytosterol Intake with Stress Perception during the COVID-19 Pandemic-A Polish Study on Young Adults.

BACKGROUND: There has been an increasing global prevalence of depression and other psychiatric diseases in recent years. Perceived stress has been proven to be associated with psychiatric and somatic symptoms. Some animal and human studies have suggested that consuming foods abundant in lignans and phytosterols may be associated with lower levels of stress, depression, and anxiety. Still, the evidence is not yet strong enough to draw firm conclusions. Thus, we investigated the association between dietary intake of these phytochemicals and the level of stress experienced by adult individuals. METHODS: Diet was assessed using self-reported 7-day dietary records. The intakes of lignans and phytosterols were estimated using databases with their content in various food products. The Perceived Stress Scale (PSS) was implemented to measure the level of perceived stress. A logistic regression analysis was used to test for associations. RESULTS: The odds of elevated PSS were negatively associated with dietary intake of total phytosterols, stigmasterol, and ß-sitosterol, with evidence of a decreasing trend across tertiles of phytochemicals. The analysis for doubling the intake reinforced the aforementioned relationships and found protective effects against PSS for total lignans, pinoresinol, and campesterol. CONCLUSIONS: Habitual inclusion of lignans and phytosterols in the diet may play a role in psychological health. To address the global outbreak of depression and other mental health issues triggered by stress, it is important to take a holistic approach. There is a need to develop effective strategies for prevention and treatment, among which certain dietary interventions such as consumption of products abundant in lignans and phytosterols may play a substantial role.

Online group psychodynamic psychotherapy-The effectiveness and role of attachment-The results of a short study.

The role of remote treatment, including psychotherapy, has increased during the COVID-19 pandemic. The results of research in this area are promising, initially pointing to similar effectiveness for online psychotherapy as that of face-to-face psychotherapy. A significantly smaller amount of research has been conducted on online group psychotherapy, in particular, in the psychodynamic paradigm. Many authors have drawn attention to the need to conduct further research, considering specific patient features, for example, personality traits, attachment style, age, and other demographic variables. This study conducted pre- and post-treatment (10 weeks) and a 6-week follow-up, on the effectiveness of online synchronous group psychodynamic psychotherapy (via Zoom) taking into account patients' attachment styles. Four main hypotheses were tested: H1: Patients will obtain a lower score in the attachment's dimensions of anxiety and avoidance; H2: Patients will get a lower level of symptoms and sense of loneliness; H3: Patients will have increased self-esteem; and H4: The anxiety and avoidance dimensions of the attachment will be predictors for the effectiveness of online psychodynamic group psychotherapy. Twenty-two outpatients participated in the study, out of which 18 suffered from neurotic, stress-related, and somatoform disorders (F40-F48), and four suffered from a depressive episode (F32.0, F32.1) according to ICD-10. The results of the pre-treatment test showed a reduction in the global severity of psychiatric symptoms (d = -0.526) and depressive symptoms (d = -0.5), as well as an increase in self-esteem (d = 0.444) and feelings of loneliness (d = 0.46). A change in the attachment dimension, anxiety (d = -0.557) and avoidance (d = -0.526), was also observed. The above results were maintained in the follow-up test conducted after 6 weeks. Additionally, a reduction in the symptoms of social phobia was observed. Attachment dimensions were not a predictor of the effectiveness of psychotherapy, but a decrease in avoidance during therapy was a predictor of increased symptoms of pain. The results of the research are promising in terms of psychiatric symptoms and increased self-esteem. During therapy, there may be a favorable change in attachment dimensions, but this variable was not shown to be a predictor of results. These results suggest that more controlled research is required.

Factor structure and psychometric properties of Polish version of Parental Bonding Instrument (PBI) among adults and adolescents.

Parental Bonding Instrument (PBI) by Parker et al., is a widely known and used tool in studies on the assessment of parenting behavior in adult, adolescent and child populations. This tool has had many translations and adaptations globally. In Poland, the factor structure and psychometric properties of PBI have not been studied so far. The aim of the presented research was to perform such an analysis both in the group of adults and adolescents. The data from four research projects, in which the 25-item version of the PBI translated into Polish was used, were analyzed. Data from 698 participants in total, including 473 adults and 225 adolescents were collected. Exploratory factor analyzes was performed for both mother and father version. A study of the reliability of individual factors, stability over time (test-retest) and an analysis of criterion validity were carried out. Both in the group of adults and adolescents, obtained a three-factor structure, acceptable reliability and stability over time. Moreover PBI correlated with another Polish tool in line with the adopted hypotheses, showing satisfactory criteria validity.

The Risk of Bullying and Probability of Help-Seeking Behaviors in School Children: A Bayesian Network Analysis.

An increase in aggressive behaviors in adolescents has been observed for a few years. The participation in bullying is associated with many psychosocial difficulties in adolescent development. On the other hand, the help-seeking behavior can be one of the most important protective factors that reduce the risk for this type of violence. The study was aimed at estimating the risk factors, as well as the protective factors of school bullying, by using the Bayesian networks to build a model allowing to estimate the probability of occurrence of the aggressive and help-seeking behaviors among school children. The focus was on individual risk/protective factors related to EAS temperament (emotionality, activity, and sociability) and variables related to the family context (level of cohesion, flexibility, family communication, and family life satisfaction). Bayesian methods have not been particularly mainstream in the social and medical sciences. The sample comprised 75 students (32 boys and 43 girls), aged 13-15 (M = 13.82; SD = 0.47). Assessment comprised The EAS Temperament Questionnaire, Family Adaptability & Cohesion Evaluation Scales FACES IV-SOR (Family Rating Scale), and Survey questionnaire. The Bayesian networks were applied. Depending on the values of the identified variables, very high a posteriori probability of bullying and help-seeking behaviors can be predicted. Four EAS subscales (Distress, Fear, Activity, Sociability) and two SOR subscales (Balanced Flexibility and Balanced Cohesion) were identified as predictors of bullying. Moreover, two SOR subscales (Family Communication and Life Family Satisfaction) and one EAS subscale (Sociability) were identified as predictors of help-seeking behaviors. The constructed network made it possible to show the influence of variables related to temperament and variables related to the family environment on the probability of bullying or the probability of seeking help and support. The Bayesian network model used in this study may be used in clinical practice.

Bonding With Parents, Body Image, and Sociocultural Attitudes Toward Appearance as Predictors of Eating Disorders Among Young Girls.

A more holistic approach to treatment and prevention focuses on identifying the multiple risk and protective factors for eating disorders. However, there is a lack of research verifying the nature of the relationship between patterns of bonding with parents, sociocultural attitudes toward appearance, body image, and their role in developing or preventing eating disorders. The main aim of the study was to verify whether there is a specific set of risk or/vs. protective factors/measures for behaviors and dispositions related to the development of eating disorders. The study group consisted of 134 young Polish females (M = 14.92; SD = 1.349), with an average body mass index. The variables were measured using the Parental Bonding Instrument, the Sociocultural Attitudes Toward Appearance Questionnaire-3, The Multidimensional Body-Self Relations Questionnaire, and the Eating Disorder Inventory 3. Stepwise regression analysis was applied. Statistical analysis showed that bonding with parents (including maternal overprotection), body image (including overweight pre-occupation, fitness evaluation, health orientation, and self-classified weight), and sociocultural attitudes toward appearance (such as searching for information, pressures, and internalization) are predictors of eating disorder risks. On the other hand, maternal and paternal care (aspects of patterns of bonding with parents), positive fitness evaluation, positive appearance evaluation, and satisfaction with one's body were found to be the most significant protective factors. The results may improve prevention and intervention aimed at increasing protective factors.

Years of service, self-efficacy, stress and burnout among Polish firefighters.

OBJECTIVES: The aim of the research was to analyze the impact of selected factors: years of service, the number of interventions, self-efficacy and stress, on occupational burnout. It was hypothesized that firefighters with more years of service and a bigger number of interventions would be characterized by higher perceived stress and burnout, and that self-efficacy would have an impact on reducing the level of perceived stress and burnout. MATERIAL AND METHODS: The participants were firefighters (N = 576) from 12 Polish voivodeships, aged 20-58 years, with different seniority: up to 3, 4-8, 9-15 or >15 years of service. The following research tools were used: the Link Burnout Questionnaire, the 10-item Perceived Stress Scale, the Generalized Self-Efficacy Scale, and an independent questionnaire to gather additional information. A correlation between particular variables was carried out; the Kruskal-Wallis test was performed together with a post-hoc analysis to examine differences in the severity of individual variables depending on seniority, followed by a path analysis studied together with the identification of direct and indirect impacts. RESULTS: The number of interventions did not affect the severity of experienced stress or any of the aspects of burnout. Work experience directly influenced the level of perceived stress (ß = 0.219), disillusion (ß = 0.076), and relationship deterioration (ß = -0.156). The generalized sense of self-efficacy was found to impact both on reducing the sense of stress (ß = -0.418) and on all 4 aspects of professional burnout: psychophysical exhaustion (ß = -0.181), relationship deterioration (ß = -0.16), the sense of professional inefficacy (ß = -0.275) and disillusion (ß = -0.143). CONCLUSIONS: The results have shown that: 1) the number of interventions does not affect the severity of experienced stress or particular aspects of burnout; 2) years of service increase the severity of experienced stress and occupational burnout; 3) self-efficacy has an impact both on reducing the sense of stress and on all aspects of burnout. Int J Occup Med Environ Health. 2020;33(3):283-97.

[The perception of the relationship between parents, patterns of attachment and psychopathological symptoms in girls in late adolescence]. / Percepcja relacji miedzy rodzicami oraz wzory przywiazania a nasilenie objawów psychopatologicznych u dziewczat w póznej adolescencji.

AIM: The paper presents a study concerning perception of relationship between parents, attachment patterns between adolescents and parents and their influence on intensity of psychopathology symptoms in nonclinical adolescent women. METHOD: The study examined 75 nonclinical women in late adolescent (17-19 years old). Participants completed Parental Bonding Instrument, Youth Self Report Form and simple survey containing additional questions. RESULTS: The study revealed that the girls in late adolescence who perceived parents relationship as not good presented more psychopathology symptoms. The study also revealed that the adolescents who perceived their parents as less care and more controlled have more psychopathology symptoms. Maternal care was a predictor of lower levels of withdrawal, anxiety and depression. Paternal care was a predictor of lower levels of somatic complaints and thought disorders. Maternal control was a predictor of higher levels of attention disorders and aggressive behavior. Paternal control was a predictor of greater severity of social problems. CONCLUSIONS: The results are generally consistent with the data from literature. Perceived by adolescents family aspects such as parents quality relationship and attachment have significant influenced on the intensity ofpsychopathology symptoms: internalizing and externalizing symptoms, withdrawal, anxiety and depression, social problems, thought disorder, impaired concentration and aggressive behavior.