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result(s) for
"Müldner-Nieckowski, Łukasz"
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The crossroads of gastroenterology and psychiatry – what benefits can psychiatry provide for the treatment of patients suffering from gastrointestinal symptoms
by
Sobański, Jerzy
,
Dembińska, Edyta
,
Rutkowski, Krzysztof
in
Anxiety
,
Comorbidity
,
Gastroenterology
2015
Gastrointestinal symptoms are very common in the general population. Many of them coincide with mental disorders (especially with neuroses, stress-related disorders, somatisation disorders, autonomic dysfunction, and anxiety) that are associated with psychological trauma, conflicts, and difficulties with interpersonal relationships.
Assessment of the association between gastrointestinal complaints and stressful situations in relationships, among patients admitted to day hospital for neurotic and behavioural disorders.
Analysis of the likelihood of co-occurrence of abdominal symptoms and stressful situations, reported by patients before admission, in a large group of subjects treated with psychotherapy.
Gastrointestinal symptoms were highly prevalent in the studied group (they were reported by 40-50% of patients). The most common complaints in women were: loss of appetite (52%), nausea (49%), and constipation and flatulence (45%). In men the most prevalent symptoms were: loss of appetite (47%), heartburn (44%), and flatulence (43%). Functional gastrointestinal symptoms (especially vomiting in cases of nervousness in females or heartburn in males) were significantly associated with greater likelihood of current difficulties in interpersonal relationships, such as conflicts with partner/spouse or parent.
The results suggest that in many cases symptoms of anxiety disorders or somatisation disorders coexisted with irritable bowel syndrome and functional dyspepsia.
Journal Article
Multiaxial changes in pregnancy: mental health--a review of the literature
by
Müldner-Nieckowski, Lukasz
,
Cyranka, Katarzyna
,
Sobański, Jerzy A
in
Female
,
Humans
,
Maternal Behavior
2014
Pregnancy constitutes not only a challenge for the body of the woman, but also a developmental and psychological task for the mother-to-be, her partner and the entire family. Considerable amount of research has been published on the subject of the puerperal period and treatment options of various disorders emerging after pregnancy. However, data on psychiatric disorders and their treatment during that period, although available, remain insufficient. The paper reviews the literature on mental disorders occurring in pregnancy taking into account the overall emotional situation of the pregnant woman.
Journal Article
Framework guidelines for the process of caring for the health of adolescent transgender (T) and non-binary (NB) people experiencing gender dysphoria — the position statement of the expert panel
by
Pilarczyk-Parchanowicz, Katarzyna
,
Barteczka-Eckert, Barbara
,
Sikora, Jagoda
in
Gender dysphoria
,
Gender-affirming care
,
Non-binary gender
2025
This article presents framework guidelines for the care of adolescent transgender (T) and non-binary (NB) individuals experiencing gender dysphoria (GD) and/or gender incongruence (GI). Developed by a multidisciplinary expert panel, these guidelines aim to address the complex medical, psychological, and social needs of this diverse population. The document emphasises the importance of individualised, affirmative care that respects the autonomy, identity, and rights of adolescents. It outlines best practices for psychiatric, psychological, and sexological assessment; criteria and protocols for gender-affirming hormonal interventions (GAHI) and puberty suppression; and ethical considerations for medical decision-making. The guidelines advocate for comprehensive support systems, including family involvement and multidisciplinary team collaboration, while addressing co-occurring mental health conditions and neurodiversity. The article also highlights global perspectives on gender-affirming care, comparing practices and policies across countries to provide a contextualised approach that aligns with international standards while addressing local legal and healthcare frameworks. The proposed care model is designed to enhance the mental and physical well-being of adolescents, reduce stigma, and improve their overall quality of life. This work serves as a vital resource for healthcare professionals, policymakers, and advocates seeking to advance equitable, effective, and compassionate care for gender-diverse youths.
Journal Article